Psychosocial differences between high-risk acute vs. chronic low back pain patients.
Psychosocial differences between high-risk acute vs. chronic low back pain patients.
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DOI：
10.1111/j.1533-2500.2008.00176.x
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发表时间：
2008-03-01
期刊：
影响因子：
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通讯作者：
Pransky, Glenn
中科院分区：
文献类型：
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作者：
Gatchel, Robert J;Bernstein, Dana;Pransky, Glenn
本研究旨在评估高风险急性下腰痛（ALBP）受试者（定义为自初始损伤后不到3个月）与高风险慢性下腰痛（CLBP）受试者（定义为自初始损伤后超过3个月）的相对情绪困扰程度和类型。这是早期研究结果的延伸，这些研究结果表明，如果在急性期没有得到适当的治疗，这种情绪困扰可能在CLBP残疾的发展中发挥重要作用。这项工作源于一个概念性的三阶段模型，该模型描述了从急性疼痛到慢性疼痛的进展。实施了几项心理社会测量，包括允许基于早期开发的筛选算法将受试者分类为高风险的信息。SPSS中的ANCOVA程序用于比较组，控制性别，种族和年龄。结果显示，CLBP受试者有较高的利率的某些措施的情绪困扰和抑郁相对ALBP受试者。这些发现进一步支持了在治疗肌肉骨骼疾病（如腰痛）时，早期有效管理情绪困扰因素的重要性。
The present study was designed to evaluate the relative degree and type of emotional distress in high-risk acute low back pain (ALBP) subjects (defined as less than 3 months since initial injury) vs. high-risk chronic low back pain (CLBP) subjects (defined as greater than 3 months since initial injury). It is an extension of earlier findings that demonstrated the significant role that such emotional distress may play in the development of CLBP disability if not appropriately treated in the acute phase. This work stems from a conceptual three-stage model, which characterizes the progression from acute to chronic pain. Several psychosocial measures were administered that included information allowing for the classification of subjects as high-risk based upon an earlier developed screening algorithm. The ANCOVA procedure in SPSS was used to compare groups, controlling for gender, ethnicity, and age. Results revealed that CLBP subjects had higher rates of certain measures of emotional distress and depression relative to ALBP subjects. These findings further support the importance of effectively managing emotional distress factors early, when treating musculoskeletal disorders such as low back pain.