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Treatment Expectations-You Get What You Expect-and Depression Plays a Role.
Levenig, Claudia G; Hasenbring, Monika I; Günnewig, Lea; Titze, Christina; Elsenbruch, Sigrid; Schulte, Tobias L.
Afiliación
  • Levenig CG; Department of Medical Psychology and Medical Sociology, Faculty of Medicine, Ruhr University Bochum, Bochum, North-Rhine Westfalia, Germany. Electronic address: claudia.levenig@rub.de.
  • Hasenbring MI; Department of Medical Psychology and Medical Sociology, Faculty of Medicine, Ruhr University Bochum, Bochum, North-Rhine Westfalia, Germany; Faculty of Health Sciences, University of Southern Denmark (SDU), Odense, Denmark.
  • Günnewig L; Department of Medical Psychology and Medical Sociology, Faculty of Medicine, Ruhr University Bochum, Bochum, North-Rhine Westfalia, Germany.
  • Titze C; Clinic of Orthopedics and Trauma Surgery, St. Josef-Hospital, Bochum, North-Rhine Westfalia, Germany.
  • Elsenbruch S; Department of Medical Psychology and Medical Sociology, Faculty of Medicine, Ruhr University Bochum, Bochum, North-Rhine Westfalia, Germany.
  • Schulte TL; Clinic of Orthopedics and Trauma Surgery, St. Josef-Hospital, Bochum, North-Rhine Westfalia, Germany.
J Pain ; 25(9): 104582, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38821312
ABSTRACT
Positive treatment expectations demonstrably shape treatment outcomes regarding pain and disability in patients with chronic low back pain. However, knowledge about positive and negative treatment expectations as putative predictors of interindividual variability in treatment outcomes is sparse, and the role of other psychological variables of interest, especially of depression as a known predictor of long-term disability, is lacking. We present results of the first prospective study considering expectations in concert with depression in a sample of 200 patients with chronic low back pain undergoing an inpatient interdisciplinary multimodal pain therapy. We analyzed the characteristics of pain and disability, treatment expectation, and depression assessed at the beginning (T0), at the end of (T1), and at 3-month follow-up (T2) of interdisciplinary multimodal pain therapy. Treatment expectations did emerge as a significant predictor of changes in pain intensity and disability, respectively, showing that positive expectations were associated with better treatment outcomes. Mediation analyses revealed a partially mediating effect of treatment expectations on the relation between depression and pain outcomes. PERSPECTIVE These results expand knowledge regarding the role of treatment expectations in individual treatment outcome trajectories in chronic pain patients, paving the way for much-needed efforts toward optimizing patient expectations and personalized approaches in clinical settings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar / Depresión / Dolor Crónico Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Pain Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar / Depresión / Dolor Crónico Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Pain Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos