Michael J L Sullivan1, Heather Adams. 1. Michael J.L. Sullivan, PhD: Department of Psychology and School of Physical and Occupational Therapy, McGill University, Montreal, Quebec.
Abstract
PURPOSE: The present study examined the profile of physical and psychosocial changes that occur in physiotherapy intervention when patients also participate in a psychosocial intervention. The psychosocial intervention, delivered by physiotherapists, was designed to target catastrophic thinking, fear of pain, perceived disability, and depression. METHODS: The study sample consisted of 48 individuals referred for the rehabilitation treatment of disabling back pain. Half the sample was enrolled in a physiotherapy intervention only; the other half was enrolled in apsychosocial intervention in addition to receiving a physiotherapy intervention. RESULTS: At post-treatment, the two treatment groups did not differ significantly on measures of pain severity, physical function, or self-reported disability. Patients who participated in the psychosocial intervention in addition tophysiotherapy showed significantly greater reductions in pain catastrophizing, fear of movement, and depression than patients who received only the physiotherapy intervention. Reductions in psychosocial risk factors contributed to reduced use of the health care system, reduced use of pain medication, and improved return-to-work outcomes. CONCLUSIONS: The findings of the present study suggest that a psychosocial intervention provided by physiotherapists can lead to meaningful reductions in psychosocial risk factors for pain and disability and may contribute to more positive rehabilitation outcomes.
RCT Entities:
PURPOSE: The present study examined the profile of physical and psychosocial changes that occur in physiotherapy intervention when patients also participate in a psychosocial intervention. The psychosocial intervention, delivered by physiotherapists, was designed to target catastrophic thinking, fear of pain, perceived disability, and depression. METHODS: The study sample consisted of 48 individuals referred for the rehabilitation treatment of disabling back pain. Half the sample was enrolled in a physiotherapy intervention only; the other half was enrolled in a psychosocial intervention in addition to receiving a physiotherapy intervention. RESULTS: At post-treatment, the two treatment groups did not differ significantly on measures of pain severity, physical function, or self-reported disability. Patients who participated in the psychosocial intervention in addition to physiotherapy showed significantly greater reductions in pain catastrophizing, fear of movement, and depression than patients who received only the physiotherapy intervention. Reductions in psychosocial risk factors contributed to reduced use of the health care system, reduced use of pain medication, and improved return-to-work outcomes. CONCLUSIONS: The findings of the present study suggest that a psychosocial intervention provided by physiotherapists can lead to meaningful reductions in psychosocial risk factors for pain and disability and may contribute to more positive rehabilitation outcomes.
Entities:
Keywords:
catastrophizing; fear of pain; musculoskeletal pain; psychosocial factors; rehabilitation; return to work
Authors: E M Hay; R Mullis; M Lewis; K Vohora; C J Main; P Watson; K S Dziedzic; J Sim; C Minns Lowe; P R Croft Journal: Lancet Date: 2005 Jun 11-17 Impact factor: 79.321
Authors: Peter Slepian; Elena Bernier; Whitney Scott; Nils Georg Niederstrasser; Timothy Wideman; Michael Sullivan Journal: J Occup Rehabil Date: 2014-03
Authors: Christopher Joyce; Eric J Roseen; Julie J Keysor; K Douglas Gross; Larry Culpepper; Robert B Saper Journal: Arch Phys Med Rehabil Date: 2021-02-05 Impact factor: 4.060