Article

The aim of this study was to evaluate the potential interaction between
treatment content and subgroups according to the Swedish version of the
Multidimensional Pain Inventory (MPI-S) on the effect on sickness absence during
a 10-year follow-up in a population with chronic neck pain (NP) and/or low back
pain (LBP). METHODS: This study is based on a randomized controlled multicentre
trial with a 10-year follow-up using the MPI-S and included 214 participants. The
interventions consisted of Behavioural-oriented Physiotherapy (PT), Cognitive
Behavioural Therapy (CBT), Behavioural Medicine Rehabilitation (BM), and a
"treatment-as-usual" control group (CG). RESULTS: There appears to be a
difference in the development of sickness absence after rehabilitation for the
adaptive coper (AC) group even though the result did not reach statistical
significance. AC seems to respond most favourably to the multidisciplinary
programme compared to the CG. The development of sickness absence after
intervention among interpersonally distressed (ID) and dysfunctional (DYS)
patients were similar across all three treatment alternatives as well as CG.
CONCLUSION: In terms of long-term follow-up of sickness absence, the
multidisciplinary programme appears to be most beneficial for DYS and AC
patients. In contrast, the CBT and PT interventions failed to benefit any patient
group.

Langue : ANGLAIS