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Predictors of outcome of multidisciplinary treatment in chronic widespread pain: an observational study

, : Predictors of outcome of multidisciplinary treatment in chronic widespread pain: an observational study. Bmc Musculoskeletal Disorders 14: 133-133

The effectiveness of multidisciplinary treatment in chronic widespread pain (CWP) is limited. The considerable heterogeneity among patients is a likely explanation. Knowledge on predictors of the outcome of multidisciplinary treatment can help to optimize treatment effectiveness. The purpose of this study was to identify predictors of multidisciplinary treatment outcome in patients with CWP. Data were used from baseline and 6 months follow-up measurements of a prospective cohort study of 120 CWP. Regression models were used to assess whether baseline variables predicted treatment outcome. Outcome domains included: pain, pain interference, depression, and global perceived effect (GPE). Potential predictors included: psychological distress, illness and self-efficacy beliefs, fear-avoidance beliefs and behaviour, symptoms, disability, and socio-demographic factors. Greater improvement in pain was predicted by more pain at baseline and male gender. Greater improvement in interference of pain in daily life was predicted by more interference of pain in daily life at baseline, lower levels of anxiety, a stronger belief in personal control, less belief in consequences, male gender, and a higher level of education. Greater improvement in depression was predicted by higher baseline values of depression, stronger beliefs in personal control, and a higher level of education. Better outcome on GPE was predicted by less pain, less fatigue, and a higher level of education.Less anxiety, stronger beliefs in personal control, less belief in consequences, less pain, less fatigue, higher level of education, and male gender are predictors of better outcome of multidisciplinary treatment in CWP. Tailoring treatment to these specific patient characteristics or selecting eligible patients for multidisciplinary treatment may further improve treatment outcome.


PMID: 23577981

DOI: 10.1186/1471-2474-14-133

Other references

Torén, K.; Sterner, T., 2003: How to promote prevention--economic incentives or legal regulations or both?. Legal regulations of the work environment are probably regarded as the main tools for promoting prevention at the workplace. Legal regulations are expressed as occupational exposure limits, bans, and taxes. Taxes can be regarded as economic incent...

van den Boogaard, T.Michael.; Verhaak, P.F.M.; van Dyck, R.; Spinhoven, P., 2012: The impact of causal attributions on diagnosis and successful referral of depressed patients in primary care. Despite growing concerns of over-treatment, the under-diagnosis and undertreatment of major depressive disorders is still prevalent. Causal attributions are thought to be involved in help seeking behavior, time to diagnosis and the chance for succ...

Macarrón, R.; Luengo, J.I., 2011: Yin and Yang in medicinal chemistry: what does drug-likeness mean?. Future Medicinal Chemistry 3(5): 505-507

Ostapko KI|OSTAPKO.K.I., 1974: Klavdiia Ivanovna Ostapko. Ortopediia Travmatologiia i Protezirovanie 0(10): 92-92

Claesson, M.H.; Hartmann, N.R., 1976: Cytodynamics in the thymus of young adult mice a quantitative study on the loss of thymic blast cells and nonproliferative small thymocytes. Cell proliferation and cell loss in the thymic blast cell population were studied in young adult mice by stathmokinetic methods combined with an analysis of the PLME-curve [percentage of labeled metaphases] after a pulse 3H-TdR [thymidine] and nig...

Vlaszaty, O., 1980: Aboretum of the Forestry Institute at Godollo. ERFA Erdogazdasag es faipar: (8 9) 9-11

Widström, A.M.; Christensson, K., 1987: Research connection and developments in care--exemplified by a practical application in maternal-infant care. Jordemodern 100(1-2): 7-18

Byrd, G.D.; Uhrig, M.S.; deBethizy, J.D.; Caldwell, W.S.; Crooks, P.A.; Ravard, A.; Riggs, R.m., 1994: Direct determination of cotinine-N-glucuronide in urine using thermospray liquid chromatography/mass spectrometry. A thermospray liquid chromatographic/mass spectrometric method has been developed for direct determination of cotinine-N-glucuronide in the urine of smokers. Quantification was performed using methyl-d3-cotinine-N-glucuronide as internal standard...

Giesecke, W.H.; Korybut-Woroniecki, P.A.; Kowalski, Z.E., 1990: Udder health implications of premature bovine mammary regression. I. Clinical, subclinical and reducing-sugar changes in milk during 168 hours of suspended milking in mid-lactation. The investigation involved 4 mastitis-free cows, exposed to 168 h of suspended milking to induce prolonged milk stasis and premature mammary regression during mid-lactation. After 48 h the milk stasis elicited mastitis-like changes in the clinical...

Hirayama, K.; Rafter, J., 2006: Probiotics in cancer prevention. This chapter examines the role of probiotics in cancer prevention based on the results of various epidemiological, human, laboratory animal, and in vitro studies. Several potential mechanisms by which probiotics can inhibit carcinogenesis are desc...