Abstract：
BACKGROUND:Long-term outcome in back pain is related mainly to cognitive factors such as pain-related beliefs and expectations. Most research has been performed on patient samples. PURPOSE:This study aimed at investigating changes over time in reported back pain, pain intensity, disability, health care consumption, and sick leave as well as biopsychosocial factors over a 12-month period. A second aim was to identify predictors of reported pain, pain intensity, disability, health care consumption, and sick leave. METHOD:As parts of a large back pain sample from a general population (n = 1,024), two groups-one with first-episode pain (n = 77) and one with long-term pain (n = 302)-responded twice to a self-administered questionnaire. Among participants reporting pain at both assessments, changes over time were analyzed and predictive models were tested. RESULTS:Generally, the results demonstrated overall stability in the self-reports over time. However, reported pain decreased in both groups, while pain catastrophizing and pain expectations increased in the first-episode group. Pain intensity and disability were predicted in regression models including four cognitive factors and initially reported levels of pain intensity and disability. CONCLUSION:The significance of pain-related beliefs and expectations both in early and later stages of a back pain condition is pointed out. The results in this study based on a sample from the general population are in line with previous research on patient samples.
journal_name
Int J Behav Medjournal_title
International journal of behavioral medicineauthors
Demmelmaier I,Asenlöf P,Lindberg P,Denison Edoi
10.1007/s12529-009-9055-3subject
Has Abstractpub_date
2010-06-01 00:00:00pages
79-89issue
2eissn
1070-5503issn
1532-7558journal_volume
17pub_type
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