Multidisciplinaire behandeling bij chronische pijn en de invloed van patiënten-karakteristieken op de behandelingsuitkomst

Ginters, N. (2014) Multidisciplinaire behandeling bij chronische pijn en de invloed van patiënten-karakteristieken op de behandelingsuitkomst.

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Abstract:Background: Chronic pain is highly prevalent and is associated with limitations in daily life and mental health problems. This leads to high costs due to sick leave and frequent use of medical institutions. Therefore, chronic pain patients often end up in multidisciplinary pain clinics, which work with Cognitive Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT). Although these treatments have been found to be effective in case of chronic pain, not every patient seems to benefit equally well. Studies have shown mixed results about which patient characteristics are working as predictors on treatment outcome. The aim of this study is to examine if the demographic factor gender, the physical factor pain intensity and the psychological factors pain catastrophizing and pain acceptance predict the treatment outcome of a multidisciplinary treatment with CBT and ACT. Method: 137 chronic pain patients participated in a multidisciplinary treatment that was semi-clinical and took 8 weeks. At the beginning and at the end of the treatment questionnaires were taken to measure the treatment outcome pain interference (MPI) and the predictors of the treatment outcome gender, pain intensity (MPI), pain catastrophizing (PCS), and pain acceptance (PIPS). Results: Linear regression analyses identified pain intensity, pain acceptance and pain catastrophizing to be predictors of pain interference at treatment outcome. High pain intensity, catastrophizing and avoidance of pain were associated with higher pain interference and thus with poorer treatment outcome. Gender was not found to be a significant predictor. Conclusion: This study has shown that pain intensity, pain acceptance and pain catastrophizing predict treatment outcome of a multidisciplinary treatment with CBT and ACT. This means that the treatment is not equally effective for everyone. Despite the mixed results of this study in comparison with former literature, it is recommended to conduct follow-up studies to detect predictors that apply in general. This is necessary because of the relevance in clinical practice.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/65729
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