The Influence of Psychological Factors on Low Back Pain-Related Disability in Community Dwelling Older Persons

Authors: Kovacs, Francisco; Noguera, Juan¹; Abraira, Víctor; Royuela, Ana²; Cano, Alejandra³; Gil del Real, María Teresa⁴; Zamora, Javier; Gestoso, Mario⁵; Muriel, Alfonso; Mufraggi, Nicole⁵

Source: Pain Medicine, Volume 9, Number 7, October 2008 , pp. 871-880(10)

Publisher: Wiley-Blackwell

Buy & download fulltext article:

Price: $48.00 plus tax (Refund Policy)

Abstract:

Objectives.

To assess the influence of fear avoidance beliefs (FAB) and catastrophizing on low back pain (LBP)-related disability in Spanish community dwelling retirees. Design.

Correlation between variables measured with previously validated instruments. Setting.

Majorca, Spain. Patients.

1,044 community dwelling subjects attending conferences for retired persons. Outcome Measures.

Visual analog scales for LBP and pain referred to the leg (LP), Roland Morris Questionnaire (RMQ) for disability, FAB-Phys questionnaire (FABQ) for FAB, and the Coping Strategies Questionnaire (CSQ) for catastrophizing. Results.

In subjects without clinically relevant LBP, FAB correlated moderately with catastrophizing (r = 0.535) and disability (r = 0.390), and weakly with LP (r = 0.119) and LBP (r = 0.197). In subjects with LBP, FAB correlated moderately with catastrophizing (r = 0.418) and disability (r = 0.408), and weakly with LP (0.152), but not with LBP. Correlations among CSQ, FABQ, and RMQ were similar in subjects with and without current LBP. In regression models, the coefficient for effect of FAB on disability was 0.14 for participants with no LBP, and 0.28 for those with pain. Corresponding values for catastrophizing were 0.17 and 0.19. Conclusion.

In Spanish community dwelling retirees, the influence of FAB and catastrophizing on LBP-related disability is clinically small.

Keywords: Low Back Pain; Elderly; Disability; Fear Avoidance Beliefs; Catastrophizing

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1526-4637.2008.00518.x

Affiliations: 1: S'Institut de Serveis Socials i Esportius de Mallorca, General Riera 67, E-07010 Palma de Mallorca; 2: CIBER Epidemiología y Salud Pública (CIBERESP), 08003 Barcelona; 3: Unidad de Bioestadística Clínica, Hospital Ramón y Cajal, Carretera de Colmenar, km 9.100, E-28034 Madrid; 4: Departamento Científico, Fundación Kovacs, Plaza Valparaíso 3, E-28016, Madrid, Spain 5: Departamento Científico, Fundación Kovacs, Paseo de Mallorca 36;

Publication date: 2008-10-01

The Influence of Psychological Factors on Low Back Pain-Related Disability in Community Dwelling Older Persons

Buy & download fulltext article:

Tools

Key

Text size:

Useful pages