Research Report Abstracts - Gesundheit

WPT2011, Research Report Abstracts eS269
Implications: The results point out the importance of age
and body orientation while assessing, and treating of at-risk
infants in the period when head control is acquired.
Keywords: Head movement; Body orientation; Constraints
Funding acknowledgements: CAPES FAPESP.
Ethics approval: The study was approved by the
Human Research Ethics Committee of the University.
Informed legal consent was obtained from
parents.
Research Report Poster Discussion Session
Number: RR-PDS-1001 Wednesday 22 June 10:45
RAI: G102-103 (Topaz)
OVERLAP OF COGNITIVE CONCEPTS IN
CHRONIC WIDESPREAD PAIN: AN
EXPLORATORY STUDY
de Rooij A. 1 , Steultjens M. 2 , Siemonsma P.C. 3 , Vollebregt
J. 4 , Roorda L. 4 , Beuving W. 4 , Dekker J. 1,5,6
1Reade, Centre for Rehabilitation and Rheumatology (Formerly
Jan van Breemen Institute), Division of Research
and Education, Amsterdam, Netherlands, 2Glasgow Caledonian
University, School of Health, Glasgow, United
Kingdom, 3Reade, Centre for Rehabilitation and Rheumatology
(Formerly Jan van Breemen Institute), Department of
Clinimetric Laboratory, Amsterdam, Netherlands, 4Reade, Centre for Rehabilitation and Rheumatology (Formerly
Jan van Breemen Institute), Department of Rehabilitation,
Amsterdam, Netherlands, 5VU University Medical Center,
Department of Rehabilitation Medicine and EMGO Institute,
Amsterdam, Netherlands, 6VU University Medical Center,
Department of Psychiatry, Amsterdam, Netherlands
Purpose: The purpose of the present study is (i) to establish
inter-relationships between self efficacy, cognitive coping
strategies, fear-avoidance cognitions and illness beliefs in
patients with CWP and (ii) to explore the possibility of a
reduction of these cognitions into a more limited number of
domains.
Relevance: A wide variety of cognitive concepts have been
shown to play an important role in chronic widespread pain
(CWP). Although these concepts are generally considered to
be distinct entities, some might in fact be highly overlapping.
Participants: Patients with and fibromyalgia and widespread
pain.
Methods: Baseline measurement of sixteen cognitive concepts
derived from the subscales of 4 measurements (i.e.
Coping Strategy Questionnaire, Tampa Scale of Kinesiophobia,
Revised Illness Perceptions Questionnaire, Dutch
General Self-efficacy Scale) of a prospective cohort study
of 138 patients with CWP were used.
Analysis: Factor analysis was used to study the associations
between 16 different cognitive concepts.
Results: Factor analysis resulted in three factors: (1) negative
emotional cognitions, (2) active cognitive coping, and (3)
control beliefs and expectations of chronicity.
Conclusions: The results indicate that negative emotional
cognitions, active cognitive coping, control beliefs and expectations
of chronicity seem to constitute principal domains of
cognitive processes in CWP.
Implications: Our findings contribute to the understanding of
overlap and uniqueness of cognitive concepts in chronic pain.
The results of this research can help researchers and therapists
using concepts in chronic pain, enabling a better and more
clear communication. In addition, this type of research can
contribute to the development of a more parsimonious theory
on concepts used in chronic pain.
Keywords: Chronic widespread pain; Fibromyalgia; Cognitive
concepts
Funding acknowledgements: None.
Ethics approval: The ethical review board of the Jan van
Breemen Institute in Amsterdam approved this study.
Research Report Poster Display
Number: RR-PO-308-22-Wed Wednesday 22 June 13:00
RAI: Exhibit Halls2&3
PREDICTORS OF MULTIDISCIPLINARY
REHABILITATION OUTCOME IN
FIBROMYALGIA: A SYSTEMATIC REVIEW
de Rooij A. 1 , Roorda L. 2 , Otten R. 3 , Dekker J. 1,4,5 ,
Steultjens M. 6
1Reade, Center of Rehabilitation and Rheumatology (Formerly
Jan van Breemen Institute), Division of Research
and Education, Amsterdam, Netherlands, 2Reade, Center
of Rehabilitation and Rheumatology (Formerly Jan van
Breemen Institute), Department of Rehabilitation, Amsterdam,
Netherlands, 3VU University Library, Medical Library,
Amsterdam, Netherlands, 4VU University Medical Center,
Department of Rehabilitation Medicine and EMGO
Institute, Amsterdam, Netherlands, 5VU University Medical
Center, Department of Psychiatry, Amsterdam, Netherlands,
6Glasgow Caledonian University, School of Health, Glasgow,
United Kingdom
Purpose: To identify predictors for the outcome of multidisciplinary
rehabilitation in patients with chronic widespread
pain (CWP) or fibromyalgia (FM).
Relevance: The effects of multidisciplinary treatment are
still limited. To improve the effectiveness of multidisciplinary
intervention, it is desirable to differentiate patients who are
likely to benefit from patients who are not likely to benefit
from multidisciplinary treatment.
Participants: Patients with fibromyalgia and chronic
widespread pain.
Methods: A systematic search of PubMed, PsycINFO,
CINAHL, The Cochrane Library, EMBASE and Pedro was