Article

OBJECTIVES: To determine whether coping profile changes after rehabilitation,
assessed with the Multidimensional Pain Inventory (MPI), can predict which
persons disabled by chronic musculoskeletal pain will be in receipt of sick leave
benefits in the long term. METHODS: Study of MPI data from 2,784 patients (709
men and 2,075 women) collected from the Swedish Quality Register for Pain
Rehabilitation (SQRP) before and at the end of rehabilitation and compared with
independent sick leave data for 1 year later. RESULTS: After rehabilitation there
was a significantly decreased share of Dysfunctional profiles (DYS) among both
men (44% before, 31% after) and women (39% before, 26% after), but an increased
share of Adaptive Coper profiles (men 15% before, 24% after, women 14% before,
24% after). The number of patients on full-time sick leave decreased
significantly among men (from 57% to 46%) and women (from 57% to 50%). Persons
with a DYS profile after rehabilitation had a low probability of having no or
part-time sick leave. CONCLUSION: The number of persons with DYS profiles
decreased after rehabilitation. Those with other profiles had less full-time sick
leave one year later than those with DYS profiles, indicating that leaving the
DYS profile is a positive prognostic sign long-term. Furthermore, the gender
differences observed suggest the need to tailor rehabilitative strategies
differently for men and women.

Langue : ANGLAIS