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Catastrophizing and health related quality of life: A 6-year follow-up of patients with chronic low back pain
Linköping University, Department of Medicine and Care. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Care. Linköping University, Faculty of Health Sciences.
Health Department at SAAB Aerospace in Linköping.
Health Department at SAAB Aerospace in Linköping.
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2002 (English)In: Rehabilitation Nursing, ISSN 0278-4807, Vol. 27, no 3, 110-117 p.Article in journal (Refereed) Published
Abstract [en]

A pain rehabilitation model that focused on emotions was implemented to influence catastrophizing by, and health-related quality of life (HRQL) for, persons with chronic low back pain. Twelve individuals, 7 men and 5 women (aged 33 to 57 years), all with long-term pain despite treatment, were included in the study and a single case research experimental design (SCRED) was used to follow the patterns of coping with pain for 6 years. The HRQL was measured before and 6 years after the intervention. Coping strategies and HRQL were evaluated with the Coping Strategy Questionnaire (CSQ) and the SF-36, respectively. The evaluation of pain coping strategies after 3 years found decreased catastrophizing, a decrease that had continued 3 years later. HRQL showed significantly improved mental health and impaired physical capacity at the 6-year follow-up. Changes in catastrophizing or in HRQL did not appear to influence self-scored bodily pain. Altered catastrophizing appeared to be a long-term process. This research indicates the need for rehabilitation programs to assess and evaluate patients' pain and their need for improved quality of life, rather than focusing only on the elimination of pain.

Place, publisher, year, edition, pages
2002. Vol. 27, no 3, 110-117 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-28114DOI: 10.1002/j.2048-7940.2002.tb01999.xLocal ID: 12923OAI: oai:DiVA.org:liu-28114DiVA: diva2:248665
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2012-09-18Bibliographically approved
In thesis
1. Identification of subgroups in experimental and chronic pain: Sensory, emotional and evaluative aspects
Open this publication in new window or tab >>Identification of subgroups in experimental and chronic pain: Sensory, emotional and evaluative aspects
2002 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

One hundred and two healthy subjects, 32 fibromyalgia patients and 12 chronic low back pain patients were included in the study. Quantitative sensory tests were performed to identify thermal hyperalgesia in the fibromyalgia group and to compare the results with those in healthy pain-free subjects. Different questionnaires were used to map pain and stress-coping strategies /styles. (Coping Strategy Questionnaire, Jalowiec Coping Scale) and quality of life (Life Satisfaction Questionnaire and the SF-36).

Both healthy subjects and fibromyalgia patients suffering from chronic pain could be subgrouped according to experimental pain perception. On comparing the fibromyalgia subgroups, differences in both stress and pain-coping strategies were found. Thus, the confrontative stress-coping style was used more in the thermal painsensitive group than the others. Furthermore, attention-diverting and catastrophising pain-coping strategies were more frequent.

The chronic back-pain patients who had decreased their catastrophising pain-coping strategy at the 3-year follow-up also perceived an improved quality of life at the 6-year follow-up.

When. self-scoring life satisfaction, thermal pain-sensitive fibromyalgia patients experienced significantly more physical symptoms than slightly cold pain-sensitive patients and healthy subjects. They also had sleep disturbances, more tender points, more affective hand pain and increased hand pain intensity.

The relation between sensation and emotion must be regarded as a product of a conscious mind while the emotional part of the pain sensation is not just a passive response to an external stimulus.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2002. 51 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 714
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-27538 (URN)12196 (Local ID)91-7373-156-0 (ISBN)12196 (Archive number)12196 (OAI)
Public defence
2002-01-11, Berzeliussalen, Hälsouniversitetet, Linköping, 13:00 (Swedish)
Opponent
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2012-09-18Bibliographically approved

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Raak, RagnhildWikblad, KarinWahren, Lis Karin

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