Global perceived recovery
disability, pain
Improvement in global perceived effect in all the groups with no significant difference observed between the groups at any follow-up time points further substantiates the usefulness of each of the study interventions. However, participants in the combined group had slightly better GRCS scores relative to those in the PE alone group at the 20-week follow-up, which could have possibly been due to the greater improvement in pain and disability achieved by the combined group. This was confirmed by the per-protocol analysis. The GRCS has not been commonly used as an outcome measure in trials examining the effectiveness of cognitive-based PE plus MCE [