Efficacy of multidisciplinary pain treatment centers: a meta-analytic review.
Abstract
Sixty-five studies that evaluated the efficacy of multidisciplinary treatments for chronic back pain were included in a meta-analysis. Within- and between-group effect sizes revealed that multidisciplinary treatments for chronic pain are superior to no treatment, waiting list, as well as single-discipline treatments such as medical treatment or physical therapy. Moreover, the effects appeared to be stable over time. The beneficial effects of multidisciplinary treatment were not limited to improvements in pain, mood and interference but also extended to behavioral variables such as return to work or use of the health care system. These results tend to support the efficacy of multidisciplinary pain treatment; however, these results must be interpreted cautiously as the quality of the study designs and study descriptions is marginal. Suggestions for improvement in research designs as well as appropriate reports of research completed are provided.
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An early meta-analytic review found that conventional (monodisciplinary) physical and occupational therapy are better than no treatment or only medical treatment.
“An early meta-analytic review [107] found that conventional (i.e., monodisciplinary) physical and occupational therapy are better than no treatment or only medical treatment.”
From Best-evidence for the rehabilitation of chronic pain part 1: Pediatric pain (2019) · cites this paper as [107]
Monodisciplinary rehabilitation treatments are inferior to multidisciplinary and interdisciplinary treatment approaches, where physical and occupational therapy are combined with psychological intervention.
“However, monodisciplinary rehabilitation treatments have been found to be inferior to multidisciplinary and interdisciplinary treatment approaches, where physical and occupation therapy are combined with psychological intervention [19,107].”
From Best-evidence for the rehabilitation of chronic pain part 1: Pediatric pain (2019) · cites this paper as [107]
Cognitive and behavioral therapy (CBT) approaches to pain management have been used with chronic pain patients for many years.
“Cognitive and behavioral therapy (CBT) approaches to pain management have been used with chronic pain patients for many years10”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [10]
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- Authors
- Flor, H., Fydrich, T., & Turk, D. C.
- Affiliations
- Philipps University of Marburg (DE)
- Heidelberg University (DE)
- University of Pittsburgh (US)
- Corresponding author
- Flor, Herta
- Venue
- Pain
- Published
- 1992-05
- Volume
- 49
- Issue
- 2
- Pages
- 221-230
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2084250453
- Cited by
- 1,227
- References
- 109
- Citations by year
- 2026: 8 · 2025: 4 · 2024: 23 · 2023: 18 · 2022: 21 · 2021: 13 · 2020: 27 · 2019: 22 · 2018: 32 · 2017: 35 · 2016: 33 · 2015: 48 · 2014: 42 · 2013: 41 · 2012: 42
- FWCI
- 20.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- multidisciplinary pain management, chronic back pain, chronic pain, treatment efficacy, return to work, health care utilization, mood, pain interference, physiotherapy, medical treatment, study quality
- MeSH terms
- Adult, Ambulatory Care Facilities, Female, Humans, Male, Middle Aged, Patient Care Team, Meta-Analysis as Topic, Outcome Assessment, Health Care, Pain Management
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