Wojciech Tajchman, Jacek Miniak

Wojciech Tajchman, Jacek Miniak – Psychoeducational program BIS (Behavioral-Informative-Systemic) as a key factor of complex rehabilitation in neck pain syndrome. Fizjoterapia Polska 2001; 1(4); 400-408

Abstract
Background. Based on previous research and analysis of work with patients with spinal complaints and functional joint disorders, the authors have constructed a model for a psychoeducational approach called BIS was constructed (Behavioral-Informational-Systemic). The model is based on a synthesis of the communication approach (NLP, Ericksonian therapy), the systemic approach (Transactional Analysis), and behavioral-cognitive therapy (RTZ, REBT). The key concept is the Informative Theory of Illness, developed as the result of many years of clinical work in psychoeducation and psychotherapy with patients with locomotor disorders. Material and methods. The study presents the theoretical grounds and the practical concept of this psychoeducational model. The effectiveness of the BIS program was evaluated on the basis material consisting of 96 patients undergoing rehabilitation for chronic neck pain syndrome. The program BIS was applied in the experimental group as part of a comprehensive rehabilitation program, which also included manual therapy and kinesitherapy. The control group of 85 patients did not participate in the psychoeducation program. Results. This article presents exclusively the results of psychological evaluation, since the results of biomechanical evaluation the parameters of physical condition, and their correlation with the emotional parameters, have been published elsewhere. After rehabilitation the experimental group showed significant improvement in the feeling of psychological well-begin, a lower level of anxiety, and much better sense of physical well-being than the control group. Conclusion. The application of the BIS psychoeducational program within the framework of comprehensive rehabilitation contributes to significant improvement in both the physical and psychological state of patients with neck pain syndrome.

Key words:
psychoeducation, neck pain syndrome, psychogenicity

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