Catastrophising, pain, and disability in patients with nonspecific low back pain

Ogunlana, Michael O.; Odole, Adesola C.; Adejumo, A. O.; Odunaiya, Nse A.

doi:10.1016/j.hkpj.2015.03.001

Cited by 35 publications

(36 citation statements)

References 40 publications

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“…Consistent with previous research, we found that pain intensity was correlated with disability and was one of the independent variables which significantly influenced the disability in our CLBP patients. Significant correlations between CLBP intensity and disability have also been reported in the literature [33][34][35][36]. Pain intensity was proved to be a strong predictor of disability in populations with non-specific low back pain in previous studies [37][38][39].…”

Section: Discussionmentioning

confidence: 85%

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Predictors of disability in patients with chronic low back pain

et al. 2020

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Introduction: Chronic low back pain (CLBP) is a common and disabling health problem. In this study, we aimed to assess the relationship between pain intensity, the components of catastrophizing, depression and disability in patients with chronic low back pain. Material and methods: Seventy-six patients diagnosed with CLBP (age range 25-77 years; 73.7% female) participated in the study. Participants' sociodemographic data were collected: age, gender, height, weight, and work status (employed or retired). All participants were asked to complete the Pain Catastrophizing Scale (PCS), the visual analogue scale (VAS), the Oswestry Disability Questionnaire (ODQ), and the Beck Depression Inventory (BDI). Results: The mean group scores revealed moderate CLBP complaints (VAS-4 [3-6]), mild depression (BDI-10 [5-16]), a moderate level of catastrophizing (PCS total score 20.5 [10-34]) and moderate disability (Oswestry Disability Index [ODI]-31 [14-38]). Positive significant correlations were found between ODI and age, residence, work status, VAS, PCS-rumination, PCS-magnification, PCS-helplessness and BDI, and also between PCS subscales and VAS. Our multivariate linear regression analysis showed that age, pain intensity, PCS-helplessness and depression can predict disability in patients with CLBP, explaining 84% of the variance of disability (R 2 = 0.851, adjusted R 2 = 0.843). Conclusions: A multidisciplinary approach is needed for patients with CLBP and should include physical, mental and social evaluation in order to offer an optimal treatment.

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Section: Discussionmentioning

confidence: 85%

“…[12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28]. The high catastrophizers (44.74%) had significantly higher scores (VAS -7 [5][6][7]), BDI -16 [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] and ODI -38 [34][35][36][37][38][39][40][41][42][43][44][45]…”

Section: Resultsmentioning

confidence: 99%

Predictors of disability in patients with chronic low back pain

et al. 2020

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“…Current targets may not be adequately addressing these central pathologies and these factors are not typically addressed by current behavioral models. Psychological factors also affect the intensity of the pain that is experienced, with catastrophization representing markers for pain intensity that is experienced (Sullivan et al, 1998;Tripp et al, 2009;Ogunlana et al, 2015). It is important to reflect whether our existing strategies actually address these aspects of pain pathology and if not how these could be better modeled.…”

Section: Affective and Psychological Componentsmentioning

confidence: 99%

Developing Modern Pain Therapies

et al. 2019

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Chronic pain afflicts as much as 50% of the population at any given time but our methods to address pain remain limited, ineffective and addictive. In order to develop new therapies an understanding of the mechanisms of painful sensitization is essential. We discuss here recent progress in the understanding of mechanisms underlying pain, and how these mechanisms are being targeted to produce modern, specific therapies for pain. Finally, we make recommendations for the next generation of targeted, effective, and safe pain therapies.

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“…The burden, however, is unduly greater in rural areas compared to urban areas as the oneyear prevalence rate of 74% found in rural Nigeria is higher than the 44% found in urban Nigeria [50,51]. In the same vein, maladaptive beliefs including pain catastrophizing have been reported to be associated with chronic LBP disability in both urban and rural Nigeria [52,53] similar to that found for western nations [54]. Despite the greatest burden of chronic LBP in Nigeria, self-report outcomes to evaluate cognitive or maladaptive beliefs are generally lacking in Nigeria indigenous languages.…”

Section: Introductionmentioning

confidence: 99%

Development of the Hausa Version of the Pain Catastrophizing Scale: Translation, Cross-Cultural Adaptation and Psychometric Evaluation in Mixed Urban and Rural Patients with Chronic Low Back Pain

Ibrahim

Akindele

Kaka

et al. 2020

Preprint

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Background: Catastrophizing has been recognized as an important contributor to chronicity in individuals with chronic pain syndromes including low back pain (LBP). The Pain Catastrophizing Scale (PCS) is perhaps the most widely used questionnaire to evaluate the degree of pain catastrophizing. However, its use is limited in Hausa-speaking countries due to the lack of a validated translated version.Objective: To translate and cross-culturally adapt the PCS into Hausa (Hausa-PCS) and evaluate its psychometric properties in mixed urban and rural patients with chronic LBP.Methods: The original PCS was translated and cross-culturally adapted into Hausa in accordance with established guidelines. To evaluate psychometric properties, a consecutive sample of 200 patients with chronic LBP was recruited from urban and rural Nigerian hospitals. Validity was evaluated by exploring content validity (skewness and item-total correlation), factorial structure (exploratory factor analysis [EFA] and confirmatory factor analysis [CFA]), concurrent validity (Spearman’s rho) and known-groups validity. Reliability was evaluated by calculating internal consistency (Cronbach’s α), intraclass correlation coefficient (ICC), standard error of measurement (SEM), minimal detectable change (MDC) and limits of agreement with 95% confidence interval (LOA95%).Results: The Hausa-PCS demonstrated good face and content validity. Both EFA and CFA confirmed a 3-factor structure similar to the original English version. The concurrent validity was supported as 83% (5/6) of the a priori hypotheses were confirmed. Known-groups comparison showed that the questionnaire was unable to differentiate between male and female or urban and rural patients (p > 0.05). Internal consistency and ICC was adequate for the Hausa-PCS total score (α = 0.84; ICC = 0.90) and the subscale helplessness (α = 0.78; ICC = 0.89) but for the subscales rumination (α = 0.69; ICC =0.68) and magnification (α = 0.41; ICC = 0.43). The LOA95% for the Hausa-PCS total score was between –8.10 and +9.75, with SEM and MDC of 3.47 and 9.62 respectively. Conclusion: The Hausa-PCS was successfully developed and psychometrically adequate in terms of factorial structure, concurrent validity, internal consistency and test-retest reliability when applied in mixed urban and rural patients with chronic LBP. However, the internal consistency and reliability coefficients (ICC) for the individual subscales are questionable. Thus, we support the use of the total score when evaluating pain catastrophizing for clinical or research purposes.

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Catastrophising, pain, and disability in patients with nonspecific low back pain

Cited by 35 publications

References 40 publications

Predictors of disability in patients with chronic low back pain

Predictors of disability in patients with chronic low back pain

Developing Modern Pain Therapies

Development of the Hausa Version of the Pain Catastrophizing Scale: Translation, Cross-Cultural Adaptation and Psychometric Evaluation in Mixed Urban and Rural Patients with Chronic Low Back Pain

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