Multimodal cognitive behavioral treatment of patients sicklisted for musculoskeletal pain: A randomized controlled study
Abstract
In a randomized controlled study multimodal cognitive behavioral treatment (MMCBT), including physical treatment, cognitive behavioral modification, education, and examination of the work situation for each patient, was given to patients sick-listed for musculoskeletal pain (n = 469). Patients were recruited through the National Insurance System. After a pre-test by an independent physiotherapist the patients were allocated at random to the intervention group (n = 312) or the control group (n = 157). The MMBCT program lasted for 4 weeks. The control group returned to their general practitioners, without any feedback or advice on therapy from the project. At the one year follow-up the MMCBT group had not returned to work at a higher rate than the control group receiving ordinary treatment available through their general practitioners. However, the MMCBT group had improved their ergonomic behavior, work potential, life quality, physical, and psychological health.
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GET, exercises with a behavioural approach, CBT, Coping Strategies, Psychological Flexibility, and V.R. had positive effects on pain reduction compared to usual care, while Web-BCPA, EFT, matching therapy to psychological features, and physical cognitive-mindfulness did not affect reducing pain intensity.
“GET, exercises with a behavioural approach, CBT, Coping Strategies, Psychological Flexibility, and V.R. had positive effects on pain reduction compared to usual care (Table 2) [18, 26, 27, 29, 30, 33]. Web-BCPA, EFT, matching therapy to psychological features, and physical cognitive-mindfulness did not affect reducing pain intensity.”
From A Scoping Review of the Evidence regarding Assessment and Management of Psychological Features of Shoulder Pain. (2021) · cites this paper as [26]
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Epidemiologi ved korsryggsmerter
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- Authors
- E. M. H. Haldorsen, K. K.
- Venue
- Scandinavian Journal of Rheumatology
- Publisher
- Informa UK Limited
- Published
- 1998-01
- Volume
- 27
- Issue
- 1
- Pages
- 16-25
- ISSN
- 0300-9742 (ISSN-L)
- 1502-7732
- OpenAlex
- W2139747762
- Cited by
- 107
- References
- 22
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 3 · 2013: 1 · 2012: 1
- FWCI
- 1.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Journal of Rheumatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- musculoskeletal pain, sick leave, return to work, cognitive behavioral therapy, physical treatment, patient education, work capacity, quality of life, mental health, physical health
- MeSH terms
- Activities of Daily Living, Adult, Aged, Combined Modality Therapy, Exercise Therapy, Female, Health Status, Humans, Male, Middle Aged, Pain, Patient Education as Topic, Quality of Life, Stress, Psychological, Cognitive Behavioral Therapy, Muscle, Skeletal, Pain Management
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