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Short-term cognitive-behavioral treatment in multicultural primary care of patients with longstanding backache
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland.
2013 (English)In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 54, no 5, 371-375 p.Article in journal (Refereed) Published
Abstract [en]

The efficacy of cognitive-behavioral therapy in multi-cultural primary care patients with longstanding backache is not evaluated. The purpose of this study was to investigate the outcome of a four weekly-treatment given by primary care physicians regarding pain-related worry, depression and severe pain and to determine which social, clinical or gender factors were associated with outcome.The study group consisted of 245 patients in consecutive order from 19 countries, 18 to 45years, entering rehabilitation program because of longstanding backache. Prevalences of pain-related worry and depression and severe pain was counted and compared before and after. Logistic regression was used to calculate the odds (OR; 95% CI) for persistent pain-related worry and/or persistent depression and severe pain (VAS 50). The prevalences of pain-related worry and depression were both significantly lower after treatment (pain-related worry 83% before vs. 38% after; depression 43% before vs. 31% after). Also the number of patients scoring 50 VAS was a little, but significantly, fewer (68% vs. 61%). Use of interpreter doubled the risk of having persistent pain-related worry (OR 2.1; 95% CI 1.1-4.1) but the risk was not significant regarding persistent depression (OR 1.8; 0.6-5.4). The rating of VAS rating 50 after treatment was twice as high, OR 2.3 (95% CI 1.1-4.6) in the 38-45year old age group. To conclude, a focus on pain ideas reduced pain-related worry and depression in these patients with various sociocultural backgrounds and longstanding backache.

Place, publisher, year, edition, pages
2013. Vol. 54, no 5, 371-375 p.
Keyword [en]
Pain-related worry, depression, severe pain, cognitive-behavioral treatment, cultural diversity, primary health care, intervention
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-208641DOI: 10.1111/sjop.12061ISI: 000323927800004OAI: oai:DiVA.org:uu-208641DiVA: diva2:654063
Available from: 2013-10-07 Created: 2013-10-07 Last updated: 2017-12-06Bibliographically approved

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Alinaghizadeh, HassanLöfvander, Monica

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Occupational and Environmental MedicineFamily Medicine and Preventive MedicineCentre for Clinical Research, County of Västmanland
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