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A Systematic Review of Psychological Factors as Predictors of Chronicity/Disability in Prospective Cohorts of Low Back Pain

Spine · 2002 · Vol. 27(5) · pp. E109–E120

Tamar Pincus✉(Royal Holloway University of London)Kim BurtonSteven Vogel(University College of Osteopathy)Andy P. Field(University of Sussex)

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Abstract

Psychological factors (notably distress, depressive mood, and somatization) are implicated in the transition to chronic low back pain. The development and testing of clinical interventions specifically targeting these factors is indicated. In view of the importance attributed to other psychological factors (particularly coping strategies and fear avoidance) there is a need to clarify their role in back-related disability through rigorous prospective studies.

Musculoskeletal pain and rehabilitation Fibromyalgia and Chronic Fatigue Syndrome Research Health Systems, Economic Evaluations, Quality of LifeMedicineSomatizationPsychological interventionMoodClinical psychologyBiopsychosocial modelLow back painAnxietyPain catastrophizingCoping (psychology)

MeSH terms

Adaptation, PsychologicalChronic DiseaseDepressionDisability EvaluationFearHumansProspective StudiesPsychologyRisk FactorsSomatoform DisordersCohort StudiesConfounding Factors, EpidemiologicLow Back Pain

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1,620

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25.76

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Cited by

Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society