TY - JOUR
T1 - Somatization as a Predictor of Outcomes Following Functional Restoration of Chronic Disabling Occupational Musculoskeletal Pain Disorder Patients
AU - Hartzell, Meredith M.
AU - Choi, Yunhee
AU - Neblett, Randy
AU - Williams, Mark
AU - Mayer, Tom G.
AU - Gatchel, Robert J.
PY - 2013/6
Y1 - 2013/6
N2 - Chronic disabling occupational musculoskeletal pain disorder (CDOMPD) patients often have high levels of somatization, a phenomenon in which somatic symptoms are medically unexplainable. Examination of 1,458 CDOMPD patients, who completed the patient health questionnaire (PHQ) somatization module from 2003 to 2010 and underwent functional restoration treatment, were divided into low, moderate, and high somatization at pretreatment. Somatization was highly responsive to treatment, and those with high somatization reported the highest depressive symptoms, disability, and pain intensity, and the lowest health-related quality of life at pre- and post-treatment. Somatization levels significantly predicted 1-year socioeconomic outcomes of work return, work retention, and healthcare utilization. High somatization may act as a "red flag" for clinicians, indicating patients may be at risk for poor treatment outcomes.
AB - Chronic disabling occupational musculoskeletal pain disorder (CDOMPD) patients often have high levels of somatization, a phenomenon in which somatic symptoms are medically unexplainable. Examination of 1,458 CDOMPD patients, who completed the patient health questionnaire (PHQ) somatization module from 2003 to 2010 and underwent functional restoration treatment, were divided into low, moderate, and high somatization at pretreatment. Somatization was highly responsive to treatment, and those with high somatization reported the highest depressive symptoms, disability, and pain intensity, and the lowest health-related quality of life at pre- and post-treatment. Somatization levels significantly predicted 1-year socioeconomic outcomes of work return, work retention, and healthcare utilization. High somatization may act as a "red flag" for clinicians, indicating patients may be at risk for poor treatment outcomes.
UR - http://www.scopus.com/inward/record.url?scp=84879565628&partnerID=8YFLogxK
U2 - 10.1111/jabr.12006
DO - 10.1111/jabr.12006
M3 - Article
AN - SCOPUS:84879565628
SN - 1071-2089
VL - 18
SP - 59
EP - 81
JO - Journal of Applied Biobehavioral Research
JF - Journal of Applied Biobehavioral Research
IS - 2
ER -