A prospective study of cognitive behavioural factors as predictors of pain, disability and quality of life one year after lumbar disc surgery

Johansson, Anna; Linton, Steven J.; Rosenblad, Andreas; Bergkvist, Leif; Nilsson, Olle

doi:10.3109/09638280903177243

Cited by 67 publications

(63 citation statements)

References 52 publications

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“…Johansson et al [17] , among others, found that cognitive behavioral factors predict pain, disability and quality of life after surgery. The results of this study reveal an association between spine surgical patients' and their family members' coping resources and their overall coping (see Table 3).…”

Section: Discussionmentioning

confidence: 99%

“…For example, it has been confirmed that patients' expectations on work return have an influence on pain, sick leave and disability and that their fear-avoidance beliefs contribute to a low quality of life [17] . Patients' higher levels of optimism and expectations have been found to result in better perceived quality of life and in work return within a year following surgery [17,30] . An association has been demonstrated between active coping and physical recovery from surgery [31] .…”

Section: Purpose and Theoretical Background Of The Studymentioning

confidence: 99%

“…The few studies that have been conducted from the perspective of back surgical patients deal with patients' experience of pain [2,3,6] , their fear of becoming ill again [1] , their improved physical function [2,3,6,7] , their ability to work [1,2,6] and their postoperative quality of life [5,7] . There are few studies on the coping of this specific group of patients and their families, and the knowledge remains fragmented [9,17,18] .…”

Section: Introductionmentioning

confidence: 99%

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Patients’ and their families’ coping resources at six weeks following back surgery

Leikkola

Helminen²,

Paavilainen

et al. 2014

Clinical Nursing Studies

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Background: New research knowledge of adult back surgery patients' and family members' coping resources can help promote the development of their family nursing. Purpose:The purpose of the study was to assess patients' and their family members' coping resources and related factors six weeks after back surgery. Methods:Quantitative data were collected from 61 patients and 50 family members by structured, self-administered instruments designed to measure their coping.Results: Important coping resources for patients and their families were found to involve patient's motivation to recover, normalcy of daily life and the whole family's trust in nursing staff. Patients' overall coping was found to be negatively associated with deteriorated health and mood, insecurity regarding future, social isolation and increased problems in family life, whereas family members' overall coping was negatively associated with the patient's poor health status and the family members' social isolation. Conclusion:Patients' and their families' coping resources are influenced by the patient's health status and motivation to recover, by home circumstances, family relationships and family's trust in nursing staff.

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Section: Discussionmentioning

confidence: 99%

Section: Purpose and Theoretical Background Of The Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patients’ and their families’ coping resources at six weeks following back surgery

Leikkola

Helminen²,

Paavilainen

et al. 2014

Clinical Nursing Studies

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“…A significant proportion of patients, however, suffer from ongoing or recurrent low back pain years after surgery, despite an obviously successful operation (Valen et al 1998;Krämer 2006). During the past two decades, several physiological and psychosocial predictors of ongoing/recurrent complaints after surgery have been identified (Schade et al 1999;Boer et al 2006;Edwards et al 2007;Peters et al 2007;Johansson et al 2010), and biopsychosocial approaches explore their complex relationships (Melzack 2005;Geiss et al 2005;Gatchel et al 2007).…”

Section: Introductionmentioning

confidence: 99%

Cortisol Awakening Response and Pain-Related Fear-Avoidance Versus Endurance in Patients Six Months After Lumbar Disc Surgery

Sudhaus

Möllenberg

Plaas

et al. 2012

Appl Psychophysiol Biofeedback

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Recent research indicates that stress-induced, prolonged deviations in basal adrenocortical activity might contribute to ongoing/recurrent pain following lumbar disc surgery. Further, fear-avoidance and endurance responses to pain (FAR and ER) are regarded as important risk factors for pain after surgery. In patients with non-specific low back pain, FAR appear to possibly increase pain-related arousal, whereas ER may have an arousal-lowering effect, indicated by adrenocortical activity. The current study explores the relationship between basal adrenocortical activity and FAR and ER. Thirty-six patients 6 months after lumbar disc surgery participated. Basal adrenocortical activity was assessed through the cortisol awakening response (CAR), using salivary samples collected on two consecutive days. FAR and ER were estimated using questionnaires. While the ER variables pain-persistence behavior and positive mood despite pain showed negative associations with the CAR, the FAR variables fear-avoidance beliefs and avoidance of social activity were positively correlated with it. Additionally, higher CAR levels were found in patients with high versus patients with low fear-avoidance beliefs and, conversely, in patients with low versus high positive mood and pain persistence. These results indicate that FAR may increase the individuals' level of pain-related stress among patients after disc surgery, while ER may lower it.

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“…Third, the use of only control over pain was not adequate to assess pain-related thoughts. It has been discussed that hope for relief from pain, 23 self-efficacy, 24 and a sense of coherence 25 are cognitive factors associated with pain.…”

Section: Study Limitationsmentioning

confidence: 99%

Clinical values of control over pain and pain coping strategies in surgical treatment for patients with lumbar spinal stenosis

Higuchi

2016

Int J Spine Surg

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A prospective study of cognitive behavioural factors as predictors of pain, disability and quality of life one year after lumbar disc surgery

Abstract: Eliciting patients' expectations on work return after surgery could contribute to early identification of those who run the risk of developing long-term disability and sick-leave.

Cited by 67 publications

References 52 publications

Patients’ and their families’ coping resources at six weeks following back surgery

Patients’ and their families’ coping resources at six weeks following back surgery

Cortisol Awakening Response and Pain-Related Fear-Avoidance Versus Endurance in Patients Six Months After Lumbar Disc Surgery

Clinical values of control over pain and pain coping strategies in surgical treatment for patients with lumbar spinal stenosis

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