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A randomized contro...
A randomized controlled component analysis of a behavioral medicine rehabilitation program for chronic spinal pain: are the effects dependent on gender?
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- Jensen, Irene B. (author)
- Karolinska Institutet,Karolinska institutet
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- Bergström, Gunnar, Professor (author)
- Karolinska Institutet,Karolinska institutet
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- Ljungquist, Therese (author)
- Karolinska Institutet,Karolinska institutet
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- Bodin, Lennart (author)
- Örebro University, Department of Statistics, 701 82 Örebro, Sweden
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- Nygren, Åke L. (author)
- Karolinska Institutet,Karolinska institutet
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(creator_code:org_t)
- LWW, 2001
- 2001
- English.
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In: Pain. - : LWW. - 0304-3959 .- 1872-6623. ; 91:1, s. 65-78
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- The aim of the present study was to evaluate the outcome of a behavioral medicine (BM) rehabilitation program and the outcome of its two main components, compared to a ‘treatment-as-usual’ control group (CG). The study employed a 4×4 repeated-measures design with four groups and four assessment periods (pre-treatment, post-treatment, 6-month follow-up, and 18-month follow-up). The group studied consisted of subjects on sick leave identified in a nationwide health insurance scheme in Sweden. After inclusion, the subjects were randomized to one of four conditions, which were: (1) behavior-oriented physical therapy (PT); (2) cognitive behavioral therapy (CBT); (3) BM rehabilitation consisting of PT+CBT (BM); (4) a ‘treatment-as-usual’ CG. The treatments were given over a period of 4 weeks, PT and CBT on a part-time basis and BM on a full-time basis. Outcome variables were sick leave, early retirement, and health-related quality of life (measured using the Short Form Health Survey, SF-36). The results showed that the risk of being granted full-time early retirement was significantly lower for females in PT and CBT compared to the CG during the 18-month follow-up period. However, the total absence from work (sick listing plus early retirement) in days over the 18-month follow-up period was not significantly different in the CG compared to the treatments. On the SF-36, women in CBT and BM reported a significantly better health-related quality of life than women in the CG at the 18-month follow-up. No significant differences for men were found on the SF-36 scales. In conclusion, the results revealed gender differences in the outcome of the treatments and that the components of this BM program yielded as good results as the whole program.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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