TY - JOUR
T1 - Which psychosocial factors are related to severe pain and functional limitation in patients with low back pain?
T2 - Psychosocial factors related to severe low back pain
AU - Corrêa, Leticia Amaral
AU - Mathieson, Stephanie
AU - Armando Meziat Filho, Ney
AU - Jandre dos Reis, Felipe José
AU - de Sá Ferreira, Arthur
AU - Alberto Calazans Nogueira, Leandro
PY - 2022/5
Y1 - 2022/5
N2 - Background: Low back pain (LBP) is a global public health issue. Psychosocial factors are linked to LBP. However, there is a lack of knowledge about the relation of psychosocial factors to clinical outcomes of patients with severe LBP.Objective: To investigate the relationship between specific psychosocial factors with severe pain and functional limitation of patients with LBP.Methods: A cross-sectional study of 472 participants with LBP was conducted. Participants completed self-reported questionnaires, including psychosocial factors, characteristics of pain, and functional limitations. Two multivariable logistic regression models were performed with severe pain intensity (≥ 7 out of 10) and functional limitation (≥ 7 out of 10) (dependent variables) and 15 psychosocial factors (independent variables).Results: One hundred twenty-five (26.5%) participants had severe LBP. Patients with catastrophising symptoms were 2.21 [95%Confidence Interval (CI): 1.30, 3.77] times more likely to have severe pain and 2.72 (95%CI: 1.75, 4.23) times more likely to have severe functional limitation than patients without catastrophising symptoms. Patients with maladaptive beliefs about rest were 2.75 (95%CI: 1.37, 5.52) times more likely to present with severe pain and 1.72 (95%CI: 1.04, 2.83) times more likely to have severe functional limitation. Patients with kinesiophobia were 3.34 (95%CI: 1.36, 8.24) times more likely to present with severe pain, and patients with social isolation were 1.98 (95%CI: 1.25, 3.14) times more likely to have severe functional limitation.Conclusion: Catastrophising, kinesiophobia, maladaptive beliefs about rest, and social isolation are related to unfavourable clinical outcomes of patients with LBP.
AB - Background: Low back pain (LBP) is a global public health issue. Psychosocial factors are linked to LBP. However, there is a lack of knowledge about the relation of psychosocial factors to clinical outcomes of patients with severe LBP.Objective: To investigate the relationship between specific psychosocial factors with severe pain and functional limitation of patients with LBP.Methods: A cross-sectional study of 472 participants with LBP was conducted. Participants completed self-reported questionnaires, including psychosocial factors, characteristics of pain, and functional limitations. Two multivariable logistic regression models were performed with severe pain intensity (≥ 7 out of 10) and functional limitation (≥ 7 out of 10) (dependent variables) and 15 psychosocial factors (independent variables).Results: One hundred twenty-five (26.5%) participants had severe LBP. Patients with catastrophising symptoms were 2.21 [95%Confidence Interval (CI): 1.30, 3.77] times more likely to have severe pain and 2.72 (95%CI: 1.75, 4.23) times more likely to have severe functional limitation than patients without catastrophising symptoms. Patients with maladaptive beliefs about rest were 2.75 (95%CI: 1.37, 5.52) times more likely to present with severe pain and 1.72 (95%CI: 1.04, 2.83) times more likely to have severe functional limitation. Patients with kinesiophobia were 3.34 (95%CI: 1.36, 8.24) times more likely to present with severe pain, and patients with social isolation were 1.98 (95%CI: 1.25, 3.14) times more likely to have severe functional limitation.Conclusion: Catastrophising, kinesiophobia, maladaptive beliefs about rest, and social isolation are related to unfavourable clinical outcomes of patients with LBP.
KW - Chronic pain
KW - Disability
KW - Low back pain
KW - Observational study
KW - Psychosocial factors
UR - http://www.scopus.com/inward/record.url?scp=85128996435&partnerID=8YFLogxK
U2 - 10.1016/j.bjpt.2022.100413
DO - 10.1016/j.bjpt.2022.100413
M3 - Article
C2 - 35489300
SN - 1413-3555
VL - 26
SP - 100413
JO - Brazilian Journal of Physical Therapy
JF - Brazilian Journal of Physical Therapy
IS - 3
M1 - 100413
ER -