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De invloed van de copingstijl van chronische pijnpatiënten op het effect van een multidisciplinaire revalidatiebehandeling

Meijden, F.M. van der (2013) De invloed van de copingstijl van chronische pijnpatiënten op het effect van een multidisciplinaire revalidatiebehandeling.

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Abstract:Introduction: Approximately one in every five adults in the Netherlands suffers from chronic pain. It is a complex problem because it is influenced by biological as well as psychological as well as social factors. The pain usually does not have or no longer has a medical cause and cannot be cured. A multidisciplinary rehabilitation treatment is effective in learning to cope with the pain. This research studies whether the coping style of chronic pain patients has an influence on the effect of a multidisciplinary rehabilitation treatment. Coping is defined as the way people cope with setbacks and problems. The hypothesis in this research is that chronic pain patients that have an active coping style benefit more from a multidisciplinary medical rehabilitation treatment than chronic pain patients with a passive coping style. Patients with an active coping style tackle and deal with stressful situations, whereas patients with a passive coping style are hesitant and more inclined to let the problems run their course. Method: 57 chronic pain patients that have undergone multidisciplinary rehabilitation treatment are included in this research. They filled in the Utrecht Scale for Evaluation of Rehabilitation - Participation [USER-P] both before and after the treatment. This evaluation was used to measure the frequency of their activities, their restrictions in activities and the satisfaction regarding their participation. The measurement of the situation before and after treatment show the effect of the treatment. The coping style was determined by filling in the Utrecht Coping List [UCL] before commencement of the treatment. The data analysis was executed using a linear mixed model. Results: After the treatment, the whole group proved to have a significantly better score on all scales of the USER-P. After the treatment, patients undertake more activities, experience less restrictions in undertaking activities and are more satisfied about their participation. Most coping styles do not influence the effectiveness of the treatment. Only a low score on the coping style “passive reaction pattern” appears to lead to more effectiveness of the treatment. Conclusion: The coping style of chronic pain patients appears to barely have an influence on the effect of a multidisciplinary rehabilitation treatment. Surprisingly, only chronic pain patients with a high passive reaction pattern, appear to benefit more from the treatment than patients with a low passive reaction pattern. However, they score significantly lower on the participation scales prior to the treatment, which could explain this surprising outcome. More longitudinal research is needed before any conclusions can be drawn on the long term influence of coping styles on the effect of the treatment.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:https://purl.utwente.nl/essays/64070
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