Evaluation of a Behavioral-medical Inpatient Rehabilitation Treatment Including Booster Sessions: A Randomized Controlled Study

Mangels, Marija; Schwarz, Susanne; Worringen, Ulrike; Holme, Martin; Rief, Winfried

doi:10.1097/ajp.0b013e3181925791

Cited by 74Musculoskeletal pain and rehabilitationPain Management and TreatmentMedical Practices and Rehabilitation

Evaluation of a Behavioral-medical Inpatient Rehabilitation Treatment Including Booster Sessions: A Randomized Controlled Study

Mangels, Marija, Schwarz, Susanne, Worringen, Ulrike, Holme, Martin, Rief, Winfried·2009·The Clinical Journal of Pain

DOI 10.1097/ajp.0b013e3181925791

Open this paper in CoChat — free account

Abstract

Objectives The aim of this randomized controlled study was to investigate whether additional psychologic interventions in the context of multidisciplinary inpatient pain treatment increases treatment efficacy compared with normal orthopedic rehabilitation. In addition, we aimed to demonstrate the additional benefit of a subsequent maintenance program in further stabilizing treatment successes. Methods We randomly assigned 363 chronic back pain patients to 1 of 3 treatment conditions: traditional orthopedic rehabilitation, multidisciplinary (behavioral-medical) rehabilitation alone, and multidisciplinary rehabilitation with subsequent booster sessions. Pain disability, depression, self-efficacy, health status, life satisfaction, and coping strategies were assessed at admission, discharge, and 12 months follow-up. The completion rate was 94%. Results All 3 treatment conditions were effective in improving core outcome measures in chronic back pain patients in the short term. The results were almost maintained at follow-up (small-to-medium within-group effect sizes). Significant advantages in favor of behavioral-medical interventions were found on almost all pain coping strategies and depression compared with traditional orthopedic rehabilitation. We found only slight advantages for the behavioral-medical treatment with subsequent booster sessions compared with the condition without a further maintenance program. Discussion The results concerning the efficacy of the multidiscipli…

Integrity signals

Registry

Crossref · 10.1097/ajp.0b013e3181925791

Cites

35 of 35 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

For Mangels 2009, allocation concealment was judged low risk because randomization was carried out by an administration secretary of the rehabilitation hospital who received random numbers from the study center and was not involved in further treatment decisions.
“Low risk”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Mangels 2009
For Mangels 2009, treatment expectations was judged unclear risk because it was not assessed.
“Unclear risk Not assessed”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Mangels 2009
For Mangels 2009, random sequence generation was judged low risk because randomization was carried out by an administration secretary of the rehabilitation hospital who received random numbers from the study center and was not involved in further treatment decisions.
“Low risk”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Mangels 2009
For Mangels 2009, incomplete outcome data was judged low risk because missing values owing to dropout were imputed using the last known value carried forward, all patients were analyzed as intended to treat, and attrition was less than 10%.
“Low risk”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Mangels 2009
For Mangels 2009, selective reporting was judged unclear risk because the trial was not pre-registered.
“Unclear risk Trial not pre-registered”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Mangels 2009

Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,385 · see citing works
Missing data: our view of the state of the art
Schafer, J. L., & Graham, J. W. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.2.147 · Cited by 11,638 · see citing works
SF-36 health survey: Manual and interpretation guide
Ware, J. (2003) · Medical Entomology and Zoology · Cited by 11,424 · see citing works
Core outcome measures for chronic pain clinical trials: IMMPACT recommendations
Dworkin, R. H., Turk, D. C., Farrar, J. T., Haythornthwaite, J. A., Jensen, M. P., Katz, N. P., Kerns, R. D., Stucki, G., Allen, R. R., Bellamy, N., et al. (2005) · Pain · doi:10.1016/j.pain.2004.09.012 · Cited by 3,732 · see citing works
Core outcome domains for chronic pain clinical trials: IMMPACT recommendations
Turk, D. C., Dworkin, R. H., Allen, R. R., Bellamy, N., Brandenburg, N., Carr, D. B., Cleeland, C., Dionne, R., Farrar, J. T., Galer, B. S., et al. (2003) · Pain · doi:10.1016/j.pain.2003.08.001 · Cited by 3,510 · see citing works
The biopsychosocial approach to chronic pain: Scientific advances and future directions.
Gatchel, R. J., Peng, Y. B., Peters, M. L., Fuchs, P. N., & Turk, D. C. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.4.581 · Cited by 3,392 · see citing works
Cross-Validation of Item Selection and Scoring for the SF-12 Health Survey in Nine Countries
Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., Bullinger, M., Kaasa, S., Leplege, A., Prieto, L., et al. (1998) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(98)00109-7 · Cited by 2,907 · see citing works
The pain self-efficacy questionnaire: Taking pain into account
Nicholas, M. K. (2007) · European Journal of Pain · doi:10.1016/j.ejpain.2005.12.008 · Cited by 1,656 · see citing works
Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache
Morley, S., Eccleston, C., & Williams, A. (1999) · Pain · doi:10.1016/s0304-3959(98)00255-3 · Cited by 1,597 · see citing works
Efficacy of multidisciplinary pain treatment centers: a meta-analytic review.
Flor, H., Fydrich, T., & Turk, D. C. (1992) · Pain · doi:10.1016/0304-3959(92)90145-2 · Cited by 1,227 · see citing works
Psychological factors in chronic pain: Evolution and revolution
Turk, D. C., & Okifuji, A. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.3.678 · Cited by 1,017 · see citing works
Psychological factors in chronic pain: Evolution and revolution.
Turk, D. C., & Okifuji, A. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.70.3.678 · Cited by 1,017 · see citing works
Multidisciplinary rehabilitation for chronic low back pain: systematic review
Guzmán, J., Esmail, R., Karjalainen, K., Malmivaara, A., Irvin, E., & Bombardier, C. (2001) · BMJ · doi:10.1136/bmj.322.7301.1511 · Cited by 941 · see citing works
Meta-analysis of psychological interventions for chronic low back pain
Hoffman, B. M., Papas, R. K., Chatkoff, D. K., & Kerns, R. D. (2007) · Health Psychology · doi:10.1037/0278-6133.26.1.1 · Cited by 844 · cited 2× · see citing works
“Multidisciplinary treatment resulted in improvements in pain, mood, interference, and behavioral variables(6) and increased rates of return to work.(3,5) Multidisciplinary pain rehabilitation programs are often referred to as being on the basis of operant, behavioral, or cognitive-behavioral principles.”
BackgroundResult
Preliminary validity study of the pain disability index.
Pollard, C. A. (1984) · Perceptual and Motor Skills · doi:10.2466/pms.1984.59.3.974 · Cited by 742 · see citing works
Untitled work
(1987) · PubMed · Cited by 587 · see citing works
Behavioral Treatment for Chronic Low Back Pain
van Tulder, M. W., Ostelo, R., Vlaeyen, J. W. S., Linton, S. J., Morley, S., & Assendelft, W. J. (2001) · Spine · doi:10.1097/00007632-200102010-00012 · Cited by 456 · see citing works
Changes after multidisciplinary pain treatment in patient pain beliefs and coping are associated with concurrent changes in patient functioning
Jensen, M. P., Turner, J. A., & Romano, J. M. (2007) · Pain · doi:10.1016/j.pain.2006.12.007 · Cited by 393 · see citing works
Pain self-efficacy beliefs and pain behaviour. A prospective study
Asghari, A., & Nicholas, M. K. (2001) · Pain · doi:10.1016/s0304-3959(01)00344-x · Cited by 337 · see citing works
Comparison of cognitive-behavioral group treatment and an alternative non-psychological treatment for chronic low back pain
Nicholas, M. K., Wilson, P. H., & Goyen, J. (1992) · Pain · doi:10.1016/0304-3959(92)90082-m · Cited by 271 · see citing works
Behavioral Treatment for Chronic Low Back Pain: A Systematic Review Within the Framework of the Cochrane Back Review Group
van Tulder, M. W., Ostelo, R., Vlaeyen, J. W. S., Linton, S. J., Morley÷, S. J., & Assendelft, W. J. J. (2000) · Spine · doi:10.1097/00007632-200010150-00024 · Cited by 204 · see citing works
Does Nonsurgical Pain Center Treatment of Chronic Pain Return Patients to Work?
Cutler, R. B., Fishbain, D. A., Rosomoff, H. L., Abdel-Moty, E., Khalil, T. M., & Rosomoff, R. S. (1994) · Spine · doi:10.1097/00007632-199403001-00002 · Cited by 160 · see citing works
Chronic low-back pain: What does cognitive coping skills training add to operant behavioral treatment? Results of a randomized clinical trial.
Kole-Snijders, A. M. J., Vlaeyen, J. W. S., Goossens, M. E. J. B., Mölken, M. R., Heuts, P. H. T. G., van Breukelen, G., & von Eek, H. (1999) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.67.6.931 · Cited by 137 · see citing works
Incorporation of cognitive-behavioral treatment into the medical care of chronic low back patients: a controlled randomized study in German pain treatment centers
Basler, H.-D., Jäkle, C., & Kröner‐Herwig, B. (1997) · Patient Education and Counseling · doi:10.1016/s0738-3991(97)00996-8 · Cited by 128 · see citing works
A Critical Review of Reviews on the Treatment of Chronic Low Back Pain
Furlan, A. D., Clarke, J., Esmail, R., Sinclair, S., Irvin, E., & Bombardier, C. (2001) · Spine · doi:10.1097/00007632-200104010-00018 · Cited by 116 · see citing works
Theoretical and empirical issues in the treatment of post-traumatic stress disorder in Vietnam veterans
Fairbank, J. A., & Nicholson, R. A. (1987) · Journal of Clinical Psychology · doi:10.1002/1097-4679(198701)43:1 · Cited by 116 · see citing works
Relationship of the Pain Disability Index (PDI) and the Oswestry Disability Questionnaire (ODQ) with Three Dynamic Physical Tests in a Group of Patients with Chronic Low-Back and Leg Pain
Grönblad, M., Järvinen, E., Hurri, H., Hupli, M. T., & Karaharju, E. O. (1994) · Clinical Journal of Pain · doi:10.1097/00002508-199409000-00005 · Cited by 109 · see citing works
Long-term Outcomes in Multidisciplinary Treatment of Chronic Low Back Pain
Patrick, L. E., ALTMAIER, E. M., & Found, E. M. (2004) · Spine · doi:10.1097/00007632-200404150-00006 · Cited by 107 · see citing works
Zur Wirksamkeit von stationärer medizinischer Rehabilitation in Deutschland bei chronischen Rückenschmerzen: Aktualisierung und methodenkritische Diskussion einer Literaturübersicht
Hüppe, A., & Raspe, H. H. (2005) · Die Rehabilitation · doi:10.1055/s-2004-834602 · Cited by 74 · see citing works
Generalizing from a controlled trial: the effects of patient preference versus randomization on the outcome of inpatient versus outpatient chronic pain management
Williams, A. C. D. C., Nicholas, M. K., Richardson, P. H., Pither, C. E., & Fernandes, J. (1999) · Pain · doi:10.1016/s0304-3959(99)00074-3 · Cited by 63 · see citing works
Verarbeitung chronischer Schmerzen - Skalen zur Erfassung der Schmerzbewältigung und der schmerzbedingten psychischen Beeinträchtigung
Geissner, E. (1999) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026//0084-5345.28.4.280 · Cited by 30 · see citing works
Eliza as a “therapeutic” tool
O’Dell, J. W., & Dickson, J. (1984) · Journal of Clinical Psychology · doi:10.1002/1097-4679(198407)40:4 · Cited by 27 · see citing works
Psychological approaches in pain management: what works?
Turk, D. C., & Okifuji, A. (1998) · Current Opinion in Anaesthesiology · doi:10.1097/00001503-199810000-00017 · Cited by 16 · see citing works
Patienten mit vs. ohne psychische Störung in der orthopädischen Rehabilitation
Schwarz, S., Mangels, M., Sohr, G., Holme, M., Worringen, U., & Rief, W. (2007) · Der Schmerz · doi:10.1007/s00482-007-0603-y · Cited by 14 · see citing works
Self-citation
Pauschalierte Vergütung in der medizinischen Rehabilitation
Lüngen, M., & Lauterbach, K. W. (2003) · Die Rehabilitation · doi:10.1055/s-2003-40096 · Cited by 2 · see citing works

