2001. DRSI series. Interventions.

Evidence from:

STalo et al. International Journal of Rehabilitation Research. March (2001) Vol.24 #1 p25.

Pain management programmes have variable success in chronic pain cases. The study was designed to test whether cognitive behavioural therapy (CBT) would work, and for whom.

The Radar report is available to subscribers:

SK 1#3 2

Evidence from:

JB Prins et al. The Lancet. March (2001) Vol. 357 #9259 p.841.

This study provides convincing evidence that training in CBT can be effectively provided to non-specialists and that CBT can make significant improvements in functional activity.

The Radar report is available to subscribers:

SK 1#3 3

Evidence from:

C Marhold et al. Pain. March (2001) Vol.91 #1-2 p.155.

CBT treatment worked to a statistically significant extent for the short-term absentees, though a small proportion of short-term cases also improved without CBT. Those short term cases that did not improve without CBT developed into chronic cases.
CBT did not work for chronic cases.

The Radar report is available to subscribers:

SK 1#3 4

Evidence from:

P Whiting et al. Journal of the American Medical Association. September (2001) Vol. 286 # 11 P 1360.

Many commentators will seize upon the failure of organic treatments as evidence of a psychological or psychiatric cause. This is at best an extrapolation. One concern for insurers would be the support this conclusion will suggest for a link with occupational stress.

The Radar report is available to subscribers:

SK 1#9 2

Evidence from:

F Birklein et al. Pain. October (2001) Vol.94 #1 p 1.

Diagnostic signs for chronic regional pain syndrome are very similar to those of many cases of DRSI yet treatment recommendations are very different.

The Radar report is available to subscribers:

SK 1#10 2

Evidence from:

A Asghari et al. Pain. October (2001) Vol.94 #1 p 85.