title: Effectiveness of different interventions using a psychosocial subgroup assignment in chronic neck and back pain patients: a 10-year follow-up.
abstract: OBJECTIVE
  The aim of this study was to evaluate the potential interaction between treatment content and subgroups according to the Swedish version of the Multidimensional Pain Inventory (MPI-S) on the effect on sickness absence during a 10-year follow-up in a population with chronic neck pain (NP) and/or low back pain (LBP).
  
  
  METHODS
  This study is based on a randomized controlled multicentre trial with a 10-year follow-up using the MPI-S and included 214 participants. The interventions consisted of Behavioural-oriented Physiotherapy (PT), Cognitive Behavioural Therapy (CBT), Behavioural Medicine Rehabilitation (BM), and a "treatment-as-usual" control group (CG).
  
  
  RESULTS
  There appears to be a difference in the development of sickness absence after rehabilitation for the adaptive coper (AC) group even though the result did not reach statistical significance. AC seems to respond most favourably to the multidisciplinary programme compared to the CG. The development of sickness absence after intervention among interpersonally distressed (ID) and dysfunctional (DYS) patients were similar across all three treatment alternatives as well as CG.
  
  
  CONCLUSIONS
  In terms of long-term follow-up of sickness absence, the multidisciplinary programme appears to be most beneficial for DYS and AC patients. In contrast, the CBT and PT interventions failed to benefit any patient group.
authors: Public Health Sciences, Intervention and Implementation Research (IIR), Stockholm, Sweden. cecilia.bergstrom@ki.se
authors: Cecilia
authors: C
authors: Bergström
authors: Irene
authors: I
authors: Jensen
authors: Jan
authors: J
authors: Hagberg
authors: Hillevi
authors: H
authors: Busch
authors: Gunnar
authors: G
authors: Bergström
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017116:Low Back Pain / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000534:rehabilitation*; D010349:Patient Compliance / Q000523:psychology; D026741:Physical Therapy Modalities; D011788:Quality of Life; D018582:Sick Leave; D012944:Social Support; D011795:Surveys and Questionnaires; D013548:Sweden; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult