Article

The aims of the present study were to assess:
(i) changes in coping by
use of Multidimensional Pain Inventory profiles from baseline to follow-up, (ii)
associations between Adaptive Coper (AC) profiles at follow-up and improvements
in occupational performance (by Canadian Occupational Performance Measure COPM)
and (iii) ability to predict AC profiles at follow-up by participants' baseline
characteristics. Method Data at baseline, discharge and follow-up from 525
participants in a pain rehabilitation program were analyzed with multivariate
statistics. Results AC profiles increased and Dysfunctional (DYS) profiles
decreased at follow-up. Clinically relevant improvements on COPM were associated
with having an AC profile at follow-up. Being Nordic born, having longer
education, an AC profile and higher baseline scores on satisfaction with
performance predicted an AC profile at follow-up. Conclusions Pain rehabilitation
seems to result in sustainable and favourable coping strategies at follow-up, and
improved occupational performance is associated with favourable coping at
follow-up. Outcomes need to be measured independently of improved coping
strategies and improvements of participant's individual goals such as
difficulties to perform their most meaningful occupations. Patients at risk for
unfavourable coping strategies may need modified interventions. Implications for
Rehabilitation More participants reported a beneficial coping,
MPI profile, in a
long-term perspective after a pain rehabilitation program. Improvements on
occupational performance prioritized as meaningful by each of the participants
are related to adequate coping strategies at follow-up.
The associations between
improved occupational performance and beneficial coping profiles need to be
better understood. Patients with worse initial occupational performance may need
modified pain rehabilitation interventions to improve their coping strategies.

Langue : ANGLAIS