[Long-term effects of a cognitive-behavioral intervention on pain coping among inpatient orthopedic rehabilitation of chronic low back pain and depressive symptoms].
Beneficial effects on psychological measures in orthopedic inpatient rehabilitation of patients with chronic low back pain (CLBP) and co-exist-ing depressive symptoms have been shown only for multidisciplinary approaches that incorporate psychotherapeutic interventions. Aim of this study was to verify these findings for pain coping outcomes (pain-related psychological disability, pain-related coping). Short-, mid-, and long-term effects of a standard pain management program that was either solely provided or combined with a supplemental cognitive-behavioral depression management were examined in a consecutive sample of n=84. Patients in both groups showed long-term beneficial effects in pain coping measures. Thus, the standard rehabilitation revealed specific and long-term effects on pain coping. However, further evidence suggests that diagnosis-specific psychotherapeutic treatment elements are required to improve psychological symptoms.
Universität Flensburg, Institut für Gesundheits-, Ernährungs- und Sportwissenschaften, Flensburg.
Petra
P
Hampel
Universität Bremen, Zentrum für Klinische Psychologie und Rehabilitation, Bremen.
Stephan
S
Gemp
Universität Bremen, Zentrum für Klinische Psychologie und Rehabilitation, Bremen.
Beate
B
Mohr
Freie Universität Berlin, Fachbereich Erziehungswissenschaft und Psychologie, Berlin.
Julian
J
Schulze
Universitätsklinikum Hamburg-Eppendorf, Institut und Poliklinik für Medizinische Psychologie, Hamburg.
Lisa
L
Tlach
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000523:psychology / Q000534:rehabilitation* / Q000628:therapy*; D005260:Female; D006801:Humans; D007297:Inpatients; D017116:Low Back Pain / Q000523:psychology / Q000534:rehabilitation* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009985:Orthopedics