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Long-term influences of a biopsychosocial rehabilitation programme for chronic pain patients.

Artikel i vetenskaplig tidskrift
Författare Lena Mårtensson
Bertil Marklund
Amir Baigi
Mats Gunnarsson
Bengt Fridlund
Publicerad i Musculoskeletal care
Volym 2
Nummer/häfte 3
Sidor 152-64
ISSN 1478-2189
Publiceringsår 2004
Publicerad vid Institutionen för samhällsmedicin, Avdelningen för allmänmedicin
Institutionen för arbetsterapi och fysioterapi
Sidor 152-64
Språk en
Länkar dx.doi.org/10.1002/msc.67
Ämnesord Pain, rehabilitation, occupational therapy, sick-leave, biopsychosocial, intervention
Ämneskategorier Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Omvårdnad

Sammanfattning

OBJECTIVE: Chronic pain leads to high costs in the form of compensation for absence from work due to illness, production loss and health care utilization. Multidisciplinary treatment programmes at pain clinics can result in return to work and a decrease in doctor visits. The aim of this study was to evaluate the long-term influences of a rehabilitation programme in primary health care for chronic pain patients with regard to doctor visits, frequency of sick-leave and level of disability. DESIGN: A longitudinal, intervention study design was used over a three-year period. METHODS: A biopsychosocial rehabilitation programme based on ego-strengthening psychotherapy was used. An occupational therapist and a physiotherapist led the intervention, which comprised two meetings per week for six weeks. The study was performed in a primary health care area in the southwest of Sweden with 54 chronic pain patients. RESULTS: The results showed a significant decrease in the number of doctor visits as well as sick-leave days. The level of absenteeism due to occupational disability changed significantly from being on sick leave to receiving a disability pension. CONCLUSIONS: The rehabilitation programme reduced patient attendance at health care facilities but did not increase the numbers of patients returning to work.

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