| Titre : | Pain catastrophizing and kinesiophobia : Predictors of chronic low back pain. (2002) |
| Auteurs : | Hsusan-J PICAVET ; SCHOUTEN (Jan-Sag) : NLD. Department of Epidemiology. University of Maastricht. Maastricht. ; VLAEYEN (Johan-Ws) : NLD. Department of Medical. Clinical and Experimental Psychology. University of Maastricht. Maastricht. ; Department of Chronic Disease Epidemiology. National Institute for Public Health and the Environment. Bilthoven. NLD |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 156, n° 11, 2002) |
| Pagination : | 1028-1034 |
| Langues: | Anglais |
| Mots-clés : | Lombalgie ; Homme ; Epidémiologie ; Europe ; Facteur risque ; Questionnaire ; Fonction cognitive ; Emotivité ; Douleur ; Système ostéoarticulaire [pathologie] ; Rachis [pathologie] ; Pays Bas |
| Résumé : | [BDSP. Notice produite par INIST-CNRS ZWU2PR0x. Diffusion soumise à autorisation]. By using a population-based cohort of the general Dutch population, the authors studied whether an excessively negative orientation toward pain (pain catastrophizing) and fear of movement/ (re) injury (kinesiophobia) are important in the etiology of chronic low back pain and associated disability, as clinical studies have suggested. A total of 1,845 of the 2,338 inhabitants (without severe disease) aged 25-64 years who participated in a 1998 population-based questionnaire survey on musculoskeletal pain were sent a second questionnaire after 6 months ; 1,571 (85 percent) participated. For subjects with low back pain at baseline, a high level of pain catastrophizing predicted low back pain at follow-up (odds ratio (OR)=1.7,95% confidence interval (Cl) : 1.0,2.8) and chronic low back pain (OR=1.7,95% Cl : 1.0,2.3), in particular severe low back pain (OR=3.0,95% Cl : 1.7,5.2) and low back pain with disability (OR=3.0,95% Cl : 1.7,5.4). A high level of kinesiophobia showed similar associations. The significant associations remained after adjustment for pain duration, pain severity, or disability at baseline. For those without low back pain at baseline, a high level of pain catastrophizing or kinesiophobia predicted low back pain with disability during follow-up. These cognitive and emotional factors should be considered when prevention programs are developed for chronic low back pain and related disability. |
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