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Prognostic factors ...
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Tseli, ElenaHögskolan Dalarna,Medicinsk vetenskap,Karolinska Institutet,Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, SE-14183 Stockholm, Sweden;Dalarna Univ, Sch Educ Hlth & Social Studies, Stockholm, Sweden
(författare)
Prognostic factors for improved physical and emotional functioning one year after interdisciplinary rehabilitation in patients with chronic pain : Results from a national quality registry in Sweden
- Artikel/kapitelEngelska2020
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Medical Journals Sweden AB,2020
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electronicrdacarrier
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LIBRIS-ID:oai:DiVA.org:du-32012
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https://urn.kb.se/resolve?urn=urn:nbn:se:du-32012URI
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https://doi.org/10.2340/16501977-2648DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-409785URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-165101URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:143222217URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Funding Agencies|Swedish Research Council, Stockholm, SwedenSwedish Research Council [2015-02512]; Doctoral School in Health Care Sciences, Karolinska Institutet, Stockholm, Sweden; AFA-Insurance, Stockholm, Sweden [140340]; Research-ALF, County Council of Ostergotland, Linkoping, Sweden [LIO-608021]; Swedish Research Council for Health, Working Life and Welfare (FORTE), Stockholm, Sweden [2017-00177]
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OBJECTIVE: To investigate prognostic factors for physical and emotional functioning following interdisciplinary multimodal pain rehabilitation, by targeting patients' baseline characteristics and health measures.METHODS: A prospective cohort of 2,876 patients from 38 specialist clinics across Sweden, who were completing interdisciplinary multimodal pain rehabilitation programmes, was followed through the Swedish Quality Registry for Pain Rehabilitation, from initial assessment to 12-month follow-up. Using logistic regression, baseline data were regressed to predict improvement in Physical functioning and Emotional functioning, fused by principal component analyses using the 36-item Short Form Health Survey (SF-36) and the Hospital Anxiety and Depression Scale (HADS).RESULTS: Employment status emerged as having the largest effect sizes in both Physical functioning and Emotional functioning; Working: odds ratio (OR) 2.05 (95% confidence interval (95% CI) 1.64-2.56) and OR 1.59 (95% CI 1.27-1.98), respectively. Strong beliefs in restored health, better initial emotional health, lower levels of pain and pain interference, and younger age all predicted Physical functioning. European origin, higher levels of general activity, and sense of life control all predicted Emotional functioning. Worse initial physical and emotional health predicted the corresponding dependent outcomes.CONCLUSION: Employment was consistently found to be an important prognostic factor, suggesting the significance of avoiding delay in interdisciplinary multimodal pain rehabilitation. A positive treatment expectancy was of importance. In general, multidimensional measures indicated that better initial status was more favourable; however, inconsistency implies a complex prognostic picture.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Vixner, LindaHögskolan Dalarna,Medicinsk vetenskap,Dalarna Univ, Sch Educ Hlth & Social Studies, Stockholm, Sweden(Swepub:du)lvi
(författare)
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Lo Martire, RiccardoHögskolan Dalarna,Medicinsk vetenskap,Karolinska Institutet,Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, SE-14183 Stockholm, Sweden;Dalarna Univ, Sch Educ Hlth & Social Studies, Stockholm, Sweden(Swepub:du)rlm
(författare)
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Grooten, Wilhelmus J AKarolinska Institutet
(författare)
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Gerdle, BjörnLinköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum(Swepub:liu)bjoge88
(författare)
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Äng, BjörnKarolinska Institutet,Uppsala universitet,Högskolan Dalarna,Medicinsk vetenskap,Karolinska Institutet; Center for Clinical Research Dalarna - Uppsala University, Falun,Centrum för klinisk forskning Dalarna,Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, SE-14183 Stockholm, Sweden;Dalarna Univ, Sch Educ Hlth & Social Studies, Stockholm, Sweden,Karolinska Inst, Sweden; Dalarna Univ, Sweden; Uppsala Univ, Sweden(Swepub:du)bja
(författare)
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Högskolan DalarnaMedicinsk vetenskap
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Sammanhörande titlar
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Ingår i:Journal of Rehabilitation Medicine: Medical Journals Sweden AB52:21650-19771651-2081
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