Pain Rehabilitation’s Effect on People in Chronic Pain: A Prospective Cohort Study

Hafdís Skúladóttir, Amalia Björnsdottir, Janean E. Holden, Thóra Jenný Gunnarsdóttir, Sigridur Halldorsdottir and Herdis Sveinsdottir
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Hafdís Skúladóttir: School of Health Science, University of Akureyri, Solborg v/Nordurslod, 600 Akureyri, Iceland
Amalia Björnsdottir: School of Education, Faculty of Education and Pedagogy, University of Iceland, Stakkahlid 1, 105 Reykjavík, Iceland
Janean E. Holden: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
Thóra Jenný Gunnarsdóttir: School of Health Science, University of Iceland, Eiríksgata 34, 101 Reykjavík, Iceland
Sigridur Halldorsdottir: School of Health Science, University of Akureyri, Solborg v/Nordurslod, 600 Akureyri, Iceland
Herdis Sveinsdottir: School of Health Science, University of Iceland, Eiríksgata 34, 101 Reykjavík, Iceland

IJERPH, 2021, vol. 18, issue 19, 1-15

Abstract: Multidisciplinary long-term pain rehabilitation programs with a team of healthcare professionals are an integrated approach to treat patients with chronic non-malignant pain. In this longitudinal prospective cohort study, we investigated the long-term effects of multidisciplinary pain rehabilitation on the self-reported causes of pain, pain self-management strategies, sleep, pain severity, and pain’s interference with life, pre- and post-treatment. Eighty-one patients, aged 20–69 years, with chronic pain responded. The two most frequently reported perceived causes of pain were fibromyalgia and accidents. The difference in average self-reported pain severity decreased significantly at one-year follow-up ( p < 0.001), as did pain’s interference with general activities, mood, walking ability, sleep, and enjoyment of life. At one-year follow-up, participants (21%) rated their health as good/very good and were more likely to state that it was better than a year before (20%). No change was found in the use of pain self-management strategies such as physical training at one-year follow-up. The intervention was effective for the participants, as reflected in the decreased pain severity and pain interference with life.

Keywords: chronic pain; rehabilitation; sleep; self-management; health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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