Professional Status of Persistent Spinal Pain Syndrome Patients after Spinal Surgery (PSPS-T2): What Really Matters? A Prospective Study Introducing the Concept of “Adapted Professional Activity” Inferred from Clinical, Psychological and Social Influence

Abstract

Persistent Spinal Pain Syndrome Type 2 (PSPS-T2) represents a main cause of work disruption. Beyond its societal consequences, occupational inactivity is responsible for a major decrease in physical/mental health in individuals but remains poorly analyzed. We designed a study to prospectively examine Professional Status (PS) evolution and its association with key bio-psychological markers. Data from 151 consecutively included working-age PSPS-T2 patients were analyzed to determine the proportion of professional inactivity and the relationships between PS and Social Gradient of Health (SGH), Numeric Pain Rating Scale (NPRS), EuroQol 5-Dimensional 5-Level (EQ-5D-5L), Oswestry Disability Index (ODI), Hospital Anxiety and Depression Scale (HADS), and Fear-Avoidance Belief Questionnaire work subscale (FABQ-W). Despite optimized medical management, 73.5% of PSPS-T2 patients remained inactive after 1 year of follow-up/p = 0.18. Inactive patients presented a low SGH/p = 0.002, higher NPRS/p = 0.048, lower EQ-5D-5L/p < 0.001, higher ODI/p = 0.018, higher HADS-D/p = 0.019 and higher FABQ-W/p < 0.001. No significant mediation effect of FABQ-W on SGH consequences regarding PS was observed in our structural model/p = 0.057. The link between unemployment and bio-psycho-social pain dimensions appears bidirectional and justifies intense collaboration with social workers. Optimizing therapeutical sequencing towards personalized professional plans implies restoring “Adapted Physical Function” as an initial goal, and tailoring an “Adapted Professional Activity”, matching with patient expectations and capabilities, as a final objective.

Management of post-traumatic stress disorder symptoms by yoga: an overview

“…Referring to PTSD patients as a homogeneous population could be considered as a restrictive point of view. Even though our results, as previously reported [16], failed to demonstrate that different PTSD origins could cause more or fewer bene ts, it bears mentioning that psychological and social factors might in uence response to therapy, as previously demonstrated in the low back pain population [35][36][37]. For instance, the process of PTSD management in male veterans and active military persons, predominantly represented in our overview [24,26,27], cannot be equated to sexual abuse of women.…”

“…Far from placing populations in opposition, speci c yoga therapy programs might strengthen the effectiveness of this approach. Social factors, such as social gradient of health [36], professional status [37] or gender, should be taken into account and systematically assessed to guide yoga teachers to modulate their programs. Considering the numerous types of yoga, including the 8 identi ed in our overview, it safe to suggest that a multidisciplinary approach, including Acceptance and Commitment Therapy (ACT) [38] with medical and yoga teachers would help to shed light on this speci c issue.…”

A Comprehensive Review of Pain Interference on Postural Control: From Experimental to Chronic Pain

“…Chronic pain is defined by the International Association for Study of Pain (IASP) as "an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage" [1] lasting more than 3 months [2]. By affecting more than 30% of the population worldwide [3], chronic pain is an economic burden and has a dramatic impact on biological, psychological, and sociological factors, resulting in poor quality of life [4][5][6]. Although medical care focuses on pain perception, psychological and functional disability should be considered [6].…”

An Intelligent Clinical Psychological Assessment Method Based on AHP-LSSVR Model

“…The psychological adaptation and personality development of the assisted are the fundamental goals. Clinical psychology has been established so far, its development field and research topic theory and method and research and application of many aspects have been extremely large expansion, it and other branches of psychology cross and fusion are also increasing, and a lot of new topics are constantly appearing [ 9 – 11 ].…”