Direct and indirect costs in persons with chronic back pain and comorbid mental disorders—A systematic review

Baumeister, Harald; Knecht, Annika; Hutter, Nico

doi:10.1016/j.jpsychores.2012.05.008

Cited by 72 publications

(55 citation statements)

References 44 publications

(107 reference statements)

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“…54;66;140 Moreover, similar psychosocial constructs and processes predict the likelihood of transition from acute to chronic musculoskeletal pain (i.e., higher distress levels are prospectively related to an increased probability of transitioning to chronic pain). 54;184 Overall, there is a wealth of evidence that symptoms of depression, anxiety, and emotional distress contribute strongly (more strongly than pain intensity, in many studies) to key long-term outcomes of persistent pain such as physical disability 82;98;197 , work disability 119 , healthcare costs 16 , mortality 108;210 , and suicide. 88;99 In general, these studies establish the association of pain with the deleterious outcomes of interest, and then show that some or all of that association can be statistically accounted for by indices of depression, anxiety, or distress.…”

Section: Psychosocial Factors Influencing Pain-related Outcomesmentioning

confidence: 99%

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Edwards

Dworkin

Sullivan

et al. 2016

The Journal of Pain

627

544

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The recently-proposed ACTTION-APS Pain Taxonomy provides an evidence-based, multidimensional, chronic pain classification system. Psychosocial factors play a crucial role within several dimensions of the Taxonomy. In this paper, we discuss the evaluation of psychosocial factors that influence the diagnosis and trajectory of chronic pain disorders. We review studies in individuals with a variety of persistent pain conditions, and describe evidence that psychosocial variables play key roles in conferring risk for the development of pain, in shaping long-term pain-related adjustment, and in modulating pain treatment outcomes. We consider both “general” psychosocial variables such as negative affect, childhood trauma, and social support, as well as “pain-specific” psychosocial variables that include pain-related catastrophizing, self-efficacy for managing pain, and pain-related coping. Collectively, the complexity and profound variability in chronic pain highlights the need to better understand the multidimensional array of interacting forces that determine the trajectory of chronic pain conditions.

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Section: Psychosocial Factors Influencing Pain-related Outcomesmentioning

confidence: 99%

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Edwards

Dworkin

Sullivan

et al. 2016

The Journal of Pain

627

544

View full text Add to dashboard Cite

show abstract

“…The direct health costs of LBP are higher in patients with depression and usually associated with more complex diagnostic and treatment approaches, commonly involving the engagement of multiprofessional teams and use of tertiary pain specialist clinics, leading to higher costs and rates of health care utilization (5). Although previous studies have demonstrated an association between LBP and depression, the nature of this complex association is not clear.…”

Section: Introductionmentioning

confidence: 99%

Symptoms of Depression and Risk of New Episodes of Low Back Pain: A Systematic Review and Meta‐Analysis

Pinheiro

Ferreira

Refshauge

et al. 2015

Arthritis Care & Research

151

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Objective. To investigate the contribution of symptoms of depression to future episodes of low back pain (LBP). Methods. A search was conducted of AMED, CINAHL, Embase, Health and Society (H&S), LILACS, MEDLINE, PsycINFO, Scopus, and Web of Science databases. We included cohort studies investigating the effect of symptoms of depression on the development of new episodes of LBP, either lifetime incidence or a recurrent episode, in a population free of LBP at baseline. We accepted the original study's definition for a new episode of LBP, and for classifying patients as LBP-free at study entry. Two independent investigators extracted data and assessed methodological quality. Meta-analyses with random effects were used to pool risk estimates. Results. We included 19 studies, with 11 incorporated in the meta-analyses. Overall pooled results showed that symptoms of depression increased the risk of developing LBP (odds ratio [OR] 1.59, 95% confidence interval [95% CI] 1.26-2.01). The risk was similar in studies that used the diagnostic interview method (OR 1.66, 95% CI 1.14-2.42) and in studies using selfreport screening questionnaires (OR 1.68, 95% CI 1.05-2.70). No statistically significant relationship was observed when we pooled studies that employed nonspecific screening questionnaires (OR 1.17, 95% CI 0.48-2.87). Three studies provided results in incremental categories of symptoms of depression and the pooled OR for the most severe level of depression (OR 2.51, 95% CI 1.58-3.99) was higher than for the lowest level (OR 1.51, 95% CI 0.89-2.56). Conclusion. Individuals with symptoms of depression have an increased risk of developing an episode of LBP in the future, with the risk being higher in patients with more severe levels of depression.

