Even Worse - Risk Factors and Protective Factors for Transition from Chronic Localized Low Back Pain to Chronic Widespread Pain in General Practice: A Cohort Study
| Autor: | Konstantin Strauch, Annika Viniol, Markus Brugger, Corinna Leonhardt, Annette Becker, Jürgen Barth, Nikita Jegan, Erika Baum |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors General Practice Sex Factors Risk Factors Germany Adaptation Psychological Back pain Medicine Humans Orthopedics and Sports Medicine Prospective Studies Prospective cohort study Depression (differential diagnoses) Aged Chronic Pain Low Back Pain Pain Generalization Primary Care Widespread Pain business.industry Incidence Chronic pain Middle Aged Protective Factors Resilience Psychological medicine.disease Low back pain Psychophysiologic Disorders Physical therapy Disease Progression Anxiety Female Neurology (clinical) medicine.symptom business human activities Somatization Cohort study |
| Zdroj: | Spine 40, E890-E899 (2015) |
| ISSN: | 1528-1159 |
| Popis: | STUDY DESIGN: Prospective cohort study with chronic low back pain patients at primary care setting. OBJECTIVE: The aim of our study was to identify predictors for transition from localized chronic low back pain to chronic widespread pain in general practice. In contrast to the typically investigated risk factors, this study also focuses intensively on protective factors, which decrease the probability of chronic widespread pain. For this, we investigated the resources resilience and coping strategies, which are suspected as potential protective factors for incident chronic pain syndromes. SUMMARY OF BACKGROUND DATA: In primary care, about a quarter of chronic low back pain (CLBP) patients suffer from chronic widespread pain (CWP). METHODS: Patients suffering from localized chronic low back pain were included and evaluated after a 6 and 12 months follow up period regarding the development of CWP. Potential risk factors (sociodemographic data, pain characteristics, depression, anxiety, somatization), protective factors (resilience, coping strategies), and sample characteristics were assessed at baseline. Predictor identification was done by multivariate logistic regression analysis. RESULTS: The one-year-incidence for the onset of CWP among CLBP patients was 23.8%. We identified the three risk factors female gender, long duration of back pain and a high rate of psychosomatic symptoms for the onset of CWP among CLBP patients. Coping resources and resilience had no impact on the transition from CLBP to CWP. CONCLUSIONS: The results suggest that CWP is no independent entity, but rather a particularly negative occurrence on a continuum of chronic pain. Processes of somatization play a major role in the development of this extreme. |
| Databáze: | OpenAIRE |
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