+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Fatigue in patients with chronic widespread pain participating in multidisciplinary rehabilitation treatment: a prospective cohort study



Fatigue in patients with chronic widespread pain participating in multidisciplinary rehabilitation treatment: a prospective cohort study



Disability and Rehabilitation 37(6): 490-498



To explore the associations between (improvement in) fatigue and (improvement in) clinical and cognitive factors in patients with chronic widespread pain (CWP), participating in multidisciplinary rehabilitation treatment. Data were used from baseline, 6 and 18 months of follow-up during a prospective cohort study of 120 CWP patients who completed multidisciplinary rehabilitation treatment. Cross-sectional and longitudinal relationships were analyzed between fatigue, clinical (i.e. pain, interference of pain and depression) and pain related cognitive factors (i.e. negative emotional cognitions, active cognitive coping, and control and chronicity beliefs). Higher levels of pain, interference of pain, depression, negative emotional cognitions, and negative control and chronicity beliefs were associated with a higher level of fatigue. Improvement in depression was related to improvement in fatigue. In CWP patients, worse clinical status, and dysfunctional pain-related cognitions are associated with a higher level of fatigue. Our results suggest that improvement in depression might be a mechanism of improvement in fatigue. Furthermore, improvement in fatigue seems to be independent of improvement in pain related cognitions. Targeting fatigue in multidisciplinary pain treatment may need specific strategies. Improvement in depression may be a mechanism of change to improve the level of fatigue in CWP. Improvement in dysfunctional (pain related) cognitions seems to be independent of improvement in fatigue. Targeting fatigue in multidisciplinary treatment may need specific strategies (e.g. additional interventions focusing on reducing fatigue and specific attention to improvement of sleep).

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 053216287

Download citation: RISBibTeXText

PMID: 24954390

DOI: 10.3109/09638288.2014.923530


Related references

Cognitive mechanisms of change in multidisciplinary treatment of patients with chronic widespread pain: a prospective cohort study. Journal of Rehabilitation Medicine 46(2): 173-180, 2014

Multidisciplinary biopsychosocial rehabilitation in chronic neck pain: a naturalistic prospective cohort study with intraindividual control of effects and 12-month follow-up. European Journal of Physical and Rehabilitation Medicine 55(5): 665-675, 2019

Chronic pain patients with possible co-morbid post-traumatic stress disorder admitted to multidisciplinary pain rehabilitation-a 1-year cohort study. European Journal of Psychotraumatology 5:, 2014

Effectiveness of Serious Gaming During the Multidisciplinary Rehabilitation of Patients With Complex Chronic Pain or Fatigue: Natural Quasi-Experiment. Journal of Medical Internet Research 20(8): E250, 2018

A multidisciplinary rehabilitation programme for patients with chronic low back pain: a prospective study. Journal of Orthopaedic Surgery 18(2): 131-138, 2010

SP0078Cognitive Mechanisms of Change in Multidisciplinary Treatment of Patients with Chronic Widespread Pain. Annals of the Rheumatic Diseases 73(Suppl 2): 21.4-21, 2014

Serious gaming during multidisciplinary rehabilitation for patients with complex chronic pain or fatigue complaints: study protocol for a controlled trial and process evaluation. Bmj Open 7(6): E016394, 2017

Multidisciplinary rehabilitation for chronic widespread musculoskeletal pain: results from daily practice. Musculoskeletal Care 12(4): 210-220, 2014

Chronic Fatigue Syndrome and Chronic Widespread Pain in Adolescence: Population Birth Cohort Study. Journal of Pain 18(3): 285-294, 2017

Return to work after comparing outpatient multidisciplinary treatment programs versus treatment in general practice for patients with chronic widespread pain. European Journal of Pain 10(2): 145-152, 2006

Exploring activity limitations and sick leave among patients with spinal pain participating in multidisciplinary rehabilitation. Disability and Rehabilitation 32(4): 292-299, 2010

Smoking behavior and motivation to quit among chronic pain patients initiating multidisciplinary pain treatment: a prospective study. Pain Medicine 15(8): 1294-1303, 2014

Multidisciplinary rehabilitation treatment versus cognitive behavioural therapy for patients with chronic fatigue syndrome: a randomized controlled trial. Journal of Internal Medicine 279(3): 268-282, 2016

The Impact of Anxiety and Depression on the Outcomes of Chronic Low Back Pain Multidisciplinary Pain Management-A Multicenter Prospective Cohort Study in Pain Clinics with One-Year Follow-up. Pain Medicine 20(4): 736-746, 2019

Therapy outcome after multidisciplinary treatment for chronic neck and chronic low back pain: a prospective clinical study in 365 patients. Scandinavian Journal of Rheumatology 35(5): 363-367, 2006