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Rates and Patterns of Short-Term Symptom Deterioration in Patients Undergoing Interdisciplinary Pain Rehabilitation
Department of Behavioural Sciences and Learning, Linköping University, Sweden; Pain and Rehabilitation Centre, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID iD: 0000-0002-2575-2423
Department of Behavioural Sciences and Learning, Linköping University, Sweden; School of Behavioural, Social and Legal Sciences, Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-9736-8228
Luleå University of Technology, Department of Health, Education and Technology, Health, Medicine and Rehabilitation. Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Sweden.ORCID iD: 0000-0002-1019-0245
2026 (English)In: Journal of Pain, ISSN 1526-5900, E-ISSN 1528-8447, article id 106423Article in journal (Refereed) Epub ahead of print
Abstract [en]

Chronic pain is both prevalent and debilitating. It is often treated with interdisciplinary pain rehabilitation programs (IPRPs). While research has largely focused on the effectiveness of IPRPs in improving patient outcomes, negative treatment effects remain under-explored. This study aims to investigate both the prevalence and types of negative outcomes following IPRPs for chronic pain. Data for the current study were obtained from the Swedish Quality Registry for Pain, with 22771 patients undergoing IPRPs between 2016 and 2023. We calculated the Reliable Change Index to find reliable deterioration across 18 patient-reported outcome measures, including pain intensity, physical function, psychological well-being, and vitality. Descriptive statistics were employed to determine the prevalence of deterioration, the prevalence of less severe deterioration, and the frequency of multiple deteriorations per patient. Results showed that while most participants did not report any areas of deterioration, about 23% of patients did experience reliable deterioration on at least one measure at the end of rehabilitation. Deterioration was most frequent in measures assessing physical status and pain, while psychological measures showed less deterioration. Mild deterioration on at least one measure was observed in 44.5% of patients. This study shows that a substantial proportion of patients experience at least some negative short-term outcomes following IPRPs, primarily in physical and pain-related outcomes. The findings underscore the importance of acknowledging and further investigating negative outcomes in chronic pain rehabilitation, and to take measures to address this issue.

Place, publisher, year, edition, pages
Elsevier, 2026. article id 106423
Keywords [en]
Chronic pain, interdisciplinary pain rehabilitation, negative effects, deterioration, multimodal rehabilitation
National Category
Neurology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:ltu:diva-119567DOI: 10.1016/j.jpain.2026.106423PubMedID: 42633810OAI: oai:DiVA.org:ltu-119567DiVA, id: diva2:2096579
Funder
Region Östergötland, RÖ-978205
Note

Full text license: CC BY 4.0;

Available from: 2026-08-31 Created: 2026-08-31 Last updated: 2026-08-31Bibliographically approved

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Rozental, Alexander

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