Flagged first, then by citations

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 · see citing works
Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis
Kamper, S. J., Apeldoorn, A. T., Chiarotto, A., Smeets, R. J. E. M., Ostelo, R. W. J. G., Guzman, J., & van Tulder, M. W. (2015) · BMJ · doi:10.1136/bmj.h444 · Cited by 1,092 · see citing works
Behavioural treatment for chronic low-back pain
Henschke, N., Ostelo, R. W., van Tulder, M. W., Vlaeyen, J. W., Morley, S., Assendelft, W. J., & Main, C. J. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002014.pub3 · Cited by 718 · see citing works
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 · see citing works
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 · see citing works
Chronic Pain and Cognitive Behavioral Therapy: An Integrative Review
Knoerl, R., Lavoie Smith, E. M., & Weisberg, J. (2016) · Western Journal of Nursing Research · doi:10.1177/0193945915615869 · Cited by 194 · see citing works
The influence of cognitive behavioral therapy on pain, quality of life, and depression in patients receiving physical therapy for chronic low back pain: a systematic review
Hajihasani, A., Rouhani, M., Salavati, M., Hedayati, R., & Kahlaee, A. H. (2019) · PM&R · doi:10.1016/j.pmrj.2018.09.029 · Cited by 125 · see citing works
Dose or content? Effectiveness of pain rehabilitation programs for patients with chronic low back pain: A systematic review
Waterschoot, F. P. C., Dijkstra, P. U., Hollak, N., de Vries, H. J., Geertzen, J. H. B., & Reneman, M. F. (2013) · Pain · doi:10.1016/j.pain.2013.10.006 · Cited by 121 · see citing works
Longitudinal outcome evaluations of Interdisciplinary Multimodal Pain Treatment programmes for patients with chronic primary musculoskeletal pain: A systematic review and meta‐analysis
Elbers, S., Wittink, H. M., Konings, S., Kaiser, U., Kleijnen, J., Pool, J. J. M., Köke, A. J. A., & Smeets, R. (2021) · European Journal of Pain · doi:10.1002/ejp.1875 · Cited by 108 · see citing works
Psychological treatments for return to work in individuals on sickness absence due to common mental disorders or musculoskeletal disorders: a systematic review and meta-analysis of randomized-controlled trials
Finnes, A., Enebrink, P., Ghaderi, A., Dahl, J., Nager, A., & Öst, L.-G. (2019) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-018-1380-x · Cited by 99 · see citing works
Psychological Treatments and Psychotherapies in the Neurorehabilitation of Pain: Evidences and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation
Castelnuovo, G., Giusti, E. M., Manzoni, G. M., Saviola, D., Gatti, A., Gabrielli, S., Lacerenza, M., Pietrabissa, G., Cattivelli, R., Spatola, C. A. M., et al. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00115 · Cited by 91 · see citing works
Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022) · Systematic Reviews · doi:10.1186/s13643-022-02027-x · Cited by 73 · see citing works
Predictors of multidisciplinary treatment outcome in patients with chronic musculoskeletal pain
Boonstra, A. M., Reneman, M. F., Waaksma, B. R., Schiphorst Preuper, H. R., & Stewart, R. E. (2015) · Disability and Rehabilitation · doi:10.3109/09638288.2014.961657 · Cited by 53 · see citing works
Long-Term Effects of Interprofessional Biopsychosocial Rehabilitation for Adults with Chronic Non-Specific Low Back Pain: A Multicentre, Quasi-Experimental Study
Semrau, J., Hentschke, C., Buchmann, J., Meng, K., Vogel, H., Faller, H., Bork, H., & Pfeifer, K. (2015) · PLoS ONE · doi:10.1371/journal.pone.0118609 · Cited by 48 · see citing works
The Positive Emotions after Acute Coronary Events behavioral health intervention: Design, rationale, and preliminary feasibility of a factorial design study
Huffman, J. C., Albanese, A. M., Campbell, K. A., Celano, C. M., Millstein, R. A., Mastromauro, C. A., Healy, B. C., Chung, W., Januzzi, J. L., Collins, L. M., et al. (2017) · Clinical Trials · doi:10.1177/1740774516673365 · Cited by 36 · see citing works
Psychological and work-related outcomes after inpatient multidisciplinary rehabilitation of chronic low back pain: a prospective randomized controlled trial
Hampel, P., Köpnick, A., & Roch, S. (2019) · BMC Psychology · doi:10.1186/s40359-019-0282-3 · Cited by 35 · see citing works
Effects of behavioural exercise therapy on the effectiveness of multidisciplinary rehabilitation for chronic non-specific low back pain: a randomised controlled trial
Semrau, J., Hentschke, C., Peters, S., & Pfeifer, K. (2021) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-021-04353-y · Cited by 26 · see citing works
Effects of booster sessions on self-management interventions for chronic musculoskeletal pain: a systematic review and meta-analysis of randomised controlled trials
