The patient–physician relationship in patients with chronic low back pain as a predictor of outcomes after rehabilitation

For patients with chronic diseases, especially those with chronic low back pain, the patient–physician relationship is significant
for treatment adherence. In a sample of N = 688 low back pain patients, we examined the hypothesis that aspects of the patient–physician relationship (e.g. satisfaction
with care, trust in the physician, patient participation) have a significant association with outcomes (pain, disability,
quality of life, pain-related psychological impairment) after a multimodal treatment program (rehabilitation) after adjusting
for a number of sociodemographic, medical, and psychological factors. Results show that the patient–physician relationship
is significantly associated with the outcome. In the medium term (6 months after rehabilitation), the effect of the patient–physician
relationship is clearer than in the short term (end of rehabilitation). In addition, risk factors for less improvement are
female gender, higher age, low income, comorbidity, low treatment motivation, fear avoidance beliefs, and external locus of
control. Future studies should examine the causal paths between the relationship variables and the outcome variables.