Functional restoration for chronic low back pain: Changes in depression, cognitive distortion, and disability

Richard Moreno, Anne C. Cunningham, Robert Joseph Gatchel, Tom G. Mayer

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

In the present study, 107 patients (72 males and 35 females) completed self-report measures of depression, distortion, disability, and pain intensity at three points during their rehabilitation: (1) admission to a 3-week comprehensive functional restoration program, (2) discharge from the comprehensive phase, and (3) 4-6 weeks later at their first post-program evaluation. Various range-of-motion measures were also collected at these same times using inclinometry. Results demonstrated significant improvements on all measures which were maintained into follow-up. Patients were also subsequently grouped into depressed and non-depressed at admission, and both groups demonstrated significant improvement across time. Additionally, patients were divided into high and low distortion groups. High general cognitive distortion patients did not show improvement on 3 of the 5 range of motion, or pain intensity scores, although they did improve on their depression, distortion, and disability scores. Findings also suggested that low back pain-related cognitive distortion may be considered a state or situational factor, whereas general cognitive distortion appears to be more of a trait characteristic.

Original languageEnglish
Pages (from-to)207-216
Number of pages10
JournalJournal of Occupational Rehabilitation
Volume1
Issue number3
DOIs
StatePublished - 1 Sep 1991

Keywords

  • chronic low back pain
  • cognitive distortion
  • depression
  • functional restoration

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