Work performance and pain intensity during exercise. A before-and-after study of a cognitive-behavioural treatment in primary care of young immigrant patients

Löfvander, Monica; Engström, Ann; Nafezi, Shiva

doi:10.1080/09638280410001662987

Cited by 6 publications

(5 citation statements)

References 31 publications

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“…The four-week programme was led by two primary care physicians. It primarily aimed to reduce the anxiety caused by pain by dialogue sessions with the participants (Löfvander et al ., 2004). The programme also included daily all-round physical training.…”

Section: Methodsmentioning

confidence: 99%

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Depression and gender differences among younger immigrant patients on sick leave due to chronic back pain: a primary care study

Taloyan

Löfvander

2013

Prim Health Care Res Dev

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Section: Methodsmentioning

confidence: 99%

“…It primarily aimed to reduce the anxiety caused by pain by dialogue sessions with the participants (Lö fvander et al, 2004). It primarily aimed to reduce the anxiety caused by pain by dialogue sessions with the participants (Lö fvander et al, 2004).…”

Section: Overview Of the Rehabilitation Programmementioning

confidence: 99%

Depression and gender differences among younger immigrant patients on sick leave due to chronic back pain: a primary care study

Taloyan

Löfvander

2013

Prim Health Care Res Dev

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“…No generic set of outcome predictors after interdisciplinary pain rehabilitation has been found [29]. When studied one by one, the associations between gender, age, ethnicity, education, and outcome vary, and the evidence is conflicting [30‐33]. Practitioners therefore have identified the need for increased knowledge of the associations between pain diagnoses, patients' characteristics, and the effectiveness of treatments [34].…”

Section: Introductionmentioning

confidence: 99%

Positive Effects of a Musculoskeletal Pain Rehabilitation Program Regardless of Pain Duration or Diagnosis

Persson¹,

Lexell²,

Eklund³

et al. 2012

PM&R

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Objectives: To investigate how socio-demographic and clinical factors were associated with psychosocial functioning and disability at admission and at a 1-year follow-up. Design:A cohort pre-post study.Setting: A University hospital specialized pain rehabilitation unit.Participants: Five hundred and nine participants with musculoskeletal pain (neck disorders 29%, fibromyalgia 24%, low back pain 24%, myalgia 14% and other pain diagnoses 8%).Intervention: A 5-week outpatient, group-based, and goal-oriented comprehensive musculoskeletal interdisciplinary pain rehabilitation program based on cognitive behavioral principles. Main outcome measures:The Multidimensional Pain Inventory (MPI), the Disability Rating Index (DRI), and forms including socio-demographic (sex, age, ethnicity, marital status, educational level and vocational situation) and clinical factors (pain duration and pain diagnoses). Data were analyzed with multivariate logistic regression.Results: At admission, factors associated with more positive scores on the MPI were being older than 40 years, being at work, being Nordic born, attainment of a higher educational level and a diagnosis of fibromyalgia (compared with a neck disorder) (P < .05). Being at work and a diagnosis of fibromyalgia (compared with low back pain) were associated with more positive scores on the DRI (P < .05). On the basis of cut points for clinically important change on the MPI, participants rated themselves as most improved on the Affective Distress (52%), Life Control (49%) and Pain Severity (43%) subscales, and on the DRI index improvement rate was 22%. At the 1-year follow-up, neither socio-demographic nor clinical factors were associated with clinically important improvements of the MPI and the DRI, but lower age was related to deteriorations on pain severity.3 Conclusions:The lack of an association between socio-demographic and clinical factors and psychosocial functioning and disability at a 1-year follow-up after a musculoskeletal pain rehabilitation program suggests that the program was effective regardless of the participants' initial characteristics, except for age. The changes at the 1-year follow-up indicate that the program influenced the participants' psychosocial functioning more than their perception of disability.

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“…They claimed that pain is often used as an excuse for not participating in gym classes, but they did not consider why this was more frequent in young immigrants than ethnic Norwegians. This difference might be connected to cultural values because Norwegians value physical activity as very important whereas immigrants might have a more skeptical attitude toward physical activity when suffering pain (Lfvander et al , 2004). Pain because of menstruation is normally not accepted as an excuse for not participating in gym classes in Norwegian schools, but this might be perceived differently in other cultures (Liu et al , 2012).…”

Section: Discussionmentioning

confidence: 99%

School nurses’ and teachers’ perceptions of pain in young immigrants living in Norway

Johannessen

Høie

Haraldstad

et al. 2020

IJMHSC

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Purpose The number of adolescents experiencing pain is increasing. Pain has a major impact on several areas of daily living, such as function at school and school absenteeism, loss of appetite and socializing. One out of ten pupils in Norwegian schools is immigrants, and surveys have shown that immigrants suffer from poor health more often than the general population. The purpose of this study was to explore how school nurses and teachers experience pain in young immigrants in the school setting. Design/methodology/approach A qualitative design using focus group interviews was chosen for data collection. A total of 11 focus groups (17 school nurses and 25 teachers) consisting of school nurses and teachers in junior high schools (age: 13-16 years) in Southern Norway were conducted. Data were analyzed using a qualitative content analysis. Findings School nurses and teachers experienced communication of pain with young immigrants as characterized by cultural differences and language problems. Immigrants waiting for residency permits experienced pain more often than others. They also experienced that young immigrants often were absent from school and used pain as an excuse for not participating in classes, but this was not the case at the special school for immigrants. During Ramadan, they experienced that immigrant pupils had an increase of pain, especially headaches. Originality/value Culture affects the assessment and management of pain and different strategies may assist school nurses and teachers in their encounter with young immigrants with pain. There is a need for education in cultural competence among teachers and school nurses.

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Work performance and pain intensity during exercise. A before-and-after study of a cognitive-behavioural treatment in primary care of young immigrant patients

Abstract: A good efficacy regarding work performance and pain intensity was seen only in the highly educated group.

Cited by 6 publications

References 31 publications

Depression and gender differences among younger immigrant patients on sick leave due to chronic back pain: a primary care study

Depression and gender differences among younger immigrant patients on sick leave due to chronic back pain: a primary care study

Positive Effects of a Musculoskeletal Pain Rehabilitation Program Regardless of Pain Duration or Diagnosis

School nurses’ and teachers’ perceptions of pain in young immigrants living in Norway

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