Article

PURPOSE: To study whether scale score changes in the Multidimensional Pain
Inventory (MPI) can predict which persons disabled by pain will receive sick
leave benefits 1 year after completing a pain rehabilitation programme. METHOD:
An observational study of MPI data derived from 1468 patients, 388 men and 1080
women, who had participated in multidisciplinary cognitive-behavioural oriented
pain rehabilitation programmes in Sweden, collected from the Swedish Quality
Register for Pain Rehabilitation, before, at the end and 1 year after the
programme. RESULTS: Most MPI scale scores showed improvements after completing a
pain rehabilitation programme and this improvement was sustained after 1 year.
Moreover, we found that a decrease in MPI scales scores for Pain severity and
Interference immediately after the pain rehabilitation programme decreased the
risk of being on full-time sick leave 1 year later [OR 0.85, (95% CI 0.73-0.99)
and OR 0.73, (95% CI 0.61-0.87), respectively]. The Interference scale, which may
be considered to include ICF components of both activities and participation,
might represent the core of suffering among persons disabled with pain.
CONCLUSIONS: A rehabilitation intervention directed to combating the consequences
of pain in activities and participation rather than against pain per se might
lead to improved working capacity.

Langue : ANGLAIS