{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T06:16:55Z","timestamp":1792563415806,"version":"4.5.0"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,8,3]],"date-time":"2012-08-03T00:00:00Z","timestamp":1343952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objectives:\u2002<\/jats:bold> Assess the efficacy of an outpatient\u2010based interdisciplinary pain rehabilitation program for patients with active workers compensation claims.<\/jats:p><jats:p><jats:bold>Patients:\u2002<\/jats:bold> Data were available for 101 patients, primarily with chronic low back pain (75%), who participated in the program.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> Treatment included a 4\u2010week (Monday to Friday), 8\u2010hours\/day graded progressive program that included individual and group therapies (pain psychology, physical therapy, occupational therapy, relaxation training\/biofeedback, aerobic conditioning, pool therapy, vocational counseling, patient education and medical management). Outcome measures included program completion status, release\u2010to\u2010work status, return\u2010to\u2010work status, total scores on the Beck Depression Inventory, State\u2010Trait Anxiety Inventory, Pain Catastrophizing Scale, and the McGill Pain Questionnaire Visual Analogue Scale (MPQ VAS). The majority of the patients (65%) graduated from the program. Pre\u2010postoutcome data were available for those who graduated from the program. For noncompleters, last obtained MPQ VAS was compared with their initial MPQ VAS scores.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Of those completing the program, most patients (91%)were released to return to work; with 80% released to full\u2010time status and 11% released to gradual return. Approximately half (49%) of the program completers returned to work. Paired\u2010samples <jats:italic>t<\/jats:italic>\u2010tests showed that program completers had significant reductions in depression (<jats:italic>P<\/jats:italic>\u2003=\u20030.000), pain\u2010related catastrophizing (<jats:italic>P<\/jats:italic>\u2003=\u20030.033), and pain intensity (<jats:italic>P<\/jats:italic>\u2003=\u20030.000), but not in anxiety (<jats:italic>P<\/jats:italic>\u2003=\u20030.098). Interestingly, the last obtained (at early discharge\/withdrawal) pain intensity scores (<jats:italic>M<\/jats:italic>\u2003=\u200370.33) were higher than at baseline (<jats:italic>M<\/jats:italic>\u2003=\u200361.20) in the noncompleters. This difference was not statistically significant (<jats:italic>P<\/jats:italic>\u2003=\u20030.127) but may be clinically meaningful.<\/jats:p><jats:p><jats:bold>Discussion:\u2002<\/jats:bold> Our results support the efficacy of an outpatient\u2010based 4\u2010week interdisciplinary pain rehabilitation program in decreasing emotional distress, reducing pain intensity, and improving return\u2010to\u2010work status in the majority of completers in this challenging population. Patients reporting increased pain at discharge or those discharged early may have been due to operant factors.<\/jats:p>","DOI":"10.1111\/j.1533-2500.2012.00586.x","type":"journal-article","created":{"date-parts":[[2012,8,3]],"date-time":"2012-08-03T18:48:07Z","timestamp":1344019687000},"page":"282-288","source":"Crossref","is-referenced-by-count":25,"title":["Treatment Outcomes for Workers Compensation Patients in a US\u2010Based Interdisciplinary Pain Management Program"],"prefix":"10.1111","volume":"13","author":[{"given":"Christine M.","family":"Gagnon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven P.","family":"Stanos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geke","family":"van der Ende","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn R.","family":"Rader","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Norman","family":"Harden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,8,3]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(92)90145-2"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002508-200211000-00003"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/03009740600759795"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(00)00292-X"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2005.12.004"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ajp.0000210909.49923.df"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.3138\/physio.62.4.316"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000155404.32725.f8"},{"key":"e_1_2_5_10_2","unstructured":"At Work Issue 60 Spring 2010: Toronto:Institute for Work & Health."},{"key":"e_1_2_5_11_2","first-page":"203","article-title":"The value of interdisciplinary pain management in complex regional pain syndrome type I: a prospective outcome study","volume":"7","author":"Singh G","year":"2004","journal-title":"Pain Physician"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.7.4.524"},{"key":"e_1_2_5_14_2","volume-title":"State\u2010Trait Anxiety Inventory: A Comprehensive Bibliography","author":"Spielberger CD","year":"1984"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(87)91074-8"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/1053-8127(96)00178-9"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-004-0549-7"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989X.1.2.170"},{"key":"e_1_2_5_19_2","volume-title":"Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms","author":"Merskey H","year":"1994"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1533-2500.2009.00344.x"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1155\/2002\/517163"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002508-200112001-00011"}],"container-title":["Pain Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1533-2500.2012.00586.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1533-2500.2012.00586.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T02:56:19Z","timestamp":1698634579000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1533-2500.2012.00586.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,3]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["10.1111\/j.1533-2500.2012.00586.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1533-2500.2012.00586.x","archive":["Portico"],"relation":{},"ISSN":["1530-7085","1533-2500"],"issn-type":[{"value":"1530-7085","type":"print"},{"value":"1533-2500","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8,3]]}}}