Vorhersage verschiedener Erfolgsmaße in der Behandlung chronischer Rückenschmerzen: Schmerzintensität, Beeinträchtigung und Funktionskapazität: Determinanten des Behandlungserfolges in einem tagesklinischen multimodalen Setting
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Vorhersage verschiedener Erfolgsmaße in der Behandlung chronischer Rückenschmerzen: Schmerzintensität, Beeinträchtigung und Funktionskapazität: Determinanten des Behandlungserfolges in einem tagesklinischen multimodalen Setting. / Heinrich, M; Hafenbrack, K; Michel, C; Monstadt, D; Marnitz, U; Klinger, R.
In: SCHMERZ, Vol. 25, No. 3, 06.2011, p. 282-9.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Vorhersage verschiedener Erfolgsmaße in der Behandlung chronischer Rückenschmerzen: Schmerzintensität, Beeinträchtigung und Funktionskapazität: Determinanten des Behandlungserfolges in einem tagesklinischen multimodalen Setting
AU - Heinrich, M
AU - Hafenbrack, K
AU - Michel, C
AU - Monstadt, D
AU - Marnitz, U
AU - Klinger, R
PY - 2011/6
Y1 - 2011/6
N2 - INTRODUCTION: The empirical findings on risk factors for a favorable/unfavorable outcome upraised via pain intensity, disability and functional capacity after empirically well-evaluated multimodal treatment are inconsistent. The objective of this study was to analyze the relevance of psychosocial and pain-related variables for therapeutic outcome in an unselected sample of patients with chronic non-specific back pain (CBP).METHODS: Included were 681 patients with CBP referred to an outpatient-based multidisciplinary pain rehabilitation program and 320 took part in a survey 12 months later. Before, directly after and 12 months after the program the patients received a questionnaire which contained pain-related items on pain intensity, disability, self-reported functional capacity which were defined as outcome variables, psychological items (anxiety, depression) and work-related items which represented probable predictor variables. Multivariable regression analyses were calculated to estimate the contribution of the selected parameters on pain intensity, disability and functional capacity.RESULTS: The calculated regressions showed only a moderate ability to predict or explain the outcomes pain intensity, disability and functional capacity. However, depression and body mass index (BMI) were significantly related to pain-related therapeutic outcome.
AB - INTRODUCTION: The empirical findings on risk factors for a favorable/unfavorable outcome upraised via pain intensity, disability and functional capacity after empirically well-evaluated multimodal treatment are inconsistent. The objective of this study was to analyze the relevance of psychosocial and pain-related variables for therapeutic outcome in an unselected sample of patients with chronic non-specific back pain (CBP).METHODS: Included were 681 patients with CBP referred to an outpatient-based multidisciplinary pain rehabilitation program and 320 took part in a survey 12 months later. Before, directly after and 12 months after the program the patients received a questionnaire which contained pain-related items on pain intensity, disability, self-reported functional capacity which were defined as outcome variables, psychological items (anxiety, depression) and work-related items which represented probable predictor variables. Multivariable regression analyses were calculated to estimate the contribution of the selected parameters on pain intensity, disability and functional capacity.RESULTS: The calculated regressions showed only a moderate ability to predict or explain the outcomes pain intensity, disability and functional capacity. However, depression and body mass index (BMI) were significantly related to pain-related therapeutic outcome.
KW - Activities of Daily Living
KW - Adult
KW - Anxiety
KW - Combined Modality Therapy
KW - Cooperative Behavior
KW - Day Care, Medical
KW - Depression
KW - Disability Evaluation
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Interdisciplinary Communication
KW - Linear Models
KW - Low Back Pain
KW - Male
KW - Middle Aged
KW - Pain Measurement
KW - Patient Care Team
KW - Prognosis
KW - Rehabilitation, Vocational
KW - Surveys and Questionnaires
KW - Treatment Outcome
KW - English Abstract
KW - Journal Article
U2 - 10.1007/s00482-011-1027-2
DO - 10.1007/s00482-011-1027-2
M3 - SCORING: Zeitschriftenaufsatz
C2 - 21424332
VL - 25
SP - 282
EP - 289
JO - SCHMERZ
JF - SCHMERZ
SN - 0932-433X
IS - 3
ER -