title: Cognitive-behavioral management training of depressive symptoms among inpatient orthopedic patients with chronic low back pain and depressive symptoms: A 2-year longitudinal study.
abstract: OBJECTIVE
  Co-existing depressive symptoms aggravate the chronic course of pain and may interfere with successful rehabilitation.
  
  
  OBJECTIVE
  To examine the psychosocial rehabilitation success of a standard rehabilitation program with a supplemental cognitive-behavioral management training of depressive symptoms compared to the standard rehabilitation alone among patients with chronic low back pain (CLBP) and depressive symptoms.
  
  
  METHODS
  Effects on psychological measures (depressive symptoms, anxiety, and somatization) were evaluated prior to, 6, 12, and 24 months after rehabilitation among N = 84 consecutively admitted patients with CLBP and depressive symptoms, aged from 34–59 years. Furthermore, self-reported days of sick leave were determined.
  
  
  RESULTS
  Favorable effects on depressive symptoms and anxiety persisted up to the 24-month follow-up assessment and incremental effects of the new program on depressive symptoms and anxiety were found at the 6-month follow-up assessment. Days of sick leave were decreased 6 months after rehabilitation and frequencies of clinical levels of psychological symptoms at the 24-month follow-up assessment were attenuated in the intervention group.
  
  
  CONCLUSIONS
  The long-term psychological rehabilitation success among patients with CLBP and depressive symptoms was improved by the newly developed program, whose clinical significance was also supported. Thus, significant factors for the further development of CLBP were ameliorated.
authors: Petra
authors: P
authors: Hampel
authors: Lisa
authors: L
authors: Tlach
mesh_terms: D000328:Adult; D001007:Anxiety / Q000150:complications / Q000523:psychology / Q000628:therapy; D015928:Cognitive Behavioral Therapy; D003863:Depression / Q000150:complications / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008137:Longitudinal Studies; D017116:Low Back Pain / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D057566:Self Report; D016896:Treatment Outcome