Buzasi, E., Kurakata, H., Gandhi, A., Birch, H. L., Zarnegar, R., & Best, L. M. (2021) · Pain · doi:10.1097/j.pain.0000000000002302 · Cited by 22 · see citing works
The effect of an integrated multidisciplinary rehabilitation programme for patients with chronic low back pain: Long-term follow up of a randomised controlled trial
Schmidt, A., Laurberg, T. B., Moll, L. T., Schiøttz‐Christensen, B., & Maribo, T. (2020) · Clinical Rehabilitation · doi:10.1177/0269215520963856 · Cited by 21 · see citing works
Long-term effects of a cognitive-behavioral training program for the management of depressive symptoms among patients in orthopedic inpatient rehabilitation of chronic low back pain: a 2-year follow-up
Tlach, L., & Hampel, P. (2011) · European Spine Journal · doi:10.1007/s00586-011-1810-x · Cited by 21 · see citing works
What Influences Outcomes From Inpatient Multidisciplinary Pain Management Programs?
Lewis, G. N., & Bean, D. J. (2021) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000941 · Cited by 19 · see citing works
Effects of Cognitive-Behavioral Therapy on Empathy in Patients with Chronic Pain
Song, M.-K., Choi, S., Lee, D.-H., Lee, K.-J., Lee, W. J., & Kang, D. (2018) · Psychiatry Investigation · doi:10.30773/pi.2017.07.03 · Cited by 19 · see citing works
The Sano study: justification and detailed description of a multidisciplinary biopsychosocial rehabilitation programme in patients with chronic low back pain
Schmidt, A., Maindal, H. T., Laurberg, T. B., Schiøttz‐Christensen, B., Ibsen, C., Gulstad, K. B., & Maribo, T. (2018) · Clinical Rehabilitation · doi:10.1177/0269215518780953 · Cited by 18 · see citing works
Effect of subgroup-specific multimodal therapy on chronic spinal back pain and function—a prospective inpatient multicentre clinical trial in Germany
Steinmetz, A., Psczolla, M., Seidel, W., Niemier, K., Derlien, S., & Nisser, J. (2019) · Medicine · doi:10.1097/md.0000000000013825 · Cited by 17 · see citing works
The effect of an integrated multidisciplinary rehabilitation programme alternating inpatient interventions with home-based activities for patients with chronic low back pain: a randomized controlled trial
Schmidt, A., Schiøttz‐Christensen, B., Foster, N. E., Laurberg, T. B., & Maribo, T. (2020) · Clinical Rehabilitation · doi:10.1177/0269215519897968 · Cited by 20 · see citing works
Effects of behavioural exercise therapy on the effectiveness of a multidisciplinary rehabilitation for chronic non-specific low back pain: Study protocol for a randomised controlled trial
Semrau, J., Peters, S., Geidl, W., Hentschke, C., & Pfeifer, K. (2013) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-14-89 · Cited by 16 · see citing works
Long-term effects of rehabilitation and prevention of further chronification of pain among patients with non-specific low back pain
Neumann, A., & Hampel, P. (2022) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-210221 · Cited by 15 · see citing works
Is there a role of depressive symptoms in the fear-avoidance model? A structural equation approach
Seekatz, B., Meng, K., Bengel, J., & Faller, H. (2015) · Psychology Health & Medicine · doi:10.1080/13548506.2015.1111392 · Cited by 13 · see citing works
Enabling work: occupational therapy interventions for persons with occupational injuries and diseases: a scoping review
Blas, A. J. T., Beltran, K. M. B., Martinez, P. G. V., & Yao, D. P. G. (2018) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-017-9732-z · Cited by 12 · see citing works
Cognitive-behavioral rehabilitation in patients with cardiovascular diseases: a randomized controlled trial (CBR-CARDIO, DRKS00029295)
Bethge, M., Thome-Soós, F., Rašo, L. M., Weier, L., & Benninghoven, D. (2023) · BMC Cardiovascular Disorders · doi:10.1186/s12872-023-03272-1 · Cited by 7 · see citing works
How Have Chronic Pain Management Programs Progressed? A Mapping Review
Lewis, G. N., Bean, D. J., & Mowat, R. M. (2019) · Pain Practice · doi:10.1111/papr.12805 · Cited by 11 · see citing works
Developing a Psychological–Behavioral Intervention in Cardiac Patients Using the Multiphase Optimization Strategy: Lessons Learned From the Field
Huffman, J. C., Millstein, R. A., Celano, C. M., Healy, B. C., Park, E. R., & Collins, L. M. (2019) · Annals of Behavioral Medicine · doi:10.1093/abm/kaz035 · Cited by 11 · see citing works
Vorbereitung und Nachbereitung der medizinischen Rehabilitation am Beispiel der psychosomatischen Rehabilitation
Kobelt, A., Winkler, M., & Petermann, F. (2011) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-011-1244-y · Cited by 9 · see citing works
Implementierung einer Verhaltensmedizinisch Orientierten Rehabilitation in der Kardiologie
Benninghoven, D., Menke, E., China, C., Schroeder, F., & Bethge, M. (2022) · PPmP Psychotherapie Psychosomatik Medizinische Psychologie · doi:10.1055/a-1749-6379 · Cited by 8 · see citing works
Effectiveness of booster strategies to promote physical activity maintenance: a systematic review and meta-analysis
Tarantino, G., Ntoumanis, N., Neville, R. D., Cimenti, C., Petersen, A. P., Pfeffer, K., Mazéas, A., Larsen, M. N., Krustrup, P., & Thøgersen‐Ntoumani, C. (2025) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-025-01844-2 · Cited by 8 · see citing works
The Hospital-Based Consultation and Liaison Service
Ernst, M. M., Piazza‐Waggoner, C., Chabon, B., Murphy, M. K., Carey, J., & Roddenberry, A. (2014) · Springer eBooks · doi:10.1007/978-0-387-09817-3_16 · Cited by 8 · see citing works
Insomnia and cognitive behavioral therapy for chronic back pain
Parfenova, E. V. (2020) · Neurology neuropsychiatry Psychosomatics · doi:10.14412/2074-2711-2020-4-119-124 · Cited by 8 · see citing works
Integrated and Comprehensive Pain Management Programs: Effectiveness and Harms
Skelly, A. C., Chou, R., Dettori, J. R., Brodt, E., Diulio-Nakamura, A., Mauer, K., Fu, R., Yu, Y., Wasson, N., Kantner, S. N., et al. (2021) · doi:10.23970/ahrqepccer251 · Cited by 9 · see citing works
Patient-Reported Outcome of a Multidisciplinary Pain Management Program, Focusing on Occupational Performance and Satisfaction with Performance
Samuelsson, K. (2011) · The Open Rehabilitation Journal · doi:10.2174/1874943701104010042 · Cited by 7 · see citing works
Mobile Health App (AGRIPPA) to Prevent Relapse After Successful Interdisciplinary Treatment for Patients With Chronic Pain: Protocol for a Randomized Controlled Trial
Elbers, S., Pool, J. J. M., Wittink, H. M., Köke, A. J. A., Scheffer, E., & Smeets, R. (2020) · JMIR Research Protocols · doi:10.2196/18632 · Cited by 6 · see citing works
Long-term follow-up of patients with chronic musculoskeletal pain attending interdisciplinary pain rehabilitation: outcomes and predictive factors
Boonstra, A. M., Hoogers, J. M. B., Stewart, R. E., Reneman, M. F., & Preuper, H. R. S. (2021) · International Journal of Rehabilitation Research · doi:10.1097/mrr.0000000000000467 · Cited by 4 · see citing works
Verhaltensmedizinische Kardiologie
Benninghoven, D., & China, C. (2020) · Springer eBooks · doi:10.1007/978-3-662-61170-8_25 · Cited by 4 · see citing works
Non-inferiority of a hybrid outpatient rehabilitation: a randomized controlled trial (HIRE, DRKS00028770)
Albers, R., Lemke, S., Knapp, S., Krischak, G. D., & Bethge, M. (2023) · BMC Digital Health · doi:10.1186/s44247-023-00013-4 · Cited by 3 · see citing works
Behandlung chr onischer Schmerzsyndrome: Plädoyer für einen inter disziplinären Therapieansatz
Kröner-herwig, B., & Frettlöh, J. (2017) · Springer eBooks · doi:10.1007/978-3-662-50512-0_15 · Cited by 1 · see citing works
Debora: Langfristige Wirksamkeit eines stationären störungsspezifischen Schmerzkompetenz- und Depressionspräventionstrainings bei chronisch unspezifischem Rückenschmerz und Depressivität
Hampel, P., & Neumann, A. (2022) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/a-1827-3995 · Cited by 3 · see citing works
Gesundheitsförderungsmaßnahmen für ältere Menschen mittels neuer Medien
Lippke, S., & Kuhlmann, T. (2013) · Zeitschrift für Gesundheitspsychologie · doi:10.1026/0943-8149/a000082 · Cited by 2 · see citing works
Begleitete Eigeninitiative nach der Reha ("neues Credo") - ein Erfolgsmodell? Supported Own Initiative of Rehabilitation Patients ("New Credo") - A Successful Model?
Deck, R., Schramm, S. M. D. O., & Hüppe, A. (2012) · Cited by 2 · see citing works
Verhaltensmedizinisch orientierte Rehabilitation in der Praxis
Dorn, M., & Polnau, U. (2017) · Aktuelle Rheumatologie · doi:10.1055/s-0042-118596 · Cited by 2 · see citing works
Emotion Regulation in Pain : Developing Effective Interventions for Patients with Pain and Emotional Distress
Södermark, M. (2023) · Linköping University medical dissertations · doi:10.3384/9789180753692 · Cited by 1 · see citing works
Boosterbehandlungen in der interdisziplinären multimodalen Schmerztherapie
Teichmüller, K., Schönbach, B., Boujong, D., Böger, A., Sabatowski, R., & Scharnagel, R. (2024) · Der Schmerz · doi:10.1007/s00482-024-00807-z · Cited by 1 · see citing works
Führt der interdisziplinäre Versorgungsansatz zur Steigerung der Qualität im medizinischen Bereich? – ein systematisiertes Review mit qualitativer Datenextraktion
Zalpour, C., & Griefahn, A. (2024) · Springer Reference Pflege, Therapie, Gesundheit · doi:10.1007/978-3-662-65420-0_33-1 · Cited by 1 · see citing works
On maintaining successful treatment outcomes in interdisciplinary multimodal pain treatment
Elbers, S. (2021) · doi:10.26481/dis.20211117se
