Pain locus of control predicts return to work among Spanish fibromyalgia patients after completion of a multidisciplinary pain program - 20/08/11
, Antonio Collado, M.D., Ph.D. b, Anna Arias, B.Sc. (OT, PT), M.Sc. (E) b, Josep Maria Peri, Ph.D. a, Eva Bailles, Ph.D. a, Manel Salamero, M.D., Ph.D. a, Manuel Valdés, M.D., Ph.D. cAbstract |
Objective |
To assess the influence of the pain locus of control on return to work in fibromyalgia patients.
Methods |
Ninety-eight fibromyalgia patients on sick leave were enrolled in a multidisciplinary treatment program and were followed up for 12 months post-discharge. Treatment was considered successful at discharge in the case of patients who returned to work and unsuccessful in patients who remained sick listed. Treatment was considered successful during follow-up in patients who remained at work for at least the last 6 months of follow-up. Patients who took sick leave again and those lost to follow-up were considered failures. Logistic regression methods were used to define the best predictive models of treatment failure.
Results |
Fifty-eight patients were considered treatment successes at discharge and 50 at 12-month follow-up. The subscale Fate from the Multidimensional Health Locus of Control-Pain Scale and the Health Assessment Questionnaire predicted treatment failure at discharge (−2lnR=57.79; chi-square=74.74; df=2; P<.001). The predictive model of treatment failure at 12-month follow-up was unspecific.
Conclusion |
Fibromyalgia patients undergoing a multidisciplinary treatment who were least likely to return to work at discharge were those with a pain locus of control characterized by more negative expectations about pain progression and a high perceived functional disability.
Le texte complet de cet article est disponible en PDF.Keywords : Fibromyalgia, Locus of control, Multidisciplinary treatment, Return to work
Plan
Vol 31 - N° 2
P. 137-145 - mars 2009 Retour au numéro
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