Effects of treatment

The outcome of psychological and psychiatric treatment has been studied extensively, (119 but is difficult to evaluate because reports differ with regard to the characteristics of patients and disorders, inclusion criteria, assessments, and treatments as well as details of treatment delivery, attrition rates, choice of control groups, and the duration of follow-up. Many patients with chronic pain are unwilling to accept treatment and others are considered unsuitable. Nevertheless, psychological and rehabilitation treatments can have a sustained effect, based on the range of assessments that have been described. Some preliminary studies indicate that they can be cost effective, with reductions in direct health costs and possibly in benefit payments. The outcome of patients with different mental disorders has not been assessed systematically. Patients involved in seeking compensation tend to have a poorer outcome, even after litigation has been concluded, but they can also benefit from treatment.

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