The Role of Pain-Related Anxiety Reduction in the Outcome of Multidisciplinary Treatment for Chronic Low Back Pain: Preliminary Results |
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| Authors: | Lance M. McCracken Richard T. Gross |
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| Affiliation: | (1) Department of Psychiatry and Department of Anesthesia & Critical Care, The University of Chicago, Chicago, Illinois;(2) Department of Psychiatry, Then University of Chicago, Chicago, Illinois, 60637;(3) Department of Neurology, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina |
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| Abstract: | ![]()
The success of multidisciplinary treatments for chronic pain in helping patients suffer less and function better is well documented. However, this success has occurred despite a lack of understanding of the process of change that produces positive outcomes. The purpose of this study was to investigate the role of pain-related anxiety reduction in the outcome of treatment for chronic pain. Seventy-nine persons with chronic pain completed measures of pain, pain-related interference with activity, affective distress, general daily activity, and pain-related anxiety at admission and immediately following a 3-week multidisciplinary treatment program focusing on functional restoration. Patients significantly improved on all outcome measures. Reductions in pain-related anxiety predicted improved functioning on each measure. Additional analyses showed that change in pain-related anxiety remained a significant predictor of outcome independent of change in depression. |
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| Keywords: | chronic pain low back pain multidisciplinary treatment functional restoration psychological factors anxiety |
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