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“…Studies show that 50% to 90% of adult individuals suffer from low back pain at some point in their lives, causing significant absence from work, surpassing serious pathologies such as cancer, heart attacks, and cerebral vascular accidents, and burdening the social security system. 1,2 Low back pain is the second most common cause among chronic pathologies for seeking medical care. 3,4 In developed countries, low back pain is the main cause of disability in individuals under 45 years of age 3,5 and the non-fatal pathology responsible for the most physical constraints worldwide.…”

Section: Introductionmentioning

confidence: 99%

Workers' Compensation Is Associated With Worst Clinical Results After Lumbar Fusion

et al. 2017

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Objective: The objective of this study was to evaluate the association of clinical results with preoperative situation of worker compensation (WC) in patients submitted to spine surgery. Methods: This was a retrospective, comparative, single center study. Patients who underwent lumbar spine arthrodesis were included. The outcomes were pain scores (VAS), physical constraint (ODI) and quality of life (EQ-5D). Outcomes were analyzed before surgery and after surgery (minimum follow-up of six months and maximum of 12). Two groups were compared: individuals with or without WC at preoperative visit. Results: A total of 132 cases were analyzed (mean age 54 years and 51% female), 29 (22%) assigned to the WC group. The groups were matched for age, sex, and preoperative depression levels. In the preoperative period, the groups showed equal pain and physical constraint; however the CT group had lower quality of life (p=0.05). Although both groups showed improvement in clinical outcomes after surgery (p<0.05), worse scores were observed for the WC group compared to the non-WC group, respectively: VAS 4.9 vs. 3.2 (p=0.02), ODI 34.7 vs. 23.4 (p=0.002), and EQ-5D 0.56 vs. 0.75 (p=0.01). Conclusion: In this study it was possible to observe that WC is associated with worse clinical results following elective surgical treatment of the lumbar spine.Keywords: Spine/surgery; Working conditions; Quality of life; Work; Arthrodesis; Spinal fusion; Psychology, social. CT, respectivamente: EVA 4,9 vs. 3,2 (p = 0,02), ODI 34,7 vs. 23,4 (p = 0,56 vs. 0,75 (p = 0,01 (p < 0,05), se observaron puntuaciones más bajas en el grupo de CL en comparación con el grupo sin CL, respectivamente: EVA 4,9 vs. 3,2 (p = 0,02), ODI 34,7 vs. 23,4 (p = 0,56 vs. 0,75 (p = 0,01). Conclusión: En el presente estudio fue posible observar que la CL está vinculada a peores resultados clínicos después del tratamiento quirúrgico electivo de la columna lumbar. RESUMO nível de depressão pré-operatória. No pré-operatório os grupos se mostraram iguais quanto a dor e restrição física, porém, o grupo com CT apresentava qualidade de vida inferior (p = 0,05). Apesar de os dois grupos terem mostrado melhora nos desfechos clínicos após a cirurgia (p < 0,05), observaram-se piores escores para o grupo com CT comparado com grupo sem

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Direct and indirect costs in persons with chronic back pain and comorbid mental disorders—A systematic review

Cited by 72 publications

References 44 publications

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Symptoms of Depression and Risk of New Episodes of Low Back Pain: A Systematic Review and Meta‐Analysis

Workers' Compensation Is Associated With Worst Clinical Results After Lumbar Fusion

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