Differences in the relationship between psychosocial distress and self-reported disability in patients with chronic low back pain in six pain rehabilitation centers in the Netherlands.

Abstract:

STUDY DESIGN:A cross sectional multicenter study in six outpatient Rehabilitation Centers (RCs) in the Netherlands. OBJECTIVE:This study aims to confirm or refute the finding that a strong relationship exists between psychosocial distress and self-reported disability in patients with nonspecific chronic low back pain (CLBP) by analyzing this relationship in patients with CLBP admitted for treatment in six RCs. SUMMARY OF BACKGROUND DATA:A strong relationship between psychosocial distress and self-reported disability in patients with CLBP is suggested. However, in former research weak relationships were found in two of the RCs participating in this study. METHODS:Total study sample consisted of 293 patients (30-66 per RC) with CLBP, admitted for outpatient multidisciplinary rehabilitation in one of the six participating RCs. Psychosocial distress was measured with the Symptom Checklist-90-Revised (SCL-90-R), self-reported disability with the Roland Morris Disability Questionnaire (RMDQ). Pearson correlation coefficients between psychosocial distress and self-reported disability were calculated. Multivariate regression analysis was performed to analyze the relationship between SCL-90-R and VAS pain (independent variables) and RMDQ (dependent variable) for the total group and for each RC separately. A multivariate regression analysis was performed to analyze the relationship between all baseline characteristics and RMDQ in the total group. RESULTS:Correlation coefficient between the SCL-90-R and RMDQ was r = 0.38 for the total sample, indicating a significant (P < 0.05), but weak relationship. For the six individual RCs, correlation coefficients ranged between r = 0.22 and 0.67 (three of the six correlation coefficients were significant). The explained variance (r) of the regression models (SCL-90 and pain intensity as predictors of RMDQ) was 29% for the total sample, and varied between the RCs from 17% to 52%. Results of the multivariate regression analysis of all baseline characteristics of the total group revealed that the model explained 36% of the total variance observed in RMDQ score. Overall, the contributions of psychosocial distress to the models were smaller and more variable compared with pain intensity. CONCLUSION:The overall relationship between psychosocial distress and self reported disability was weak, and differences between RCs were considerable. This indicates that the relationship between psychosocial distress and disability in patients with CLBP is not uniform.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Preuper HR,Boonstra AM,Wever D,Heuts PH,Dekker JH,Smeets RJ,Brouwer S,Geertzen JH,Reneman MF

doi

10.1097/BRS.0b013e3181e8af83

subject

Has Abstract

pub_date

2011-05-20 00:00:00

pages

969-76

issue

12

eissn

0362-2436

issn

1528-1159

journal_volume

36

pub_type

杂志文章,多中心研究,随机对照试验

相关文献

SPINE文献大全
  • Effects of Training and Overtraining on Intervertebral Disc Proteoglycans.

    abstract:STUDY DESIGN:Animal experimental study. OBJECTIVE:Evaluate the effect of physical activity and overtraining condition on glycosaminoglycan concentration on the intervertebral disc (IVD) using a rat running model. SUMMARY OF BACKGROUND DATA:Some guidelines recommend the implementation of a physical exercise program as...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002368

    authors: Ueta RHS,Tarini VAF,Franciozi CES,Tamaoki MJS,Medeiros VP,Nader HB,Faloppa F

    更新日期:2018-01-01 00:00:00

  • Spondylolysis associated with Arnold-Chiari malformation and syringomyelia. A report of two cases.

    abstract:STUDY DESIGN:This is a report of two cases. OBJECTIVE:To document the occurrence and association of spondylolysis and Arnold-Chiari malformation Type I. SUMMARY OF BACKGROUND DATA:The association of spinal dysraphism has been reported with Arnold-Chiari Type II, but not with Arnold-Chiari Type I. METHODS:The senior ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199710150-00026

    authors: Bowen JD,Malanga GA

    更新日期:1997-10-15 00:00:00

  • Accuracy of magnetic resonance imaging signal intensity ratio measurements in the evaluation of multifidus muscle injury and atrophy relative to that of histological examinations.

