The dominant role of psychosocial risk factors in the development of chronic low back pain disability.
An inception cohort design was used in which 421 patients were evaluated systematically with a standard battery of psychosocial assessment tests (Structured Interview for DSM-III-R Diagnosis, Minnesota Multiphasic Personality Inventory, and Million Visual Pain Analog Scale) within 6 weeks of acute back pain onset.
The present study evaluated the predictive power of a comprehensive assessment of psychosocial and personality factors in identifying acute low back pain patients who subsequently develop chronic pain disability problems (as measured by job-work status at 1-year follow-up evaluation).
Summary of Background Data
There has been a relative paucity of prospective research in the United States comprehensively evaluating potential psychosocial risk factors that are associated with those injured workers who subsequently fail to return to work and productivity after 1 year because of low back pain disability.
Such research has been quite limited because of the time and cost involved in conducting prospective studies.
All study patients were sumptomatic with lumbar pain syndrome for no more than 6 weeks. these acute patients were tracked every 3 months, culminating in a structured telephone interview being conducted 1 year after the initial evaluation to document return-to-work status.
Logistic regression analyses, conducted to differentiate between patients who were back at work after 1 year versus patients wh...
Mots-clés Pascal : Lombalgie, Chronique, Difficulté psychologique, Statut socioéconomique, Coût, Aspect économique, Activité professionnelle, Handicap, Reprise travail, Homme, Etats Unis, Amérique du Nord, Amérique, Douleur, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie
Mots-clés Pascal anglais : Low back pain, Chronic, Psychological difficulty, Socioeconomic status, Costs, Economic aspect, Professional activity, Handicap, Back to work, Human, United States, North America, America, Pain, Diseases of the osteoarticular system, Spine disease, Rachialgia
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0076149
Code Inist : 002B15F. Création : 199608.