Article Text

PDF
AB1436-HPR Predictors of outcome of multidisciplinary treatment in chronic widespread pain: An observational study
  1. A. De Rooij1,
  2. M. van der Leeden1,2,
  3. L.D. Roorda1,
  4. M.P. Steultjens3,
  5. J. Dekker1,2,4
  1. 1Department of Rehabilitation Research, Amsterdam Rehabilitation Research Center | Reade
  2. 2Department of Rehabilitation Medicine and EMGO Institute, VU University Medical Centre
  3. 3School of Health, Glasgow Caledonian University
  4. 4Department of Psychiatry, VU University Medical Centre, Amsterdam, Netherlands

Abstract

Background 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.

Objectives To identify predictors of multidisciplinary treatment outcome in patients with chronic wide spread pain (CWP)

Methods 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.

Results 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.

Conclusions 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.

Disclosure of Interest None Declared

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.