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Living with chronic pain : is multidisciplinary treatment in the Roessingh Rehabilitation Center equally effective for every patient? An analysis of demographic, physical and psychological predictors of treatment outcome.

Jagow, H. (2014) Living with chronic pain : is multidisciplinary treatment in the Roessingh Rehabilitation Center equally effective for every patient? An analysis of demographic, physical and psychological predictors of treatment outcome.

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Abstract:Background and objective: Chronic pain is a common condition with widespread consequences for the individual as well as society and health care systems. Because pain is long – lasting and it is often not possible to eliminate it, patients develop dysfunctional behavior patterns that can result in a vicious circle of impairment. Research suggests, that a multidisciplinary approach that concentrates on Cognitive Behavior Therapy (CBT) or Acceptance and Commitment Therapy (ACT) promises the best results for intervention. There is until now insufficient information about which therapy works for whom and what possible predictors of treatment outcome are. But this information appears to be necessary in order to optimize chronic pain treatment. Therefore, the research question was whether treatment in the Roessingh Rehabilitation Center in Enschede was effective in general, and whether there were predictors of treatment outcome. Method: The Roessingh Rehabilitation Center uses a multidisciplinary approach, based on both, CBT and ACT. Four variables were selected for further investigation. Those were age, level of activity and the coping styles pain transformation and catastrophizing. For treatment outcome a paired sample T – test was done. For the analysis of the predictors linear regression models were used. Results: The results show a positive treatment effect, which means that treatment in general was effective. Linear regression shows no statistically relevant result. Discussion and conclusion: Analysis shows, that there is no statistical evidence that age, activity level, catastrophizing and pain transformation are predictors of treatment outcome. Those results are in accordance with existing literature, except from catastrophizing. Catastrophizing is in other research declared to be a predictor of treatment outcome. Given that much research about predictors of treatment outcome presents mixed results, further research appears essential. Also, future research should concentrate on the distinction between CBT and ACT with regard to treatment effect.
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/65739
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