    abstract:STUDY DESIGN:A matched-pairs animal study. OBJECTIVE:To confirm the accuracy of magnetic resonance imaging (MRI) as a means of evaluating edema and fat degeneration of the multifidus muscle by comparing measurements made using MRI with those made using histological examination. SUMMARY OF BACKGROUND DATA:MRI is consi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000286

    authors: Zhi-Jun H,Wen-Bin X,Shuai C,Zhi-Jie Z,Feng-Dong Z,Xiao-Jing Y,Ji-Ying W,Li-Li H,Feng J,Guo-Xiang F,Dan-Ju W,Shun-Wu F,Xiang-Qian F

    更新日期:2014-05-01 00:00:00

  • Can the interpedicular distance reliably assess the severity of thoracolumbar burst fractures?

    abstract:STUDY DESIGN:Retrospective analysis of 260 patients with acute spine fractures treated at a tertiary trauma center from 1989 to 2009. OBJECTIVE:To correlate the Interpedicular distance (IPD) to the percentage of narrowing of the spinal canal and to the presence of neurological deficit and laminar fracture in thoracolu...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318237b0cf

    authors: Caffaro MF,Avanzi O

    更新日期:2012-02-15 00:00:00

  • Laboratory testing of segmental spinal instrumentation versus traditional Harrington instrumentation for scoliosis treatment.

    abstract::The authors have tested 51 instrumented calf spines in vitro, using a scoliosis simulator, to evaluate the adequacy of fixation and nature of acute failure seen with various methods of scoliosis instrumentation. Tests were performed in compressive loading, rotation, and forward bending on the following instrumentation...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198205000-00012

    authors: Wenger DR,Carollo JJ,Wilkerson JA Jr,Wauters K,Herring JA

    更新日期:1982-05-01 00:00:00

  • A biomechanical analysis of metastatic vertebral collapse of the thoracic spine: a sheep model study.

    abstract:STUDY DESIGN:This is a biomechanical study using sheep thoracic spine to investigate the probability of mechanical failure of the thoracic spine with various sizes or locations of tumor metastasis. OBJECTIVE:The objectives of this study were to investigate biomechanical effects of not only tumor sizes within the thora...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200405010-00008

    authors: Ebihara H,Ito M,Abumi K,Taneichi H,Kotani Y,Minami A,Kaneda K

    更新日期:2004-05-01 00:00:00

  • Chronic cervical pain: radiculopathy or brachialgia. Noninterventional treatment.

    abstract::Chronic cervical pain is not always attributable to radiculopathy. Pain may derive from peripheral myofascial syndromes and/or central inflammatory root irritation from degradation of discal proteoglycans. This concept is presented with its application in 30 patients with follow-up observations up to 30 months. Twelve...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199210001-00004

    authors: Rosomoff HL,Fishbain D,Rosomoff RS

    更新日期:1992-10-01 00:00:00

  • Local application of disc-related cytokines on spinal nerve roots.

    abstract:STUDY DESIGN:To analyze the effects of tumor necrosis factor-alpha, interleukin-1beta, and interferon-gamma on cauda equina function and to define if any of these cytokines could induce nerve root dysfunction comparable with the situation with application of nucleus pulposus. SUMMARY OF BACKGROUND DATA:Proinflammatory...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200208010-00004

    authors: Aoki Y,Rydevik B,Kikuchi S,Olmarker K

    更新日期:2002-08-01 00:00:00

  • Dynamic response of human cervical spine ligaments.

    abstract::This study was undertaken to investigate the dynamic response of human cervical spine ligaments. Uniaxial tensile failure tests were conducted on anterior longitudinal ligament (AL) and ligamentum flavum (LF) structures. These ligaments were tested under in situ conditions by transecting all the elements except the on...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198910000-00013

    authors: Yoganandan N,Pintar F,Butler J,Reinartz J,Sances A Jr,Larson SJ

    更新日期:1989-10-01 00:00:00

  • Measurement techniques for lower cervical spine injuries: consensus statement of the Spine Trauma Study Group.

    abstract:STUDY DESIGN:Literature review. OBJECTIVES:It was the purpose of the Spine Trauma Study Group to compile a collection of clinically useful imaging methods used in lower cervical spine trauma and to describe in detail how these measurements should be made. SUMMARY OF BACKGROUND DATA:Injury detection, description, and ...

    journal_title:Spine

    pub_type: 共识发展会议,杂志文章,评审

    doi:10.1097/01.brs.0000201273.39058.dd

    authors: Bono CM,Vaccaro AR,Fehlings M,Fisher C,Dvorak M,Ludwig S,Harrop J

    更新日期:2006-03-01 00:00:00

  • Severe progressive osteoporotic spine deformity with cardiopulmonary impairment in a young patient. A case report.

    abstract:STUDY DESIGN:This report describes a young patient with a rapidly progressive kyphosis caused by collapse of a severely osteoporotic thoracolumbar spine, which led to impairment of cardiopulmonary function. OBJECTIVES:To highlight the treatment strategy, difficulty of diagnosis, operative stabilization, and outcome. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199903010-00020

    authors: Noorda RJ,Wuisman PI,Fidler MW,Lips PT,Winters HA

    更新日期:1999-03-01 00:00:00

  • Traumatic instabilities of the cervical spine caused by high-speed axial compression in a human model. An in vitro biomechanical study.

    abstract:STUDY DESIGN:Traumatic injury of the cervical spine was produced on human cadavers and evaluated with instability tests and radiographs. OBJECTIVE:To relate traumatic injuries of the cervical spine to instability and patterns of traumatic injury to different levels of impact energy. SUMMARY OF BACKGROUND DATA:Data fr...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199903010-00006

    authors: Zhu Q,Ouyang J,Lu W,Lu H,Li Z,Guo X,Zhong S

    更新日期:1999-03-01 00:00:00

  • A trial of modern rehabilitation for chronic low-back pain and disability. Vocational outcome and effect of pain modulation.

    abstract::Of 66 nonoperated low-back pain patients who entered a 4-week program of modern active rehabilitation after 13 months' sick leave, only 15 (23%) had returned to work at 18 months' follow-up. Effective pain modulation with pool traction did not influence the vocational status or pain level at the time of follow-up. The...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007632-199104000-00012

    authors: Oland G,Tveiten G

    更新日期:1991-04-01 00:00:00

  • Spinal-thoracic dumbbell meningioma: a case report.

    abstract:STUDY DESIGN:Total excision of a large dumbbell cervicothoracic intra- and extraspinal meningioma that had grown into the posterior mediastinum is described. This excision involved a two-step neurosurgical-thoracosurgical procedure within a short interval. OBJECTIVES:To document that the described laminectomy and thor...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200107010-00026

    authors: Buchfelder M,Nomikos P,Paulus W,Rupprecht H

    更新日期:2001-07-01 00:00:00

  • Preoperative Radiographic Parameters to Predict a Higher Pseudarthrosis Rate After Anterior Cervical Discectomy and Fusion.

    abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:To determine whether postoperative pseudarthrosis can be predicted from specific preoperative radiograph measurements. SUMMARY OF BACKGROUND DATA:Various factors reportedly influence the occurrence of pseudarthrosis after anterior cervical discectomy and fusion (ACDF). Howe...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002219

    authors: Choi SH,Cho JH,Hwang CJ,Lee CS,Gwak HW,Lee DH

    更新日期:2017-12-01 00:00:00

  • Lumbar posterior marginal node (LPMN) in adults. Report of fifteen cases.

    abstract::This report concerns 15 adults (nine men and six women) who experienced lumbar and sciatic pain associated with an unusual defect of the edges of the vertebral bodies together with a small bony ridge protruding into the spinal canal. This lesion was well demonstrated by computed tomography and easily differentiated fr...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199212000-00011

    authors: Leroux JL,Fuentes JM,Baixas P,Benezech J,Chertok P,Blotman F

    更新日期:1992-12-01 00:00:00

  • Anatomical gender differences in cervical vertebrae of size-matched volunteers.

