Pain-related fear in low back pain: A prospective study in the general population
Pain-related fear in low back pain: A prospective study in the general population
复制标题
DOI：
10.1016/j.ejpain.2006.02.009
复制
发表时间：
2007-04-01
影响因子：
3.6
通讯作者：
Vlaeyen, Johan W. S.
中科院分区：
文献类型：
--
作者：
Leeuw, Maalke;Houben, Ruud M. A.;Vlaeyen, Johan W. S.
对慢性腰痛（CLBP）的认知行为解释表明，疼痛灾难化和功能障碍之间的关系是由对运动/（再）伤害的恐惧介导的。一些临床研究已经证明了疼痛灾难性和对运动/（再）伤害的恐惧在 CLBP 的发展和维持中的作用。这项研究纳入了普通人群中的腰痛 (LBP) 患者，旨在通过检查调节的几个先决条件来调查对运动/（再次）伤害的恐惧是否介导了疼痛灾难性和功能障碍之间的关系。使用的数据来自荷兰基于人群的肌肉骨骼投诉和后果队列 (DMC3) 研究，其中包括 152 名 LBP 患者，他们在 6 个月前完成了后续调查问卷和基线调查问卷。这项研究无法证明疼痛灾难化和功能障碍之间的关系是由对运动/（再）损伤的恐惧介导的，因为疼痛灾难化和功能障碍相关的先决条件没有得到满足。然而，疼痛灾难化与 6 个月后对运动/（再次）伤害的恐惧显着相关，高于基线时已经存在的对运动/（再次）伤害的恐惧等其他影响变量。反过来，除了疼痛强度之外，对运动/（再次）伤害的恐惧还与功能障碍有关。尽管这项研究对于疼痛灾难性、对运动/（再）伤害的恐惧和功能障碍之间的实际关系尚不清楚，但它确实为这些因素在普通人群腰痛中的作用提供了一些证据。 (c) 2006 年国际疼痛研究协会欧洲分会联合会。由爱思唯尔有限公司出版。保留所有权利。
A cognitive behavioural account of chronic low back pain (CLBP) proposes that the relationship between pain catastrophizing and functional disability is mediated by fear of movement/(re)injury. Several clinical studies already demonstrated the contribution of pain catastrophizing and fear of movement/(re)injury in the development and maintenance of CLBP. This study included people with low back pain (LBP) in the general population, and aimed to investigate whether fear of movement/(re)injury mediated the relationship between pain catastrophizing and functional disability, by examining several prerequisites for mediation. Data from the Dutch population-based Musculoskeletal Complaints and Consequences Cohort (DMC3) study were used, including 152 people suffering from LBP who completed both a follow-up questionnaire and a baseline questionnaire 6 months previously. This study was unable to demonstrate that the relationship between pain catastrophizing and functional disability was mediated by fear of movement/(re) injury, since the prerequisite that pain catastrophizing and functional disability were related, was not fulfilled. However, pain catastrophizing was significantly related to fear of movement/ (re)injury 6 months later, above and beyond other contributing variables such as fear of movement/(re)injury already present at baseline. On its turn, fear of movement/(re)injury was related to functional disability, in addition to pain intensity. Although this study leaves some indistinctness concerning the actual relationships between pain catastrophizing, fear of movement/(re)injury, and functional disability, it does provide some evidence for the contributing role of these factors in LBP in the general population. (c) 2006 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Ltd. All rights reserved.