Aleid de Rooij|M. van der Leeden|Leo D. Roorda|Martijn Steultjens|Joost Dekker
Predictors of outcome of multidisciplinary treatment in chronic widespread pain: an observational study
Amsterdam Institute for Addiction Research|Reade|Amsterdam Institute for Addiction Research|Reade|Amsterdam Institute for Addiction Research|Reade|Glasgow Caledonian University|EMGO Institute for Health and Care Research
effectiveness multidisciplinary treatment chronic widespread pain cwp limited considerable heterogeneity among patients likely explanation knowledge predictors outcome multidisciplinary treatment help optimize treatment effectiveness purpose study identify predictors multidisciplinary treatment outcome patients cwpdata used baseline 6 months followup measurements prospective cohort study 120 cwp regression models used assess whether baseline variables predicted treatment outcome outcome domains included pain pain interference depression global perceived effect gpe potential predictors included psychological distress illness selfefficacy beliefs fearavoidance beliefs behaviour symptoms disability sociodemographic factorsgreater improvement pain predicted pain baseline male gender greater improvement interference pain daily life predicted interference pain daily life baseline lower levels anxiety stronger belief personal control less belief consequences male gender higher level education greater improvement depression predicted higher baseline values depression stronger beliefs personal control higher level education better outcome gpe predicted less pain less fatigue higher level educationless anxiety stronger beliefs personal control less belief consequences less pain less fatigue higher level education male gender predictors better outcome multidisciplinary treatment cwp tailoring treatment specific patient characteristics selecting eligible patients multidisciplinary treatment may improve treatment outcome