Adjustment to chronic low back pain—the relative influence of fear-avoidance beliefs, catastrophizing, and appraisals of control

Woby, Steve; Watson, P. J.; Roach, Neil K.; Urmston, Martin

doi:10.1016/s0005-7967(03)00195-5

Cited by 112 publications

(83 citation statements)

References 45 publications

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“…None or weak relationships between sociodemographic characteristics and LBP-related disability were reported by other authors [43]. However, our findings and those from some other studies [36] suggest that older individuals might require more attention as they may be at a greater risk for developing subjective feelings of being disabled.…”

Section: Discussioncontrasting

confidence: 67%

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Factors accounting for psychosocial functioning in patients with low back pain

2009

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Low back pain (LBP) is a chronic disorder which exerts a profound impact on various spheres of psychosocial functioning, including emotional distress, functional limitations and decrements in social contacts. The objective of this study was to investigate the associations between the indices of psychosocial functioning in patients with chronic LBP and a range of psychological factors. Specifically, the study aimed at exploring the relative participation of personality, social support, diseaserelated cognitive appraisals and coping styles in accounting for the differences in psychosocial functioning of patients with LBP. One-hundred-twenty patients with LBP took part in the study and completed a battery of psychological questionnaires: NEO-Five Factors Inventory, Ways of Coping Questionnaire, Disease-Related Social Support Scale, Disease-Related Appraisals Scale and Psychosocial Functioning Questionnaire (PFQ). The PFQ dimensions were used as dependent variables in a series of stepwise regression analysis models with the scores from other questionnaires entered as independent variables. A cognitive appraisal of the disease in terms of an obstacle was strongly related to all domains of functioning; however, other appraisals (threat, challenge, harm, profit and overall disease importance) were uniquely associated with particular domains of functioning. Deprivation of social support was a significant predictor of distress experienced in interpersonal context and of sense of being disabled. Among basic personality traits, agreeableness was negatively associated with distress in interpersonal context, and conscientiousness was positively related to acceptance of life with the disease. Problem-focus coping was linked to higher acceptance of life with the disease. Among sociodemographic variables, older age and lower educational level were related to greater subjective feelings of being disabled. Pain severity was found unrelated to any of psychosocial functioning domains. Different aspects of psychosocial functioning are best accounted for by diverse patterns of psychological factors, which suggests involvement of different psychological mechanisms in development of LBP-related disability.

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Section: Discussioncontrasting

confidence: 67%

“…Among psychological variables, cognitive factors such as pain fear-and avoidance beliefs, pain catastrophizing and appraisals of pain control were suggested to affect psychosocial functioning in patients with LBP [43]. The specific contribution of these factors, however, seems to be only moderate.…”

Section: Introductionmentioning

confidence: 99%

Factors accounting for psychosocial functioning in patients with low back pain

2009

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“…In many crossover studies, fear and avoidance behaviors have been strongly associated with the disability present in patients with low back pain. 1,59,128,134 Also, in low back pain longitudinal studies, changes in the fear avoidance beliefs were good disability predictors. 14,33,39,43,115,135 The fear of pain and the catastrophic vision of pain also occur in pain-free people, so these beliefs can play an important role in the development of new episodes of pain.…”

Section: Fear-avoidance Model In Musculoskeletal Painmentioning

confidence: 92%

Influence of Psychological Factors on Pain and Disability in Anterior Knee Pain Patients

Doménech

Sanchis-Alfonso²,

Espejo³

2011

Anterior Knee Pain and Patellar Instability

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“…Previous research has emphasised individualist views of people with CLBP; they have explained illness behaviours in terms of causal relationships between patients" beliefs and the pain and disability they experience. Experimentalist approaches were utilised to explain pain and disability in terms of certain individual characteristics, such as fear of movement/(re)injury (Vlaeyen et al, 1995;, fear-avoidance beliefs (Vlaeyen & Linton, 2000;Woby et al, 2004), catastrophising (Mannion et al, 2001), as well as painrelated fear and weak beliefs about personal controllability . There may be several deficiencies in this perspective as it undermines the impact of others on people"s behaviours, which may portray the idea of individuals as living in isolation, with no impact of the social environment on their behaviours.…”

Section: Conceptualising the Self And Identitymentioning

confidence: 99%

Chronic low back pain and the construction of illness identities in women from Kuwait

Abdal¹

2016

Manual Therapy

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Chronic low back pain (CLBP) has been identified as a prominent health problem and a major cause of disability. Recent research has focussed on providing a better understanding of subjective experiences of people with CLBP; however, emphasis continues to be geared towards the physical restrictions associated with CLBP. There is a scarcity of literature that considers the relation between self and identity, and people"s experiences with CLBP. Moreover, studies have concentrated on the experiences of people in Western contexts; to date, no studies have been carried out in Middle Eastern sociocultural contexts including Kuwait. Finally, there is a deficiency of studies that focus on the particularity of the experiences of women with CLBP and the impact on identity. This is the first study that investigates how women with CLBP construct illness identities in Kuwait.This study adopted a constructivist grounded theory methodology using dimensional analysis. In line with the grounded theory (GT) approach, data collection and analysis took place concurrently. A longitudinal study design was adopted. Semi-structured interviews were used to investigate women"s perspectives on their experiences with CLBP in relation to their socio-political and cultural context. Eleven women were recruited from three musculoskeletal outpatient clinics in Kuwait. Initially, five women were purposively sampled. A follow up interview was conducted with four of those women one year after the initial interview to investigate any changes in their experiences. Subsequently, six women were theoretically sampled with the aim of comparing the influence of age, educational level, marital status, socioeconomic status and time on women"s illness experiences.The findings of this study offer the first explanatory theory of the construction of illness identities of women with CLBP in Kuwait. Women"s identities can be seen as part of a continuum from oppressed at one end to liberated at the other. Salience of oppressed identities was associated with periods of exacerbation of CLBP and passive coping behaviours. Appearance of liberated identities was accompanied with episodes of remission of CLBP and active coping approaches. Changes in women"s social circumstances, thoughts and feelings over time were related to changes in the identities they portrayed, and changes in their manifestation of CLBP and illness experiences. The substantive theory developed through this study has implications for clinical practice, education and research, and may inform physiotherapy professional development activities in Kuwait.

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Adjustment to chronic low back pain—the relative influence of fear-avoidance beliefs, catastrophizing, and appraisals of control

Cited by 112 publications

References 45 publications

Factors accounting for psychosocial functioning in patients with low back pain

Factors accounting for psychosocial functioning in patients with low back pain

Influence of Psychological Factors on Pain and Disability in Anterior Knee Pain Patients

Chronic low back pain and the construction of illness identities in women from Kuwait

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