OBJECTIVES: The aim of this study was to identify pretreatment factors associated with dropout from outpatient individualized cognitive-behavioral treatment for chronic back pain. Despite the importance of this issue, little is known about determinants of dropout from cognitive-behavioral treatment for chronic pain. The presented study is a subanalysis of a larger study on cognitive-behavioral treatment for chronic back pain. METHODS: The study included 128 patients, who began a 25 session treatment. Three pretreatment domains (demographic variables, psychologic and pain-related symptom severity, and attitude toward treatment) and satisfaction with treatment within the first 3 sessions were considered as potential predictors of attrition. RESULTS: Twenty-three patients (18%) were classified as dropouts. Low psychologic distress, low medication intake, and low treatment satisfaction were significantly associated with dropout. Other demographic variables, pain-related variables, attributions, and attitude toward treatment were not associated with treatment attrition. The associations were only valid for early dropouts. DISCUSSION: It is concluded that cognitive-behavioral treatment of chronic pain should be adapted for less psychologically distressed patients to avoid treatment dropout.
OBJECTIVES: The aim of this study was to identify pretreatment factors associated with dropout from outpatient individualized cognitive-behavioral treatment for chronic back pain. Despite the importance of this issue, little is known about determinants of dropout from cognitive-behavioral treatment for chronic pain. The presented study is a subanalysis of a larger study on cognitive-behavioral treatment for chronic back pain. METHODS: The study included 128 patients, who began a 25 session treatment. Three pretreatment domains (demographic variables, psychologic and pain-related symptom severity, and attitude toward treatment) and satisfaction with treatment within the first 3 sessions were considered as potential predictors of attrition. RESULTS: Twenty-three patients (18%) were classified as dropouts. Low psychologic distress, low medication intake, and low treatment satisfaction were significantly associated with dropout. Other demographic variables, pain-related variables, attributions, and attitude toward treatment were not associated with treatment attrition. The associations were only valid for early dropouts. DISCUSSION: It is concluded that cognitive-behavioral treatment of chronic pain should be adapted for less psychologically distressed patients to avoid treatment dropout.
Authors: Lillian Reuman; Chelsey Solar; R Ross MacLean; Allison M Halat; Haseena Rajeevan; David A Williams; Alicia A Heapy; Matthew J Bair; Sarah L Krein; Robert D Kerns; Diana M Higgins Journal: Transl Behav Med Date: 2022-05-26 Impact factor: 3.626
Authors: Ricardo N Angeles; Dale Guenter; Lisa McCarthy; Martha Bauer; Miriam Wolfson; Maria Chacon; Lana Bullock Journal: Pain Res Manag Date: 2013-07-19 Impact factor: 3.037
Authors: Vera-Christina Mertens; Mariëlle E J B Goossens; Jeanine A Verbunt; Albere J Köke; Rob J E M Smeets Journal: Trials Date: 2013-04-02 Impact factor: 2.279
Authors: Jeffrey M Lackner; James Jaccard; Brian M Quigley; Tova S Ablove; Teresa L Danforth; Rebecca S Firth; Gregory D Gudleski; Susan S Krasner; Christopher D Radziwon; Alison M Vargovich; J Quentin Clemens; Bruce D Naliboff Journal: Trials Date: 2022-08-13 Impact factor: 2.728