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The impact of psychological factors on rehabilitation outcomes in patients with chronic pain
Author(s):
1. Qudsia Shamim: Department of Rehabilitation Medicine, Combined Military Hospital Lahore, Pakistan
2. Laraib Fatima: Punjab Rangers Teaching Hospital, Lahore, Pakistan
3. Husna Albab: Asd Welfare Trust, Lahore, Pakistan
Abstract:
BACKGROUND: Chronic pain, affecting a significant portion of the population, contributes to diminished quality of life and increased disability rates. Emerging evidence points towards the substantial role of psychological characteristics, including pain catastrophizing, fear-avoidance attitudes, depression, and anxiety, in shaping pain perception and rehabilitation response. These factors also appear to influence recovery rates following injuries. OBJECTIVE: The purpose of this study was to determine the influence of these psychological factors on the rehabilitation progress in patients suffering from chronic pain. METHODS: A prospective study was carried out with 200 chronic pain participants. Psychological factors were evaluated at the outset using validated tools (Pain Catastrophizing Scale, Fear-Avoidance Beliefs Questionnaire, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7). Rehabilitation outcomes, specifically pain intensity and disability, were measured both at the baseline and after 12 months. RESULTS: Over the 12-month follow-up period, participants reported significant enhancements in their physical and psychological outcomes. Nevertheless, a correlation was observed between elevated initial levels of psychological distress and subpar results, even after accounting for demographic and clinical characteristics. CONCLUSION: The findings of this study highlight the critical need to identify and address psychological disorders present in chronic pain patients undergoing rehabilitation. This becomes a point of emphasis for improving their rehabilitation outcomes. Future research should prioritize the development of comprehensive treatments that can significantly enhance rehabilitation outcomes in this population.
Page(s): 48-52
DOI: DOI not available
Published: Journal: Journal of Health and Rehabilitation Research, Volume: 1, Issue: 1, Year: 2023
Keywords:
Depression , anxiety , Chronic pain , Biopsychosocial Model , Rehabilitation Outcomes , Pain Catastrophizing , FearAvoidance Beliefs
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