Short-term cognitive-behavioral treatment in multicultural primary care of patients with longstanding backache

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Taloyan, MarinaKarolinska Institutet (author)

Short-term cognitive-behavioral treatment in multicultural primary care of patients with longstanding backache

Article/chapterEnglish2013

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2013-06-06
Wiley,2013
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:uu-208641
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-208641URI
https://doi.org/10.1111/sjop.12061DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:127356665URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

The efficacy of cognitive-behavioral therapy in multi-cultural primary care patients with longstanding backache is not evaluated. The purpose of this study was to investigate the outcome of a four weekly-treatment given by primary care physicians regarding pain-related worry, depression and severe pain and to determine which social, clinical or gender factors were associated with outcome.The study group consisted of 245 patients in consecutive order from 19 countries, 18 to 45years, entering rehabilitation program because of longstanding backache. Prevalences of pain-related worry and depression and severe pain was counted and compared before and after. Logistic regression was used to calculate the odds (OR; 95% CI) for persistent pain-related worry and/or persistent depression and severe pain (VAS 50). The prevalences of pain-related worry and depression were both significantly lower after treatment (pain-related worry 83% before vs. 38% after; depression 43% before vs. 31% after). Also the number of patients scoring 50 VAS was a little, but significantly, fewer (68% vs. 61%). Use of interpreter doubled the risk of having persistent pain-related worry (OR 2.1; 95% CI 1.1-4.1) but the risk was not significant regarding persistent depression (OR 1.8; 0.6-5.4). The rating of VAS rating 50 after treatment was twice as high, OR 2.3 (95% CI 1.1-4.6) in the 38-45year old age group. To conclude, a focus on pain ideas reduced pain-related worry and depression in these patients with various sociocultural backgrounds and longstanding backache.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
Pain-related worry
depression
severe pain
cognitive-behavioral treatment
cultural diversity
primary health care
intervention

Added entries (persons, corporate bodies, meetings, titles ...)

Alinaghizadeh, HassanUppsala universitet,Arbets- och miljömedicin(Swepub:uu)hasal718 (author)
Löfvander, MonicaUppsala universitet,Allmänmedicin och preventivmedicin,Centrum för klinisk forskning, Västerås(Swepub:uu)monlo797 (author)
Karolinska InstitutetArbets- och miljömedicin (creator_code:org_t)

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In:Scandinavian Journal of Psychology: Wiley54:5, s. 371-3750036-55641467-9450

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Neurology

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Psychiatry

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