TY - JOUR
T1 - Functional restoration for chronic low back pain
T2 - Changes in depression, cognitive distortion, and disability
AU - Moreno, Richard
AU - Cunningham, Anne C.
AU - Gatchel, Robert Joseph
AU - Mayer, Tom G.
PY - 1991/9/1
Y1 - 1991/9/1
N2 - 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.
AB - 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.
KW - chronic low back pain
KW - cognitive distortion
KW - depression
KW - functional restoration
UR - http://www.scopus.com/inward/record.url?scp=0006991162&partnerID=8YFLogxK
U2 - 10.1007/BF01073457
DO - 10.1007/BF01073457
M3 - Article
C2 - 24242742
AN - SCOPUS:0006991162
SN - 1053-0487
VL - 1
SP - 207
EP - 216
JO - Journal of Occupational Rehabilitation
JF - Journal of Occupational Rehabilitation
IS - 3
ER -