Long-lasting improvements in health-related quality of life among women with chronic pain, following multidisciplinary rehabilitation
Abstract
PURPOSE: To determine whether observed health-related quality-of-life improvements after four-week traditional multidisciplinary pain management program and additional neuroscience education and mindfulness-based cognitive therapy for chronic pain are sustained at six-month follow-up. METHOD: This observational longitudinal follow-up study, with complete follow-up of 75 women, 61.5% of initial traditional approach group (treated 2001-2005) and 56 (62.2%) receiving the new approach (treated 2006-2009). Pain intensity and quality of life were measured at baseline and six months after interventions. Analysis of variance (ANOVA) and paired samples t-tests were used for statistical analysis. RESULTS: Both groups showed sustained improvements in pain intensity (traditional approach = -10.6 [p < 0.001]; new approach = -14.5 [p < 0.001]) and quality of life (traditional approach = 6.4 [p < 0.001]; new approach = 6.9 [p < 0.001]). Sleep was not sustained among traditional approach group (change = 2.4 [p = 0.066]), whereas all other domains among both groups were sustained. Significant decline was observed from discharge to six month among both groups with the exception of the sleep domain among the traditional approach group, pain intensity among the new approach and financial status among both groups. No baseline differences were revealed between responders and nonresponders. CONCLUSIONS: Multidisciplinary interventions for women with chronic pain conditions improved quality of life and pain intensity with lasting improvements observed half a year after treatment completion. Implications for rehabilitation Intensive multidisciplinary biopsychosocial rehabilitation is essential for chronic pain conditions. This follow-up study shows sustained improvement in health-related quality of life and pain intensity six months after such rehabilitation was completed. Emphasizing mindfulness-based cognitive therapy and neuroscience patient education may contribute to less decline in pain intensity from discharge to six-month follow-up compared with a more traditional approach.
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Björnsdóttir et al. (2017) concluded that a mindfulness-based interdisciplinary intervention with a pain specialist team was effective in managing long-term chronic musculoskeletal pain (six-month follow up).
“Björnsdóttir et al. (2017) concluded that a mindfulness-based interdisciplinary intervention with a pain specialist team was effective in managing long-term chronic musculoskeletal pain (six-month follow up).”
From Acceptance and commitment therapy for chronic pain: a quasiexperimental study (2023) · cites this paper as Björnsdóttir et al. (2017)
The literature has shown a relationship between quality of life, pain, anxiety symptoms, and depression symptoms.
“The literature has shown a relationship between quality of life, pain, anxiety symptoms, and depression symptoms.”
From Acceptance and commitment therapy for chronic pain: a quasiexperimental study (2023) · cites this paper as Björnsdóttir et al. (2017)
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References 63 · Cited by 14
- Authors
- Björnsdóttir, S. V., Triebel, J., Arnljótsdóttir, M., Tómasson, G., & Valdimarsdóttir, U. A.
- Affiliations
- University of Iceland (IS)
- Uppsala University Hospital (SE)
- HNLFI Rehabilitation Clinic, Hveragerði, Iceland;
- Harvard University (US)
- Corresponding author
- Björnsdóttir, Sigrún Vala
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2017-04-14
- Volume
- 40
- Issue
- 15
- Pages
- 1764-1772
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W2606832949
- Cited by
- 14
- References
- 63
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 1 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 1
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Association of Icelandic Physical Therapists
- Lifelong Learning Centre
- Lifelong Learning Centre in Southern Iceland
- 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
- chronic pain, health-related quality of life, multidisciplinary pain rehabilitation, mindfulness-based cognitive therapy, pain intensity, women, sleep, biopsychosocial rehabilitation, long-term follow-up, treatment response
- MeSH terms
- Adult, Aged, Combined Modality Therapy, Female, Humans, Longitudinal Studies, Middle Aged, Pain Measurement, Patient Education as Topic, Quality of Life, Cognitive Behavioral Therapy, Physical Therapy Modalities, Young Adult, Chronic Pain, Mindfulness
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