Changes in multidimensional pain inventory profile after a pain rehabilitation programme
indicate the risk of receiving sick leave benefits one year later
Engelsk titel: Changes in multidimensional pain inventory profile after a pain rehabilitation programme indicate
the risk of receiving sick leave benefits one year later
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Författare:
Nyberg, Vanja E
;
Novo, Mehmed
;
Sjölund, Bengt H
Email: vanja.nyberg@rehabmed.umu.se
Språk: Eng
Antal referenser: 35
Dokumenttyp:
Artikel
UI-nummer: 15029292
Sammanfattning
OBJECTIVES: To determine whether coping profile changes after rehabilitation, assessed with
the Multidimensional Pain Inventory (MPI), can predict which persons disabled by chronic
musculoskeletal pain will be in receipt of sick leave benefits in the long term.
METHODS: Study of MPI data from 2,784 patients (709 men and 2,075 women) collected from the
Swedish Quality Register for Pain Rehabilitation (SQRP) before and at the end of rehabilitation and
compared with independent sick leave data for 1 year later.
RESULTS: After rehabilitation there was a significantly decreased share of Dysfunctional profiles
(DYS) among both men (44% before, 31% after) and women (39% before, 26% after), but an increased
share of Adaptive Coper profiles (men 15% before, 24% after, women 14% before, 24% after). The
number of patients on full-time sick leave decreased significantly among men (from 57% to 46%) and
women (from 57% to 50%). Persons with a DYS profile after rehabilitation had a low probability of
having no or part-time sick leave.
CONCLUSION: The number of persons with DYS profiles decreased after rehabilitation. Those with
other profiles had less full-time sick leave one year later than those with DYS profiles, indicating that
leaving the DYS profile is a positive prognostic sign long-term. Furthermore, the gender differences
observed suggest the need to tailor rehabilitative strategies differently for men and women.