The management of chronic low back pain (CLBP) has proven to be very challenging in North America, as evidenced by its mounting socioeconomic burden. Choosing amongst available nonsurgical therapies can be overwhelming for many stakeholders, including patients, health providers, policy makers, and third-party payers. Although all parties share a common goal and wish to use limited health-care resources to support interventions most likely to result in clinically meaningful improvements, there is often uncertainty about the most appropriate intervention for a particular patient. To help understand and evaluate the various commonly used nonsurgical approaches to CLBP, the North American Spine Society has sponsored this special focus issue of The Spine Journal, titled Evidence-Informed Management of Chronic Low Back Pain Without Surgery. Articles in this special focus issue were contributed by leading spine practitioners and researchers, who were invited to summarize the best available evidence for a particular intervention and encouraged to make this information accessible to nonexperts. Each of the articles contains five sections (description, theory, evidence of efficacy, harms, and summary) with common subheadings to facilitate comparison across the 24 different interventions profiled in this special focus issue, blending narrative and systematic review methodology as deemed appropriate by the authors. It is hoped that articles in this special focus issue will be informative and aid in decision making for the many stakeholders evaluating nonsurgical interventions for CLBP.
This research explored the relationships between the language that 86 married men used to describe their marriages, other personal characteristics of the men, and the men's wife-directed aggression. Methods included linguistic inquiry word count analysis, temperament measures, an empathic accuracy-type paradigm, and signal detection analysis. Husbands' use of anger words and egocentric words in describing their marriages, along with husbands' impulsivity, critical/rejecting overattribution bias, and attentional disorder/ impairment predicted the men's wife-directed aggression. Multiple regression and moderation analyses revealed that men's use of anger words and first-person pronouns in describing their own marriages were unique predictors of their wife-directed aggression. Also, men's critical/rejecting overattribution bias and impulsivity interacted to predict the men's wife-directed aggression. Results are discussed in terms different wife-abuser subtypes and their implications for the treatment of aggressive husbands.
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