Mitigating Persistent Symptoms Following Rehabilitation in Musculoskeletal Disorders
Dupuis, F., Roy, J., Lachance, A., Tougas, A., Gagnon, M., Marier-Deschênes, P., Pinard, A. M., & Massé‐Alarie, H. (2024) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000001230
Exploring booster session attendance, prescription, and outcomes in adults with chronic low back pain: Secondary analysis of a randomized clinical trialPreprint
Lanier, V. M., Lohse, K. R., Hooker, Q. L., Civello, J. M., & Dillen, L. R. V. (2025) · medRxiv · doi:10.1101/2025.01.27.25321189
Rehabilitation and management interventions for people with chronic musculoskeletal condition/s and mental distress: a systematic scoping review
Tehrany, R., Teixeira, M. J. C., Ananthakrishnan, A., Jaggi, A., Ramanuj, P., Khouri, M., Merchant, A. A., & Lowe, C. (2026) · Systematic Reviews · doi:10.1186/s13643-026-03308-5
Führt der interdisziplinäre Versorgungsansatz zur Steigerung der Qualität im medizinischen Bereich? – ein systematisiertes Review mit qualitativer Datenextraktion
Zalpour, C., & Griefahn, A. (2025) · Springer Reference Pflege, Therapie, Gesundheit · doi:10.1007/978-3-662-65435-4_33
Rahmenbedingungen für Rehabilitationsmaßnahmen bei konservativ behandelten Wirbelsäulenerkrankungen
Lemhöfer, C., Loudovici-Krug, D., Kosmeier, A. L., & Gassen, A. (2025) · Die Orthopädie · doi:10.1007/s00132-025-04744-2
Additional file 12 of Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022) · Figshare · doi:10.6084/m9.figshare.20485836
Additional file 1 of Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022) · Figshare · doi:10.6084/m9.figshare.20485842
Additional file 10 of Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022) · Figshare · doi:10.6084/m9.figshare.20485830
Additional file 3 of Cognitive-behavioral rehabilitation in patients with cardiovascular diseases: a randomized controlled trial (CBR-CARDIO, DRKS00029295)
Bethge, M., Thome-Soós, F., Rašo, L. M., Weier, L., & Benninghoven, D. (2023) · Figshare · doi:10.6084/m9.figshare.22826898
Additional file 13 of Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022) · Figshare · doi:10.6084/m9.figshare.20485839
Additional file 11 of Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022) · Figshare · doi:10.6084/m9.figshare.20485833
Additional file 2 of Cognitive-behavioral rehabilitation in patients with cardiovascular diseases: a randomized controlled trial (CBR-CARDIO, DRKS00029295)
Bethge, M., Thome-Soós, F., Rašo, L. M., Weier, L., & Benninghoven, D. (2023) · Figshare · doi:10.6084/m9.figshare.22826895
Additional file 1 of Cognitive-behavioral rehabilitation in patients with cardiovascular diseases: a randomized controlled trial (CBR-CARDIO, DRKS00029295)
Bethge, M., Thome-Soós, F., Rašo, L. M., Weier, L., & Benninghoven, D. (2023) · Figshare · doi:10.6084/m9.figshare.22826892
Additional file 2 of Effects of behavioural exercise therapy on the effectiveness of multidisciplinary rehabilitation for chronic non-specific low back pain: a randomised controlled trial
Semrau, J., Hentschke, C., Peters, S., & Pfeifer, K. (2021) · Figshare · doi:10.6084/m9.figshare.14702283
Additional file 4 of Cognitive-behavioral rehabilitation in patients with cardiovascular diseases: a randomized controlled trial (CBR-CARDIO, DRKS00029295)
Bethge, M., Thome-Soós, F., Rašo, L. M., Weier, L., & Benninghoven, D. (2023) · Figshare · doi:10.6084/m9.figshare.22826907
Additional file 7 of Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022) · Figshare · doi:10.6084/m9.figshare.20485860
Additional file 9 of Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022) · Figshare · doi:10.6084/m9.figshare.20485866
Additional file 2 of Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022) · Figshare · doi:10.6084/m9.figshare.20485845
Additional file 8 of Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022) · Figshare · doi:10.6084/m9.figshare.20485863
Additional file 1 of Effects of behavioural exercise therapy on the effectiveness of multidisciplinary rehabilitation for chronic non-specific low back pain: a randomised controlled trial
Semrau, J., Hentschke, C., Peters, S., & Pfeifer, K. (2021) · Figshare · doi:10.6084/m9.figshare.14702280
Additional file 3 of Interprofessional collaboration and patient-reported outcomes in inpatient care: a systematic review
Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022) · Figshare · doi:10.6084/m9.figshare.20485848
Booster session prescription and outcomes in adults with chronic low back pain: Secondary analysis of a randomized clinical trial
Lanier, V. M., Lohse, K. R., Hooker, Q. L., Civello, J. M., & Dillen, L. R. V. (2025) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.1177/10538127251407665

