Article

PURPOSE: To examine the influence of demographic measures, and changes in
physical ability, pain, self-efficacy and emotional distress on Goal Attainment
Scaling (GAS) scores, after a 15-day CBT based pain management programme. METHOD:
Chronic pain patients (N = 257) were referred; 225 (88%) completed the programme
and were invited for follow up six months later. One hundred and sixty-two (63%),
(mean age 47.7, 71% female) completed the reassessment procedures. GAS scores
(which were also repeated at the end the programme), an 11-point Pain Numerical
Rating Scale, Pain Self-Efficacy Questionnaire, Hospital Anxiety and Depression
Scale, distance walked in 5 mins, number of sit/stand repetitions in 1 min and
number of stairs climbed in 1 min were measured on the first day and six months
following the programme. RESULTS: At six months post discharge, changes in goal
attainment, physical measures, pain intensity, depression and self-efficacy were
observed. Hierarchical regression showed change in GAS was predicted by
improvement in walking tolerance and self-efficacy. CONCLUSIONS: The achievement
of personally important goals was most significantly associated with change in
walking ability and self-efficacy, while controlling for the influence of change
in pain. Implications for Rehabilitation Chronic pain can reduce psychological
and physical functioning, leading to a reduction in meaningful activities.
Achievement of personally important activities as measured by Goal Attainment
Scaling can be a more sensitive measure of programme outcome than that captured
by many other standard measures. Self-efficacy is an important predictor of
attainment of patient preferred goals following a CBT based pain management
programme, and could be emphasized during treatment along with improved walking
ability, to enhance patients' goal achievement.
- Thérapie du comportement cognitif

Langue : ANGLAIS