Effects of interdisciplinary pain treatment on patient attitudes and coping strategies

Linda M. H. Bolle (2005)

Interdisciplinary treatment for chronic pain--in particular, treatment that emphasizes a cognitive-behavioral approach to chronic pain management--has demonstrated efficacy with regard to treatment outcome. Yet, relatively few studies have sought to identify the active ingredients by which such treatments work. To test the relationships between treatment outcome and changes in beliefs and coping strategies, as well as initial stage of readiness for a self-management approach, 80 chronic pain patients completed measures of physical and psychological functioning, pain beliefs, pain coping strategies, and stage of readiness for pain self-management at admission into and discharge from inpatient pain treatment. Improved functioning was associated with changes in coping strategy use, as well as with initial stage of readiness. Findings support the hypotheses that coping strategies and stage of readiness play important roles in successful treatment outcome.