Which psychosocial factors are related to severe pain and functional limitation in patients with low back pain? br Psychosocial factors related to severe low back pain
Which psychosocial factors are related to severe pain and functional limitation in patients with low back pain? br Psychosocial factors related to severe low back pain
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DOI：
10.1016/j.bjpt.2022.100413
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发表时间：
2022-04-27
影响因子：
3.4
通讯作者：
Calazans Nogueira, Leandro Alberto
中科院分区：
文献类型：
--
作者：
Correa, Leticia Amaral;Mathieson, Stephanie;Calazans Nogueira, Leandro Alberto
背景：腰痛(LBP)是一个全球性的公共卫生问题。心理社会因素与腰痛有关。然而，对于心理社会因素与重度下腰痛患者临床结局的关系尚缺乏了解。目的：探讨腰背痛患者严重疼痛的特定心理社会因素与功能障碍的关系。方法：对472名LBP患者进行横断面研究。参与者完成了自我报告问卷，包括心理社会因素、疼痛特征和功能限制。两个多变量Logistic回归模型包括严重疼痛强度(7分)和功能受限(7分)(因变量)和15个心理社会因素(自变量)。结果：125名(26.5%)受试者有严重的腰背痛。有巨灾症状的患者发生剧烈疼痛的可能性是无巨灾症状患者的2.21倍[95%可信区间：1.30，3.77]倍，出现严重功能受限的可能性是无巨灾症状患者的2.72倍(95%可信区间：1.75，4.23)。对休息有不良适应信念的患者出现严重疼痛的可能性是2.75(95%CI：1.37，5.52)倍，出现严重功能受限的可能性是1.72(95%CI：1.04，2.83)倍。运动恐惧症患者出现严重疼痛的可能性是3.34(95%CI：1.36，8.24)倍，社交隔离患者出现严重功能障碍的可能性是1.98(95%CI：1.25，3.14)倍。
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 clini-cal 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 com-pleted 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 catastroph-ising 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.