Influence of Pain Self‐Efficacy and Gender on Disability in Postoperative Cervical Myelopathy

Kondo, Yu; Higuchi, Daisuke; Miki, Tsuneharu; Watanabe, Yuta; Takebayashi, Toru

doi:10.1016/j.pmn.2022.12.004

Cited by 3 publications

(3 citation statements)

References 37 publications

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“…Despite the wealth of literature demonstrating the importance of psychosocial factors in the development and persistence of neck pain [ 3 , 4 , 23 ], more than half of the websites did not mention these critical psychosocial factors. Even when mentioned, the focus was primarily on perceived stress, depressed mood, and job-related mental stress.…”

Section: Discussionmentioning

confidence: 99%

“…Neck pain is characterized by chronicity and recurrence and is associated with poor quality of life and activities of daily living among the Japanese general population [ 2 ]. As the biopsychosocial model has become increasingly understood, it is clear that there is a complex and interdependent relationship between the biomedical and psychosocial factors related to neck pain [ 3 ]. A recent review has shown that a variety of psychosocial factors, such as stress, anxiety, depression, fear of exercise, pain catastrophizing, coping, self-efficacy, low job satisfaction, and high job strain can influence outcomes in patients with neck pain [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Quality of Japanese Online Information on Causes of Neck Pain: A Biopsychosocial Analysis

Kondo,

Ota,

Fujita

et al. 2023

Cureus

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BackgroundWhile a considerable amount of information on neck pain is available online, the quality and comprehensiveness of this information can vary greatly. Particularly, the representation of the biopsychosocial model -which recognizes neck pain as an interplay of biological, psychological, and social factors -in online information remains unclear. Given the prevalence and accessibility of online health information, it is important to understand its quality and how it may shape individuals' understanding and management of neck pain. Therefore, the objective of this study was to analyze the quality of online Japanese information on the causes of neck pain from a biopsychosocial perspective. MethodologyA descriptive cross-sectional study was conducted. The search term "neck pain" was utilized on Google's search engine in June 2023, and the websites from the first two pages of the search results were included in the study. Ten advertisement websites were excluded, resulting in 19 websites being analyzed. Each website was evaluated based on the presence of the Health-on-the-Net (HON) code. Biomedical and psychosocial factors present in each website were identified using the biopsychosocial analysis tool. Websites were then categorized as biomedical, limited biopsychosocial, or biopsychosocial based on the number of psychosocial factors they mentioned. ResultsAmong the 19 evaluated websites, only one possessed the HON certification, indicating a potential lack of credibility for the remaining sites. Of these websites, a large majority (63.2%) were classified as biomedical, while the remaining (36.8%) were classified as limited biopsychosocial. All the websites included some form of biomedical information on the causes of neck pain, while only seven websites mentioned psychological factors and one website mentioned social factors. The most common biomedical causes of neck pain discussed were cervical muscle strain and radicular pain due to cervical disc prolapse. On the other hand, the limited biopsychosocial websites highlighted perceived stress, depressed mood, and job-related mental stress as psychosocial factors contributing to neck pain. ConclusionsThis analysis revealed that freely accessible Japanese online information on the causes of neck pain, as found through Google, predominantly focuses on the biomedical causes, often neglecting or insufficiently addressing the psychosocial aspects. This finding underscores a gap between the available online resources and the comprehensive understanding promoted by the biopsychosocial model of health. Healthcare professionals need to be proactive in guiding their patients toward reliable, well-rounded resources that acknowledge the crucial role of psychosocial factors in neck pain. Furthermore, developers of online health information must aim to improve the depth and breadth of psychosocial factors discussed, promoting a more holistic understanding of neck pain for the Japanese public.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Quality of Japanese Online Information on Causes of Neck Pain: A Biopsychosocial Analysis

Kondo,

Ota,

Fujita

et al. 2023

Cureus

Self Cite

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“…This study was part of a mailed survey of individuals with postoperative DCM/R (Sapporo Maruyama Study), and a secondary analysis was conducted with objectives different from those previously reported [ 16 ]. The sample size required for the multiple regression analysis of this study, according to G*Power 3.1 (Heinrich-Heine-Universität Düsseldorf), was 127 patients with medium effect size (f 2 =0.15), a significance level of 0.05, power of 0.80, and 12 independent variables described.…”

