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Open Access 01-11-2008 | Original Article

Relationship between psychological factors and performance-based and self-reported disability in chronic low back pain

Authors: H. R. Schiphorst Preuper, M. F. Reneman, A. M. Boonstra, P. U. Dijkstra, G. J. Versteegen, J. H. B. Geertzen, S. Brouwer

Published in: European Spine Journal | Issue 11/2008

Abstract

Cross sectional study, performed in an outpatient university based pain rehabilitation setting. To analyze the relationship between psychological factors (psychosocial distress, depression, self efficacy, self-esteem, fear of movement, pain cognitions and coping reactions) and performance-based and self-reported disability, as measured with a Functional Capacity Evaluation (FCE) and the Roland Morris Disability Questionnaire (RMDQ), in patients with chronic low back pain (CLBP). It has been suggested that a strong relationship exists between psychological factors and disability in patients with CLBP. In former research disability was often measured by self-report and seldom performance-based. Study sample consisted of 92 patients with CLBP admitted for multidisciplinary rehabilitation. Prior to treatment, all patients completed questionnaires to measure psychological factors and self-reported disability, and performed an FCE to measure performance-based disability. Correlation coefficients between psychological variables and FCE and self-reported disability were calculated. Multivariate linear regression analyses were performed with self-reported or performance based disability measures as outcome variables, and psychological measures as predictor variables. Out of 42 relations analyzed, 5 were statistically significant. This concerned one significant correlation between kinesiophobia and a subtest of FCE, and four correlations between psychological factors and RMDQ. No correlation was significant after the Bonferroni correction was applied (P < 0.001). The strength of significant correlations ranged from r = −0.33 to r = 0.25. The multivariate analysis revealed that psychological variables measured in this study could explain 19% of the variance of self-reported disability, with kinesiophobia being the only psychological variable that contributed significantly. The suggested strong relationship between psychological factors and performance-based and self-reported disability could not be confirmed in this study. This may implicate that the relationship between psychological factors and disability in patients with CLBP is not as unambiguous as suggested.

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Title: Relationship between psychological factors and performance-based and self-reported disability in chronic low back pain
Authors: H. R. Schiphorst Preuper
M. F. Reneman
A. M. Boonstra
P. U. Dijkstra
G. J. Versteegen
J. H. B. Geertzen
S. Brouwer
Publication date: 01-11-2008
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue 11/2008
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-008-0772-0

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Relationship between psychological factors and performance-based and self-reported disability in chronic low back pain

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