    abstract:STUDY DESIGN:Clinical literature consistently identifies women as more susceptible to trauma-related neck pain, commonly resulting from soft tissue cervical spine injury. Structural gender differences may explain altered response to dynamic loading in women leading to increased soft tissue distortion and greater injury...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318160462a

    authors: Stemper BD,Yoganandan N,Pintar FA,Maiman DJ,Meyer MA,DeRosia J,Shender BS,Paskoff G

    更新日期:2008-01-15 00:00:00

  • Spinal stenosis and disc herniation in a 14-year-old male. A case report.

    abstract::Spinal stenosis should be considered in the differential diagnosis of disc disease when evaluating an adolescent presenting with unrelenting back and leg pain. Although they typically exhibit mechanical signs alone without neurological findings, they nevertheless may prove more vulnerable to rapidly progressive neurol...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198808000-00016

    authors: Epstein NE,Epstein JA,Carras R

    更新日期:1988-08-01 00:00:00

  • Patient outcomes after decompression and instrumented posterior spinal fusion for degenerative spondylolisthesis.

    abstract:STUDY DESIGN:A retrospective study of patient outcomes after decompression and fusion for degenerative spondylolisthesis, using the SF-36 survey and a functional questionnaire. SUMMARY OF BACKGROUND DATA:In recent studies, patient outcomes have been examined more specifically; however, detailed functional outcomes are...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199903150-00012

    authors: Nork SE,Hu SS,Workman KL,Glazer PA,Bradford DS

    更新日期:1999-03-15 00:00:00

  • Survival rates of patients with metastatic spinal cancer after scintigraphic detection of abnormal radioactive accumulation.

    abstract:STUDY DESIGN:This retrospective study analyzes the timing of spinal metastases and the survivability of patients with cancer after the detection of spinal metastases. OBJECTIVE:To evaluate the timing of spinal metastases in primary lesions and the survivability of patients with metastatic spinal tumors. SUMMARY OF BA...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199609150-00017

    authors: Tatsui H,Onomura T,Morishita S,Oketa M,Inoue T

    更新日期:1996-09-15 00:00:00

  • Forces in the halo-vest apparatus.

    abstract::A previous study by Koch and Nickel (1978) determined the changes in the distraction forces in the halo-vest during different activities. The present study determined the variations of forces in different directions between the halo and the vest also during different activities. Clip-on strain gauges were used to meas...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198411000-00001

    authors: Walker PS,Lamser D,Hussey RW,Rossier AB,Farberov A,Dietz J

    更新日期:1984-11-01 00:00:00

  • Complications, Readmissions, and Reoperations in Posterior Cervical Fusion.

    abstract:STUDY DESIGN:Retrospective cohort study of the American College of Surgeons National Surgical Quality Improvement Program database from 2011 to 2012. OBJECTIVE:Minimizing the morbidity of posterior cervical fusion can be improved with identification of patient risk factors. SUMMARY OF BACKGROUND DATA:Posterior cervic...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001564

    authors: Medvedev G,Wang C,Cyriac M,Amdur R,O'Brien J

    更新日期:2016-10-01 00:00:00

  • Disc pathology after whiplash injury. A prospective magnetic resonance imaging and clinical investigation.

    abstract:STUDY DESIGN:This study was used to evaluate the relationship between magnetic resonance imaging findings and clinical findings after whiplash injury. OBJECTIVES:To identify initial soft-tissue damage after whiplash injury, the development of disc pathology, and the relationship of disc pathology to clinical findings....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199702010-00010

    authors: Pettersson K,Hildingsson C,Toolanen G,Fagerlund M,Björnebrink J

    更新日期:1997-02-01 00:00:00

  • The correlation between surface measurement of head and neck posture and the anatomic position of the upper cervical vertebrae.

