Table 5

Treatment effectiveness, secondary outcomes (SF-36*) (values are unstandardised coefficients)†

End of treatment3 months post-treatment24 months post-treatmentTreatment–time interaction (slope)
SF36—general health
 tCBT2.42.74.40.08
(−1.7 to 6.5)(−1.3 to 6.6)(−0.2 to 9.1)(−0.09 to 0.26)
 Exercise2.52.74.00.06
(−1.5 to 6.4)(−1.1 to 6.5)(−0.6 to 8.5)(−0.11 to 0.23)
Combined treatment5.1‡5.1‡5.1‡0.00
(1.2 to 9.0)(1.3 to 8.9)(0.6 to 9.6)(−0.17 to 0.17)
SF36—physical function
tCBT3.53.53.3−0.01
(−0.9 to 7.9)(−0.8 to 7.7)(−1.7 to 8.3)(−0.19 to 0.17)
Exercise6.4§6.2§4.7−0.07
(2.2 to 10.6)(2.1 to 10.3)(−0.1 to 9.5)(−0.24 to 0.10)
Combined treatment8.8§8.5§6.2‡−0.11
(4.6 to 13.0)(4.4 to 12.5)(1.4 to 10.9)(−0.28 to 0.06)
SF36—role physical
tCBT5.8‡5.7‡4.6−0.05
(0.2 to 11.5)(0.3 to 11.1)(−2.0 to 11.2)(−0.31 to 0.21)
Exercise4.44.33.5−0.04
(−1.1 to 9.8)(−0.9 to 9.5)(−2.9 to 9.9)(−0.29 to 0.22)
Combined treatment7.7‡8.0§9.8§0.08
(2.3 to 13.1)(2.8 to 13.1)(3.4 to 16.1)(−0.17 to 0.34)
SF36—vitality
tCBT5.4‡5.4‡5.1−0.01
(0.8 to 10.1)(0.9 to 9.8)(−0.3 to 10.5)(−0.22 to 0.19)
Exercise2.62.74.00.06
(−1.9 to 7.0)(−1.5 to 7.0)(−1.2 to 9.3)(−0.14 to 0.26)
Combined treatment5.0‡5.1‡5.5‡0.02
(0.6 to 9.4)(0.8 to 9.4)(0.3 to 10.7)(−0.18 to 0.22)
SF36—social function
tCBT7.4‡7.4‡7.3‡−0.01
(1.9 to 12.9)(2.2 to 12.6)(0.8 to 13.7)(−0.27 to 0.26)
Exercise7.7‡7.0‡2.5−0.22
(2.4 to 12.9)(2.0 to 12.0)(−3.8 to 8.7)(−0.47 to 0.04)
Combined treatment6.7‡6.8‡7.8‡0.05
(1.4 to 11.9)(1.8 to 11.8)(1.6 to 14.0)(−0.21 to 0.30)
SF36—role emotional
tCBT8.3§7.7§3.2−0.21
(2.8 to 13.8)(2.5 to 12.8)(−3.4 to 9.7)(−0.49 to 0.07)
Exercise9.1§8.8§6.4‡−0.11
(3.9 to 14.4)(3.8 to 13.7)(0.1 to 12.8)(−0.38 to 0.16)
Combined treatment8.0§7.1‡1.0−0.29‡
(2.8 to 13.2)(2.2 to 12.0)(−5.3 to 7.4)(−0.56 to 0.02)
  • *The combined scales of the SF-36 are not available due to a printing error in the follow-up questionnaire.

  • †Comparison group is treatment as usual. Values are unstandardised coefficients with 95% CIs. All models are adjusted for age, sex, centre, baseline CPG and GHQ scores, and baseline levels of outcome of interest.

  • ‡p<0.05.

  • §p<0.004, with correction for multiple testing.

  • CPG, Chronic Pain Grade questionnaire; GHQ, General Health Questionnaire; tCBT, telephone cognitive behavioural therapy; SF-36, 36-item Short Form Health Questionnaire.