Abstract
The success of multidisciplinary treatments for chronic pain in helping patients suffer less and function better is well documented. However, this success has occurred despite a lack of understanding of the process of change that produces positive outcomes. The purpose of this study was to investigate the role of pain-related anxiety reduction in the outcome of treatment for chronic pain. Seventy-nine persons with chronic pain completed measures of pain, pain-related interference with activity, affective distress, general daily activity, and pain-related anxiety at admission and immediately following a 3-week multidisciplinary treatment program focusing on functional restoration. Patients significantly improved on all outcome measures. Reductions in pain-related anxiety predicted improved functioning on each measure. Additional analyses showed that change in pain-related anxiety remained a significant predictor of outcome independent of change in depression.
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