Chronic pain and severe disuse syndrome: long-term outcome of an inpatient multidisciplinary cognitive behavioural programme.
OBJECTIVE
Patients with chronic pain and severe disuse syndrome have pain with physiological, psychological and social adaptations. The duration and severity of complaints, combined with previously failed treatments, makes them unsuitable for treatment in primary care.


METHODS
A prospective waiting list controlled study.


METHODS
A total of 32 patients with chronic pain for at least one year and severe disuse syndrome were included in an inpatient multidisciplinary cognitive behavioural treatment.


METHODS
Patients were assessed before the waiting list period, before the clinical phase, after the clinical phase and after follow-ups of 6 months and one year. The visual analogue scale for pain and fatigue were assessed. Muscle strength of the arms and legs, arm endurance and a 6-minute walking test were used to assess physical outcome. The Symptom Checklist-90, RAND-36, pain cognition list and the Tampa scale for kinesiophobia were used to assess psychological outcome.


RESULTS
Long-term significant (p < 0.001) improvements were found for pain, fatigue, walking distance, muscle strength, anxiety, depression, somatization, negative self-efficacy, and catastrophizing in the intervention period.


CONCLUSIONS
An inpatient multidisciplinary cognitive behavioural programme is beneficial for patients with chronic pain and a severe disuse syndrome.
van Wilgen
C Paul
CP
Pain Centre, Department of Anesthesiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands. c.p.van.wilgen@sport.umcg.nl
Dijkstra
Pieter U
PU
Versteegen
Gerbrig J
GJ
Fleuren
Marjo J T
MJ
Stewart
Roy
R
van Wijhe
Marten
M
D000328:Adult; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D053580:Muscle Strength / Q000502:physiology; D017063:Outcome Assessment, Health Care; D010146:Pain / Q000503:physiopathology / Q000523:psychology; D059408:Pain Management; D010147:Pain Measurement; D011446:Prospective Studies; D020377:Self Efficacy; D013997:Time Factors; D016138:Walking / Q000502:physiology