Article

OBJECTIVE: To examine the impact of weight status on physical and psychological
outcomes of patients enrolled in a comprehensive pain rehabilitation programme.
METHODS: Participants (n = 314; mean body mass index 30.34) were administered
measures of pain perception, depression, and physical functioning. Analyses
included (Group: healthy weight, overweight, obese) x 2
(Time: admission,
discharge) mixed-model analysis of variance (ANOVA) models for variables of
interest. RESULTS: All 3 groups of participants evidenced improved pain severity
[F(1,311) = 228.94, p < 0.001], pain interference [F(1,311) = 305.93, p < 0.001],
pain catastrophizing [F(1,311) = 318.78, p < 0.001], depression [F(1,311) =
191.21, p < 0.001], and physical functioning [F(1,278) = 156.12, p < 0.001] from
pre- to post-treatment. No impact of weight status on treatment outcomes emerged.
Patients with obesity had lower physical therapy performance scores at both pre-
and post-treatment [F(2,278) = 5.98, p = 0.003]; however, results suggested a
similar magnitude of physical improvement across all weight ranges. CONCLUSION:
Regardless of weight status, patients achieved improvement in physical and
psychological functioning following comprehensive pain rehabilitation. The
multidisciplinary nature of this intervention probably resulted in improvements
for all patients, including those of higher weight.

Langue : ANGLAIS