    abstract:STUDY DESIGN:Repeated measurements were made of surface postural angles registering the relative positions of the head and neck in photographs and of angles of the upper cervical vertebrae recorded in lateral cephalometric radiographs in the same subjects. For all registrations, subjects assumed the natural head rest p...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199804150-00015

    authors: Johnson GM

    更新日期:1998-04-15 00:00:00

  • Relationship Between Proprioception and Pain and Disability in People With Non-Specific Low Back Pain: A Systematic Review With Meta-Analysis.

    abstract:STUDY DESIGN:Systematic review with meta-analysis. OBJECTIVE:To examine the association between proprioception and pain and disability in people with non-specific low back pain (NSLBP) and the impact of potential moderators on the strength of the association. SUMMARY OF BACKGROUND DATA:NSLBP is a common musculoskelet...

    journal_title:Spine

    pub_type: 杂志文章,meta分析

    doi:10.1097/BRS.0000000000002917

    authors: Lin J,Halaki M,Rajan P,Leaver A

    更新日期:2019-05-15 00:00:00

  • Patient's Subjective Impression of Cervical Range of Motion: A Mixed-methods Approach.

    abstract:STUDY DESIGN:Mixed-method. OBJECTIVE:To evaluate the association between objective and subjective cervical range of motion (ROM) among patients with neck pain, and to assess the awareness of impairments. SUMMARY OF BACKGROUND DATA:Cervical ROM is frequently used to evaluate neck pain, but it is also important to know...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002627

    authors: Langenfeld A,Bastiaenen C,Sieben J,Humphreys BK,Swanenburg J

    更新日期:2018-09-15 00:00:00

  • Extradural nodular fasciitis arising in the spinal canal.

    abstract:STUDY DESIGN:Case report. OBJECTIVE:To describe a patient with nodular fasciitis arising in the lumbar extradural space. SUMMARY OF BACKGROUND DATA:Nodular fasciitis is a benign proliferation of fibroblasts and myofibroblasts. It commonly occurs in the subcutaneous tissue of an upper extremity, trunk, head, and neck,...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318224568a

    authors: Kubota K,Okada S,Maeda T,Matsumoto Y,Sakamoto A,Harimaya K,Saiwai H,Kumamaru H,Oda Y,Iwamoto Y

    更新日期:2012-01-15 00:00:00

  • Measuring outcomes in back care.

    abstract:STUDY DESIGN:Narrative review. OBJECTIVE:Describe current issues of outcomes assessment in spine research, with a focus on their application to advocacy oriented research. SUMMARY OF BACKGROUND DATA:Outcomes measurement in back pain has advanced substantially over the past decade. METHODS:Qualitative assessment of o...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e318053d45f

    authors: Carey TS,Mielenz TJ

    更新日期:2007-05-15 00:00:00

  • Pre-injury emotional trauma and chronic back pain. An unexpected finding.

    abstract:STUDY DESIGN:A retrospective study investigated pre-injury emotional trauma in out-of-work, blue collar patients with chronic back pain (N = 27) who participated in a 30-hour workshop in which a wide range of cognitive skills was taught to help patients with rehabilitation and return them to work. OBJECTIVES:This stud...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199405001-00008

    authors: Blair JA,Blair RS,Rueckert P

    更新日期:1994-05-15 00:00:00

  • Do PROMIS Physical Function, Pain Interference, and Depression Correlate to the Oswestry Disability Index and Neck Disability Index in Spine Trauma Patients?

    abstract:STUDY DESIGN:Correlational study. OBJECTIVE:In spine trauma patients, we aimed to assess the correlation of patient-reported outcome measurement information system (PROMIS) physical function (PF), pain interference (PI), and Depression scores with Oswestry Disability Index (ODI) and Neck Disability Index (NDI) ODI/NDI...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003376

    authors: Bernstein DN,Greenstein AS,D'Amore T,Mesfin A

    更新日期:2020-06-01 00:00:00