Wirksamkeit psychologischer Interventionen auf die Schmerzverarbeitung innerhalb einer orthopädischen Rehabilitation von chronischen Rückenschmerzen
Bandemer-Greulich, U., Bosse, B., Fikentscher, E., Konzag, T.-A., & Bahrke, U. (2008) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-2007-970999 · Cited by 14 · see citing works
Implementation of behavioural-medical treatment approaches in orthopaedic inpatient rehabilitation
Mangels, M. (2008) · Publikationsserver (Universitat Marburg) · doi:10.17192/z2008.0114
Self-citation
Efficacy of multidisciplinary pain treatment centers: a meta-analytic review.
Flor, H., Fydrich, T., & Turk, D. C. (1992) · Pain · doi:10.1016/0304-3959(92)90145-2 · Cited by 1,227 · see citing works
Multidisciplinary rehabilitation for chronic back pain in an outpatient setting: A controlled randomized trial
Keller, S., Ehrhardt‐Schmelzer, S., Herda, C. A., Schmid, S., & Basler, H. ‐. (1997) · European Journal of Pain · doi:10.1016/s1090-3801(97)90037-9 · Cited by 31 · see citing works
Langfristige Effekte einer kognitiv-behavioralen Intervention auf die Schmerzverarbeitung in der stationären orthopädischen Rehabilitation von chronisch unspezifischem Rückenschmerz und Depressivität
Hampel, P., Gemp, S., Mohr, B., Schulze, J., & Tlach, L. (2014) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-0034-1370913 · Cited by 8 · see citing works

