Strömsund Health Centre, Jämtland County Council, Strömsund.
J Multidiscip Healthc. 2012;5:145-51. doi: 10.2147/JMDH.S32372. Epub 2012 Jun 25.
The aim of this investigation was to analyze temporal changes in anxiety, depression, and stress in patients with musculoskeletal pain for a period of up to 2 years after a multidisciplinary rehabilitation program, in relation to sick-listing (registered with The Swedish Social Insurance Agency [Forsakringskassan] for sickness benefit).
Ten persons with full-time sick leave (absence from work for medical reasons) (group 1) and 49 with part-time or no sick leave (group 2) at the end of the 2-year study period participated. It was shown in a previous study that group 1 had higher pain rating and higher subjective physical disability than group 2, with little or no improvement during and after rehabilitation. In the present study, all participants were evaluated with the Hospital Anxiety and Depression scale and a self-rated stress test.
Participants with full-time sick leave during the study period (group 1) showed improved stress levels but no change in anxiety and depression levels. Anxiety, depression, and stress changed more favorably in participants with part-time or no sick leave than in those with full-time sick leave.
The results of this study indicate that investigation and appropriate treatment of psychological symptoms, including anxiety and depression, are important in multidisciplinary rehabilitation of patients with musculoskeletal disorders.
本研究旨在分析接受多学科康复治疗后长达 2 年期间，肌肉骨骼疼痛患者的焦虑、抑郁和压力的时间变化，与请病假（向瑞典社会保险局登记病假津贴）相关。
10 名全时病假（因医疗原因缺勤）患者（第 1 组）和 49 名在 2 年研究期末部分时间或无病假患者（第 2 组）参与了研究。先前的研究表明，第 1 组的疼痛评分和主观身体残疾程度均高于第 2 组，在康复期间和之后几乎没有改善。在本研究中，所有参与者都接受了医院焦虑和抑郁量表以及自我评定压力测试的评估。
研究期间全时病假患者（第 1 组）的压力水平有所改善，但焦虑和抑郁水平没有变化。部分时间或无病假患者的焦虑、抑郁和压力变化明显优于全时病假患者。
本研究结果表明，对肌肉骨骼疾病患者的多学科康复治疗中，调查和适当治疗心理症状（包括焦虑和抑郁）非常重要。
