Pain catastrophizing predicts dropout of patients from an interdisciplinary chronic pain management programme: a prospective cohort study

Authors Janke Oosterhaven , Harriët Wittink , Jos Dekker , Cas Kruitwagen , Walter Devill√©
Published in Journal of Rehabilitation Medicine
Publication date 2019
Research groups Lifestyle and Health
Type Article

Summary

Objective: To explore predictors of dropout of patients with chronic musculoskeletal pain from an interdisciplinary chronic pain management programme, and to develop and validate a multivariable prediction model, based on the Extended Common- Sense Model of Self-Regulation (E-CSM). Methods: In this prospective cohort study consecutive patients with chronic pain were recruited and followed up (July 2013 to May 2015). Possible associations between predictors and dropout were explored by univariate logistic regression analyses. Subsequently, multiple logistic regression analyses were executed to determine the model that best predicted dropout. Results: Of 188 patients who initiated treatment, 35 (19%) were classified as dropouts. The mean age of the dropout group was 47.9 years (standard deviation 9.9). Based on the univariate logistic regression analyses 7 predictors of the 18 potential predictors for dropout were eligible for entry into the multiple logistic regression analyses. Finally, only pain catastrophizing was identified as a significant predictor. Conclusion: Patients with chronic pain who catastrophize were more prone to dropout from this chronic pain management programme. However, due to the exploratory nature of this study no firm conclusions can be drawn about the predictive value of the E-CSM of Self-Regulation for dropout.

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Language English
Published in Journal of Rehabilitation Medicine
Key words dropout, chronic musculoskeletal pain, interdisciplinary pain management programmes, pain catastrophizing, Extended Common-Sense Model of Self-Regulation
Digital Object Identifier doi: 10.2340/16501977-2609
Page range 761-769

Janke Oosterhaven