Authors: Mangels, M., Schwarz, S., Worringen, U., Holme, M., & Rief, W.
Affiliations: Philipps University of Marburg (DE)
Deutsche Rentenversicherung Bund (DE)
Corresponding author: Mangels, Marija
Schwarz, Susanne
Rief, Winfried
ORCID: Rief, Winfried
Venue: The Clinical Journal of Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2009-06
Volume: 25
Issue: 5
Pages: 356-364
ISSN: 0749-8047 (ISSN-L)
DOI: 10.1097/ajp.0b013e3181925791
OpenAlex: W2088715223
Cited by: 74
References: 35
Citations by year: 2026: 1 · 2025: 5 · 2024: 3 · 2023: 7 · 2022: 14 · 2021: 9 · 2020: 6 · 2019: 4 · 2018: 4 · 2017: 3 · 2016: 2 · 2015: 4 · 2014: 3 · 2013: 3 · 2012: 2
FWCI: 1.44
Type: journal article
Language: en
Open access: closed
Locations: Clinical Journal of 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: chronic back pain, multidisciplinary pain rehabilitation, booster sessions, follow-up care, orthopedic rehabilitation, pain coping, depression, self-efficacy, pain-related disability, maintenance therapy
MeSH terms: Back Pain, Behavior Therapy, Female, Germany, Humans, Inpatients, Male, Middle Aged, Quality of Life, Stress, Psychological, Comorbidity, Prevalence, Treatment Outcome, Patient Satisfaction

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Evaluation of a Behavioral-medical Inpatient Rehabilitation Treatment Including Booster Sessions: A Randomized Controlled Study

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks