Psycho‐social factors and coping strategies as predictors of chronic evolution and quality of life in patients with low back pain: A prospective study

Koleck, Michèle; Mazaux, Jean-Michel; Rascle, Nicole; Bruchon-Schweitzer, Marilou

doi:10.1016/j.ejpain.2005.01.003

Cited by 110 publications

(79 citation statements)

References 69 publications

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“…Conversely, the repeated experience of lack of control over aversive events may result in helplessness (10). In line with this, several studies have found that a perceived lack of control is associated with unfavourable outcomes in chronic pain conditions (11,12).…”

Section: Introductionmentioning

confidence: 52%

967 Construct Validity of the Illness Cognition Questionnaire: Robustness of Three‐factor Structure Across Patients With Chronic Pain and Chronic Fatigue

Lauwerier

Crombez

Damme

et al. 2009

European Journal of Pain

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Method: The ICQ was administered to 821 individuals with chronic pain and 295 patients with chronic fatigue. Confirmatory factor analyses were performed to assess the hypothesized three-factor structure, containing the factors "helplessness", "acceptance" and "perceived benefits". A multi-group analysis was performed to investigate the stability of the factor structure in both groups.Results: Results confirmed the three-factor structure in the two samples. The factor structure was invariant across individuals with chronic pain and chronic fatigue.Conclusion: As the three-factor structure provided a good fit in both groups, we confirm the usefulness of the subscale scores in research and clinical practice.

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Section: Introductionmentioning

confidence: 52%

967 Construct Validity of the Illness Cognition Questionnaire: Robustness of Three‐factor Structure Across Patients With Chronic Pain and Chronic Fatigue

Lauwerier

Crombez

Damme

et al. 2009

European Journal of Pain

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“…Participants point to the position on the line between the faces to indicate how much pain they are currently feeling [30].…”

Section: Visual Analog Scale Pain Scorementioning

confidence: 99%

Does Disability Correlate With Impairment After Hand Injury?

Farzad

Asgari

Dashab

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Any loss or deviation in body function and structure is considered impairment, whereas limitations on activities are fundamental to the definition of disability. Although it seems intuitive that the two should be closely related, this might not be the case; there is some evidence that psychosocial factors are more important determinants of disability than are objective impairments. However, the degree to which this is the case has been incompletely explored.Questions/purposes The purpose of this study was to determine if disability (as measured by the Disabilities of the Arm, Shoulder and Hand [DASH] and the Michigan Hand Questionnaire [MHQ]) and pain intensity correlate with impairment (as measured by the American Medical Association [AMA] impairment guide). Secondary study questions addressed the effect of pain intensity and symptom of depression on predicting disability. Methods Impairment and disability were evaluated in a sample of 107 hand-injured patients a mean of 11 months after injury. Impairment rating was performed prospectively. From the patients who came for therapy, they were invited to fill out the questionnaire and evaluated for impairment rating. Response variables of DASH, MHQ, and visual analog scale pain intensity values were collected at the same setting. Other explanatory variables included demographic, injury-related, and psychological factors (symptoms of depression measured with the Beck Depression Inventory). Initial bivariate and multivariate analyses were performed to determine correlations of disability and pain to impairment rating and other exploratory variables.Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. 123 Clin Orthop Relat Res (2015) 473:3470-3476 DOI 10.1007/s11999-015-4228-7 Clinical Orthopaedics and Related Research ® A Publication of The Association of Bone and Joint Surgeons®Results Disability as measured by the DASH showed intermediate correlation with AMA impairment (r = 0 .38, beta = 0.36, p = 0.000). Together with gender, it accounted for only 22% of the variability in DASH scores. Similarly, MHQ score correlated with impairment rating (r = À0.24, beta = À0.23, p \ 0.05). However, together with age, injured hand accounted for only 19% of the variability in MHQ scores. However, pain intensity did not correlate with impairment (r = À0.46, p [ 0.05). Interestingly...

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“…Thereby, cognitive factors seem to particularly mediate the relationship of pain with functional and emotional adjustment [8,20,40].…”

mentioning

confidence: 99%

Effects of gender and cognitive-behavioral management of depressive symptoms on rehabilitation outcome among inpatient orthopedic patients with chronic low back pain: a 1 year longitudinal study

Hampel

Graef²,

Krohn-Grimberghe³

et al. 2009

Eur Spine J

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Psychological factors have been found to be of major importance for the transition from acute to chronic low back pain (CLBP). Although some evidence has been provided that depressive symptoms occur secondarily to CLBP, psychological treatment modules that specifically address depressive symptoms are not yet included in German inpatient rehabilitation programs. In this study, a standard rehabilitation program for patients with CLBP and depressive symptoms was compared to a standard rehabilitation, into which a cognitive-behavioral management training of depressive symptoms was integrated. Moreover, treatment effects of this multidisciplinary standard rehabilitation program delivered to patients with either no or only mild depressive symptoms were investigated. As a further aim of the present study, gender effects on rehabilitation outcomes were examined. Short-, mid-, and longterm effects on individual global improvement as well as pain-related, psychological, and work-related measures were evaluated among N = 199 consecutively admitted patients with CLBP, aged from 24 to 62 years. The standard rehabilitation program had no persisting effects on psychological outcomes among patients with no and mild depressive symptoms. Patients with moderate and severe depressive symptoms in the standard rehabilitation program did not benefit with clinical importance at the 6-and 12-month follow-up assessments, but did show clinically significant improvements in psychological outcome measures at the 6-month follow-up assessment when the supplemental psychological component was applied. Additionally, days of sick leave decreased in the intervention group in the mid-term when compared to the baseline. Females benefited more in mental health than males. However, due to regression effects at the 12-month follow-up assessment, booster sessions are highly recommended. The results presented here support the notion that a more adequately tailored rehabilitation program seems to improve rehabilitation success and prevent further development of CLBP among this high-risk subpopulation.Keywords Chronic low back pain Á Depressive symptoms Á Gender Á Multidisciplinary inpatient orthopedic rehabilitation Á Cognitive-behavioral management of depressive symptoms

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Psycho‐social factors and coping strategies as predictors of chronic evolution and quality of life in patients with low back pain: A prospective study

Abstract: Besides somatic factors, psychosocial predictors of LBP chronic evolution may be identified. Both aspects must be taken into account in order to prevent chronic pain. Perhaps cognitive-behavior therapy may help LBP patients to cope with pain in a better way.

Cited by 110 publications

References 69 publications

967 Construct Validity of the Illness Cognition Questionnaire: Robustness of Three‐factor Structure Across Patients With Chronic Pain and Chronic Fatigue

967 Construct Validity of the Illness Cognition Questionnaire: Robustness of Three‐factor Structure Across Patients With Chronic Pain and Chronic Fatigue

Does Disability Correlate With Impairment After Hand Injury?

Effects of gender and cognitive-behavioral management of depressive symptoms on rehabilitation outcome among inpatient orthopedic patients with chronic low back pain: a 1 year longitudinal study

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