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Gepubliceerd in:

01-06-2013

The patient–physician relationship in patients with chronic low back pain as a predictor of outcomes after rehabilitation

Auteurs: Erik Farin, Lukas Gramm, Erika Schmidt

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2013

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Abstract

For patients with chronic diseases, especially those with chronic low back pain, the patient–physician relationship is significant for treatment adherence. In a sample of N = 688 low back pain patients, we examined the hypothesis that aspects of the patient–physician relationship (e.g. satisfaction with care, trust in the physician, patient participation) have a significant association with outcomes (pain, disability, quality of life, pain-related psychological impairment) after a multimodal treatment program (rehabilitation) after adjusting for a number of sociodemographic, medical, and psychological factors. Results show that the patient–physician relationship is significantly associated with the outcome. In the medium term (6 months after rehabilitation), the effect of the patient–physician relationship is clearer than in the short term (end of rehabilitation). In addition, risk factors for less improvement are female gender, higher age, low income, comorbidity, low treatment motivation, fear avoidance beliefs, and external locus of control. Future studies should examine the causal paths between the relationship variables and the outcome variables.
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Metagegevens
Titel
The patient–physician relationship in patients with chronic low back pain as a predictor of outcomes after rehabilitation
Auteurs
Erik Farin
Lukas Gramm
Erika Schmidt
Publicatiedatum
01-06-2013
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2013
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-012-9419-z