Effekte eines interdisziplinären Functional-restoration-Behandlungsprogramms mit kognitiv-behavioraler Therapie beim chronischen Rückenschmerz - Versorgungsforschung im Kontext von Selektivverträgen

TY - JOUR

T1 - Effekte eines interdisziplinären Functional-restoration-Behandlungsprogramms mit kognitiv-behavioraler Therapie beim chronischen Rückenschmerz - Versorgungsforschung im Kontext von Selektivverträgen

AU - Hafenbrack, K

AU - Heinrich, M

AU - Müller, G

AU - Marnitz, U

AU - Mallwitz, J

AU - Klinger, R

PY - 2013/12

Y1 - 2013/12

N2 - INTRODUCTION: The efficacy of functional restoration programs for the treatment of chronic back pain is well documented. Nevertheless, there are only a few such centres in Germany and few trials have been conducted in German-speaking regions to demonstrate that implementing such programs in everyday clinical settings with large numbers of patients is just as effective as in a research setting. The present study examined whether the positive effects of such programs can also be observed in the clinically relevant context of a standardized day clinic treatment regimen.MATERIAL AND METHODS: A total of 681 back pain patients in 2 German cities were examined at 4 measurement points (before and immediately after the program, as well as 6 and 12 months after treatment) using a comprehensive questionnaire on perceived pain and symptoms of anxiety and depression, as well as the work situation.RESULTS: In both cities significant and long-term improvements in back pain, pain-related impairment and degree of chronification were observed, as well as a high return-to-work rate after treatment. Hence, the quality of such programs was also confirmed for a large patient population.

AB - INTRODUCTION: The efficacy of functional restoration programs for the treatment of chronic back pain is well documented. Nevertheless, there are only a few such centres in Germany and few trials have been conducted in German-speaking regions to demonstrate that implementing such programs in everyday clinical settings with large numbers of patients is just as effective as in a research setting. The present study examined whether the positive effects of such programs can also be observed in the clinically relevant context of a standardized day clinic treatment regimen.MATERIAL AND METHODS: A total of 681 back pain patients in 2 German cities were examined at 4 measurement points (before and immediately after the program, as well as 6 and 12 months after treatment) using a comprehensive questionnaire on perceived pain and symptoms of anxiety and depression, as well as the work situation.RESULTS: In both cities significant and long-term improvements in back pain, pain-related impairment and degree of chronification were observed, as well as a high return-to-work rate after treatment. Hence, the quality of such programs was also confirmed for a large patient population.

KW - Adult

KW - Anxiety Disorders

KW - Back Pain

KW - Cognitive Therapy

KW - Combined Modality Therapy

KW - Comorbidity

KW - Cooperative Behavior

KW - Day Care, Medical

KW - Depressive Disorder

KW - Disability Evaluation

KW - Female

KW - Follow-Up Studies

KW - Germany

KW - Health Services Research

KW - Hospitals, University

KW - Humans

KW - Interdisciplinary Communication

KW - Male

KW - Middle Aged

KW - Outcome and Process Assessment (Health Care)

KW - Prospective Studies

KW - Quality of Life

KW - Surveys and Questionnaires

KW - Comparative Study

KW - English Abstract

KW - Journal Article

KW - Randomized Controlled Trial

U2 - 10.1007/s00482-013-1377-z

DO - 10.1007/s00482-013-1377-z

M3 - SCORING: Zeitschriftenaufsatz

C2 - 24337423

VL - 27

SP - 566

EP - 576

JO - SCHMERZ

JF - SCHMERZ

SN - 0932-433X

IS - 6

ER -