Section: Methodsmentioning

confidence: 99%

Health-Related Quality of Life is Associated With Pain, Kinesiophobia, and Physical Activity in Individuals Who Underwent Cervical Spine Surgery

Higuchi,

Kondo,

Watanabe

et al. 2024

Ann Rehabil Med

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Objective: To determine the association between health-related quality of life (HRQOL) and neck pain, kinesiophobia, and modalities of physical activity in individuals with postoperative degenerative cervical myelopathy and radiculopathy (DCM/R) because postoperative pain after cervical spine surgery is likely to persist, causing kinesiophobia and avoidance of physical activity.Methods: A questionnaire was distributed to 280 individuals with DCM/R. The questionnaire comprised the following four items: HRQOL (EuroQol 5-dimensions 5-level), neck pain (numerical rating scale [NRS]), kinesiophobia (11-item Tampa Scale for Kinesiophobia [TSK-11]), and physical activity (paid work, light exercise, walking, strength training, and gardening). Hierarchical multiple regression analysis was performed using the NRS, TSK-11, and physical activity as independent variables.Results: In total, 126 individuals provided analyzable responses (45.0%). After including the NRS score as an independent variable to the multiple regression equation for participants’ background, the independent rate of the regression equation significantly improved by only 4.1% (R<sup>2</sup>=0.153). The addition of the TSK-11 score significantly improved this effect by 11.1% (R2=0.264). Finally, the addition of physical activity also significantly improved the explanatory rate by 9.9% (R2=0.363).Conclusion: Neck pain, kinesiophobia, and physical activity (specifically paid work and walking) were independently associated with HRQOL in individuals with postoperative DCM/R.

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Influence of radiological factors, psychosocial factors, and central sensitization-related symptoms on clinical symptoms in patients with lumbar spinal canal stenosis

Ashida,

Miki,

Kondo

et al. 2024

BMR

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BACKGROUND: No study to date has concurrently evaluated the impact of radiological factors, psychosocial factors, and central sensitization (CS) related symptoms in a single lumbar spinal canal stenosis (LSS) patient cohort. OBJECTIVE: To investigate the associations between these factors and clinical symptoms in LSS patients. METHODS: We recruited 154 patients with LSS scheduled for surgery. Patient-reported outcome measures and imaging evaluation including clinical symptoms, psychosocial factors, CS-related symptoms, and radiological classifications. Spearman’s rank correlation coefficient and multiple regression analyses were employed. RESULTS: Spearman’s correlation revealed CS-related symptoms positively correlated with low back pain (r= 0.25, p< 0.01), leg pain (r= 0.26, p< 0.01), and disability (r= 0.32, p< 0.01). Pain catastrophizing positively correlated with leg pain (r= 0.23, p< 0.01) and disability (r= 0.36, p< 0.01). Regression analysis showed that pain catastrophizing was associated with disability (β= 0.24, 95%CI = 0.03–0.18), and CS-related symptoms with low back pain (β= 0.28, 95%CI = 0.01–0.09). Radiological classifications were not associated with clinical symptoms. CONCLUSION: Our findings suggest that psychosocial factors and CS-related symptoms, rather than radiological factors, seem to contribute to clinical symptoms in patients with LSS.

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Influence of Pain Self‐Efficacy and Gender on Disability in Postoperative Cervical Myelopathy

Cited by 3 publications

References 37 publications

Quality of Japanese Online Information on Causes of Neck Pain: A Biopsychosocial Analysis

Quality of Japanese Online Information on Causes of Neck Pain: A Biopsychosocial Analysis

Health-Related Quality of Life is Associated With Pain, Kinesiophobia, and Physical Activity in Individuals Who Underwent Cervical Spine Surgery

Influence of radiological factors, psychosocial factors, and central sensitization-related symptoms on clinical symptoms in patients with lumbar spinal canal stenosis

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