Article

The aim of this study was to identify treatment-specific predictors of
the effectiveness of a method of evidence-based treatment: cognitive treatment of
illness perceptions. This study focuses on what treatment works for whom, whereas
most prognostic studies focusing on chronic non-specific low back pain
rehabilitation aim to reduce the heterogeneity of the population of patients who
are suitable for rehabilitation treatment in general. DESIGN: Three
treatment-specific predictors were studied in patients with chronic non-specific
low back pain receiving cognitive treatment of illness perceptions: a rational
approach to problem-solving, discussion skills and verbal skills. Hierarchical
linear regression analysis was used to assess their predictive value. Short-term
changes in physical activity, measured with the Patient-Specific Functioning
List, were the outcome measure for cognitive treatment of illness perceptions
effect. RESULTS: A total of 156 patients with chronic non-specific low back pain
participated in the study. Rational problem-solving was found to be a significant
predictor for the change in physical activity. Discussion skills and verbal
skills were non-significant. Rational problem-solving explained 3.9% of the total
variance. CONCLUSION: The rational problem-solving scale results are encouraging,
because chronic non-specific low back pain problems are complex by nature and can
be influenced by a variety of factors. A minimum score of 44 points on the
rational problem-solving scale may assist clinicians in selecting the most
appropriate candidates for cognitive treatment of illness perceptions.

Langue : ANGLAIS