CoChat
Sign Up
Cited by 53Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationPain Management and Treatment

Predictors of multidisciplinary treatment outcome in patients with chronic musculoskeletal pain

Boonstra, Anne M., Reneman, Michiel F., Waaksma, Berend R., Schiphorst Preuper, Henrica R., Stewart, Roy E.·2015·Disability and Rehabilitation
DOI 10.3109/09638288.2014.961657
Open this paper in CoChat — free account

Abstract

PURPOSE: The present study aimed to identify predictors of rehabilitation outcome for patients with chronic musculoskeletal pain (CMP) and psychological problems. METHODS: A retrospective cohort study including 230 adult patients with CMP admitted for multidisciplinary pain rehabilitation. Potential predictors were patient characteristics, duration of complaints, baseline functioning, pain, personality, coping style, fear of movement, psychological distress and type of treatment. Outcome measures were physical functioning, mental health, pain and patient-reported effect. Multiple (logistic) regression models were used to identify predictors. RESULTS: Patients who were more disabled and patients with more pain benefitted more from the rehabilitation treatment than less disabled patients or those with less pain. Age, work status, vitality, depression and coping style also predicted outcomes significantly. The models explained between 27 and 80% of the outcomes. There was an interaction between type of treatment, work status and the baseline pain score as regards the outcome in terms of pain. CONCLUSIONS: No strong predictors of treatment outcome were found other than the baseline scores of the respective outcome variables. More disabled patients and patients with more pain benefitted more from the rehabilitation program. Other predictors improved the prediction models slightly. Implications for Rehabilitation It remains challenging to correctly predict the outcome of treatment from patients' baseline sociodemographic and psychological characteristics; predictors other than baseline scores of the outcome variables are only slightly associated with treatment outcome. Patients with chronic musculoskeletal pain and poor physical functioning or mental health benefit most from pain rehabilitation. Older patients benefit less from a pain rehabilitation program than younger patients in terms of physical functioning. Pain reduction during a pain rehabilitation program is greatest in patients with high pain intensity who are not at work at the start of the rehabilitation program. Coping style influences the outcome of rehabilitation of patients with chronic musculoskeletal pain.

Integrity signals

Registry

Crossref · 10.3109/09638288.2014.961657

Cites

33 of 33 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?

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Boonstra, A. M., Reneman, M. F., Waaksma, B. R., Schiphorst Preuper, H. R., & Stewart, R. E.
Affiliations
University Medical Center Groningen (NL)
Corresponding author
Boonstra, Anne M.
ORCID
Venue
Disability and Rehabilitation
Publisher
Informa UK Limited
Published
2014-09-17
Volume
37
Issue
14
Pages
1242-1250
ISSN
  • 0963-8288 (ISSN-L)
  • 1464-5165
DOI
10.3109/09638288.2014.961657
OpenAlex
W2027887470
Cited by
53
References
33
Citations by year
2026: 8 · 2025: 5 · 2024: 6 · 2023: 3 · 2022: 5 · 2021: 3 · 2020: 4 · 2019: 8 · 2018: 4 · 2017: 4 · 2016: 2 · 2015: 1
FWCI
1.70
Type
journal article
Language
en
Open access
closed
Locations
  • Disability and Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
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 › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords
chronic musculoskeletal pain, multidisciplinary pain rehabilitation, treatment outcome predictors, physical function, mental health, pain intensity, coping styles, psychological distress, disability, employment status, age, depression, kinesiophobia, patient-reported outcomes
MeSH terms
Adaptation, Psychological, Adolescent, Adult, Aged, Female, Persons with Disabilities, Humans, Male, Mental Health, Middle Aged, Prognosis, Retrospective Studies, Logistic Models, Treatment Outcome, Young Adult, Chronic Pain, Musculoskeletal Pain, Pain Management

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