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A 3-year follow-up of a multidisciplinary rehabilitation programme for back and neck pain
Abstract
The aim of the present study was to evaluate the long-term outcome of a behavioural medicine rehabilitation programme and the outcome of its two main components, compared to a 'treatment-as-usual' control group. The study employed a 4 x 5 repeated-measures design with four groups and five assessment periods during a 3-year follow-up. The group studied consisted of blue-collar and service/care workers on sick leave, identified in a nationwide health insurance scheme in Sweden. After inclusion, the subjects were randomised to one of the four conditions: behaviour-oriented physiotherapy (PT), cognitive behavioural therapy (CBT), behavioural medicine rehabilitation consisting of PT+CBT (BM) and a 'treatment-as-usual' control group (CG). Outcome variables were sick leave, early retirement and health-related quality of life. A cost-effectiveness analysis, comparing the programmes, was made. The results showed, consistently, the full-time behavioural medicine programme being superior to the three other conditions. The strongest effect was found on females. Regarding sick leave, the mean difference in the per-protocol analysis between the BM programme and the control group was 201 days, thus reducing sick leave by about two-thirds of a working year. Rehabilitating women has a substantial impact on costs for production losses, whereas rehabilitating men seem to be effortless with no significant effect on either health or costs. In conclusion, a full-time behavioural medicine programme is a cost-effective method for improving health and increasing return to work in women working in blue-collar or service/care occupations and suffering from back/neck pain.
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“Multidisciplinary treatment following a biopsychosocial model is widely accepted as the “golden standard” in the treatment and rehabilitation offered to patients with chronic pain [4,5]”
Citations
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139
SAUNDERS, J. B., AASLAND, O. G., BABOR, T. F., DE LA FUENTE, J. R., & GRANT, M. (1993) · Addiction · doi:10.1111/j.1360-0443.1993.tb02093.x · Cited by 13,597
Cost-Effectiveness in Health and Medicine
(1996) · doi:10.1093/oso/9780195108248.001.0001 · Cited by 7,193
On the Concept of Health Capital and the Demand for Health
Grossman, M. (1972) · Journal of Political Economy · doi:10.1086/259880 · Cited by 5,951
Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art.
Vlaeyen, J. W. S., & Linton, S. J. (2000) · Pain · doi:10.1016/s0304-3959(99)00242-0 · Cited by 4,931
McHorney, C. A., Ware, J. E., Rachel Lu, J. F., & Sherbourne, C. D. (1994) · Medical Care · doi:10.1097/00005650-199401000-00004 · Cited by 4,458
1. On the Concept of Health Capital and the Demand for Health
Grossman, M. B. (2017) · Columbia University Press eBooks · doi:10.7312/gros17812-004 · Cited by 3,999
A review of psychological risk factors in back and neck pain
Linton, S. J. (2000) · Spine · doi:10.1097/00007632-200005010-00017 · Cited by 1,776
The economic burden of back pain in the UK
Maniadakis, N., & Gray, A. (2000) · Pain · doi:10.1016/s0304-3959(99)00187-6 · Cited by 1,510
Sullivan, M., Karlsson, J., & Ware, J. E. (1995) · Social Science & Medicine · doi:10.1016/0277-9536(95)00125-q · Cited by 1,315
Pain and Behavioral Medicine: A Cognitive-Behavioral Perspective
Turk, D., Meichenbaum, D. H., Genest, M., & Berntzen, D. (1984) · Scandinavian Journal of Behaviour Therapy · doi:10.1080/16506078409455719 · Cited by 977
Systematic Review of Psychosocial Factors at Work and Private Life as Risk Factors for Back Pain
Hoogendoorn, W. E., van Poppel, M. N. M., Bongers, P. M., Koes, B. W., & Bouter, L. M. (2000) · Spine · doi:10.1097/00007632-200008150-00017 · Cited by 922
Keefe, F. J., Lefebvre, J. C., Egert, J. R., Affleck, G., Sullivan, M. J., & Caldwell, D. S. (2000) · Pain · doi:10.1016/s0304-3959(00)00296-7 · Cited by 735
Clinical Effectiveness and Cost-Effectiveness of Treatments for Patients With Chronic Pain
Turk, D. C. (2002) · Clinical Journal of Pain · doi:10.1097/00002508-200211000-00003 · Cited by 638
New Directions:Efficiency and Productivity
Färe, R. G., Grosskopf, S., & Fukuyama, H. (2005) · Kluwer Academic Publishers eBooks · doi:10.1007/0-387-27594-0 · Cited by 505
Cost-of-illness of neck pain in The Netherlands in 1996
Borghouts, J. A. J., Koes, B. W., Vondeling, H., & Bouter, L. M. (1999) · Pain · doi:10.1016/s0304-3959(98)00268-1 · Cited by 476
Kalauokalani, D., Cherkin, D. C., Sherman, K. J., Koepsell, T. D., & Deyo, R. A. (2001) · Spine · doi:10.1097/00007632-200107010-00005 · Cited by 407
Neck and back pain : the scientific evidence of causes, diagnosis, and treatment
Jonsson, E., & NACHEMSON, A. L. (2000) · Medical Entomology and Zoology · Cited by 342
Psychosocial factors predicting employee sickness absence during economic decline.
Mika Kivimaki, B., Vahtera, J., Thomson, L., Griffiths, A., Cox, T., & Pentti, J. (1997) · Journal of Applied Psychology · doi:10.1037/0021-9010.82.6.858 · Cited by 297
Correlates of improvement in multidisciplinary treatment of chronic pain.
Jensen, M. P., Turner, J. A., & Romano, J. M. (1994) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.62.1.172 · Cited by 280
Multidisciplinary biopsychosocial rehabilitation for subacute low-back pain among working age adults
Karjalainen, K. A., Malmivaara, A. V., van Tulder, M. W., Roine, R. P., Jauhiainen, M., Hurri, H., & Koes, B. W. (2003) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002193 · Cited by 259
Pain management : an interdisciplinary approach
Main, C. J., & Spanswick, C. C. (2000) · Churchill Livingstone eBooks · Cited by 242
Work conditioning, work hardening and functional restoration for workers with back and neck pain
Schönstein, E., Kenny, D. T., Keating, J. L., & Koes, B. W. (2003) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001822 · Cited by 233
Psychological Testing and Assessment
Cohen, R. J., Cohen, R., & Swerdlik, M. E. (1998) · Cited by 214
Demand for health: a generalised Grossman model
Muurinen (1982) · Journal of Health Economics · Cited by 183
Equity in Health Care Utilization: Further Tests Based on Hurdle Models and Swedish Micro Data
Gerdtham, U. (1997) · Health Economics · doi:10.1002/(sici)1099-1050(199705)6:3 · Cited by 178
Multidisciplinary biopsychosocial rehabilitation for neck and shoulder pain among working age adults
Karjalainen, K. A., Malmivaara, A. V., van Tulder, M. W., Roine, R. P., Jauhiainen, M., Hurri, H., & Koes, B. W. (2003) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002194 · Cited by 164
Jensen, I. B., Bergström, G., Ljungquist, T., Bodin, L., & Nygren, Å. (2001) · Pain · doi:10.1016/s0304-3959(00)00420-6 · Cited by 162
A controlled study of the effects of an early intervention on acute musculoskeletal pain problems
Linton, S. J., Hellsing, A.-L., & Andersson, D. K. G. (1993) · Pain · doi:10.1016/0304-3959(93)90037-p · Cited by 160
Coping with long-term musculoskeletal pain and its consequences: is gender a factor?
Jensen, I. B., Nygren, Å., Gamberale, F., Goldie, I. F., & Westerholm, P. J. M. (1994) · Pain · doi:10.1016/0304-3959(94)90220-8 · Cited by 153
Multidisciplinary Biopsychosocial Rehabilitation for Subacute Low Back Pain in Working-Age Adults
Karjalainen, K. A., Malmivaara, A. V., van Tulder, M. W., Roine, R. P., Jauhiainen, M., Hurri, H., & Koes, B. W. (2001) · Spine · doi:10.1097/00007632-200102010-00011 · Cited by 150
Psychosocial correlates of long-term sick-leave among patients with musculoskeletal pain
Grossi, G., Soares, J. J. F., Ängeslevä, J., & Perski, A. (1999) · Pain · doi:10.1016/s0304-3959(98)00253-x · Cited by 127
New avenues for the prevention of chronic musculoskeletal pain and disability
LINTON, S. J. (2002) · Cited by 117
Wittink, H. M., Turk, D. C., Carr, D. B., Sukiennik, A., & Rogers, W. H. (2004) · Clinical Journal of Pain · doi:10.1097/00002508-200405000-00002 · Cited by 117
Organisational downsizing and musculoskeletal problems in employees: a prospective study
Mika Kivimaki, B., Vahtera, J., Ferrie, J. E., Hemingway, H., & Pentti, J. (2001) · Occupational and Environmental Medicine · doi:10.1136/oem.58.12.811 · Cited by 115
Bronfort, G., & Bouter, L. M. (1999) · Pain · doi:10.1016/s0304-3959(99)00103-7 · Cited by 114 · cited 1×
“A global score of health-related quality of life was calculated by taking the mean of the eight constructs mentioned above (Bronfort and Bouter, 1999).”
MethodTurk, D. C., & Okifuji, A. (1998) · Critical Reviews in Physical and Rehabilitation Medicine · doi:10.1615/critrevphysrehabilmed.v10.i2.40 · Cited by 108
Spinal Sagittal Configuration and Mobility Related to Low-Back Pain in the Female Gymnast
Öhlén, G., Wredmark, T., & Spangfort, E. (1989) · Spine · doi:10.1097/00007632-198908000-00013 · Cited by 66
Effect of Age on Outcomes of Tertiary Rehabilitation for Chronic Disabling Spinal Disorders
Mayer, T. G., Gatchel, R. J., & Evans, T. (2001) · Spine · doi:10.1097/00007632-200106150-00023 · Cited by 60
Burn-out und Wiedergewinnung seelischer Gesundheit am Arbeitsplatz
Bauer, J., Häfner, S., Kächele, H., Wirsching, M., & Dahlbender, R. W. (2003) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-2003-38865 · Cited by 51
Assessing the Needs of Patients in Pain: A Matter of Opinion?
Jensen, I. B., Bodin, L., Ljungqvist, T., Bergström, K. G., & Nygren, Å. (2000) · Spine · doi:10.1097/00007632-200011010-00015 · Cited by 49
Jensen, I. B., & Bodin, L. (1998) · Pain · doi:10.1016/s0304-3959(98)00020-7 · Cited by 45
The psychological management of chronic pain : a treatment manual
Philips, C. (1988) · Springer eBooks · Cited by 42
Gender differences in coping with musculoskeletal pain
Grossi, G., Soares, J. J. F., & Lundberg, U. (2000) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm0704_03 · Cited by 40
Main, C. J., Richards, H. L., & Fortune, D. G. (2000) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(00)00081-7 · Cited by 32
Jensen, I. B., Dahlquist, C., Nygren, Å., Royen, E., & Stenberg, M. (1997) · Journal of Occupational Rehabilitation · doi:10.1023/b:joor.0000010858.70743.21 · Cited by 26
Bridging the Gap: Support Groups Do Not Enhance Long-Term Outcome in Chronic Back Pain
Linton, S. J., Hellsing, A.-L., & Larsson, I. (1997) · Clinical Journal of Pain · doi:10.1097/00002508-199709000-00007 · Cited by 22
Nathell, L. (2002) · Figshare · Cited by 7
Briggs (1998) · doi:10.1002/(sici)1099-1050(199812)7:8
Research works printed but not linked: 1
- Westin, 1985, 4-punktspaus ad modum Bibbi Westin, (In Swedish)., sjukgymnasten, 20-, 22
Cited by
Sorted by citations
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Eccleston, C., & Morley, S. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub3 · Cited by 1,634
SF-36 total score as a single measure of health-related quality of life: Scoping review
Lins-Kusterer, L., & Carvalho, F. M. (2016) · SAGE Open Medicine · doi:10.1177/2050312116671725 · Cited by 1,258
Multidisciplinary biopsychosocial rehabilitation for chronic low back pain
Kamper, S. J., Apeldoorn, A. T., Chiarotto, A., Smeets, R. J. E. M., Ostelo, R. W., Guzman, J., & van Tulder, M. W. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000963.pub3 · Cited by 629
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Fisher, E., Hearn, L., & Eccleston, C. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub4 · Cited by 605
Multidisciplinary treatment for chronic pain: a systematic review of interventions and outcomes
Scascighini, L., Toma, V., Dober-Spielmann, S., & Sprott, H. (2008) · Rheumatology · doi:10.1093/rheumatology/ken021 · Cited by 613
Metadata
- Authors
- Jensen, I. B., Bergström, G., Ljungquist, T., & Bodin, L.
- Affiliations
- Karolinska Institutet (SE)
- Örebro University Hospital (SE)
- Corresponding author
- Jensen, Irene B.
- Venue
- Pain
- Published
- 2005-06
- Volume
- 115
- Issue
- 3
- Pages
- 273-283
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W1991092998
- Cited by
- 188
- References
- 51
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 9 · 2017: 7 · 2016: 11 · 2015: 17 · 2014: 12 · 2013: 11 · 2012: 19
- FWCI
- 4.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Keywords
- back pain, neck pain, multidisciplinary rehabilitation, behavioral medicine, cognitive behavioral therapy, sick leave, return to work, health-related quality of life, early retirement, cost-effectiveness, sex differences, blue-collar workers, care workers, occupational health
- MeSH terms
- Adult, Back Pain, Cost-Benefit Analysis, Delivery of Health Care, Employment, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pensions, Quality of Life, Rehabilitation, Program Evaluation, Cognitive Behavioral Therapy, Health Care Costs, Sick Leave, Neck Pain, Physical Therapy Specialty
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