Am J Epidemiol 2002; 156:1028-1034.
Copyright © 2002 by Johns
Hopkins Bloomberg School of Public Health
ORIGINAL CONTRIBUTIONS |
Pain Catastrophizing and Kinesiophobia: Predictors of Chronic Low Back Pain
1 Department of Chronic Disease Epidemiology, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
2 Department of Medical, Clinical and Experimental Psychology, University of Maastricht, Maastricht, the Netherlands.
3 Department of Epidemiology, University of Maastricht, Maastricht, the Netherlands.
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 (CI): 1.0, 2.8) and chronic low back pain (OR = 1.7, 95% CI: 1.0, 2.3), in particular severe low back pain (OR = 3.0, 95% CI: 1.7, 5.2) and low back pain with disability (OR = 3.0, 95% CI: 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.
back pain; cognition disorders; emotions; pain; population; questionnaires
Abbreviations: Abbreviations: CI, confidence interval; DMC3, Dutch population-based Musculoskeletal Complaints and Consequences Cohort; OR, odds ratio; TSK, Tampa Scale of Kinesiophobia.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  D. C Poulter On "Ilial anterior rotation..." Vaughn HT, Nitsch W. Phys Ther. 2008;88:1578-1590. Physical Therapy, May 1, 2009; 89(5): 507 - 508. [Full Text] [PDF]
|
|
|
|
 |
|
 W. J. Hanney, M. J. Kolber, and K. S. Beekhuizen Implications for Physical Activity in the Population With Low Back Pain American Journal of Lifestyle Medicine, January 1, 2009; 3(1): 63 - 70. [Abstract] [PDF]
|
|
|
|
 |
|
 O. R. Lightsey Jr, A. G. Wells, M.-C. Wang, T. Pietruszka, A. Ciftci, and B. Stancil Emotion-Oriented Coping, Avoidance Coping, and Fear of Pain as Mediators of the Relationship Between Positive Affect, Negative Affect, and Pain-Related Distress Among African American and Caucasian College Women The Counseling Psychologist, January 1, 2009; 37(1): 116 - 146. [Abstract] [PDF]
|
|
|
|
 |
|
 M. J. Bair, J. Wu, T. M. Damush, J. M. Sutherland, and K. Kroenke Association of Depression and Anxiety Alone and in Combination With Chronic Musculoskeletal Pain in Primary Care Patients Psychosom Med, October 1, 2008; 70(8): 890 - 897. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Croft and E. Hay Osteoarthritis in primary care. BMJ, October 28, 2006; 333(7574): 867 - 868. [Full Text] [PDF]
|
|
|
|
 |
|
 J. Martindale, J. Smith, C. J. Sutton, D. Grennan, L. Goodacre, and J. A. Goodacre Disease and psychological status in ankylosing spondylitis Rheumatology, October 1, 2006; 45(10): 1288 - 1293. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. J. Sullivan, H. Adams, T. Rhodenizer, and W. D Stanish A Psychosocial Risk Factor-Targeted Intervention for the Prevention of Chronic Pain and Disability Following Whiplash Injury Physical Therapy, January 1, 2006; 86(1): 8 - 18. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. A. McLean, D. J. Clauw, J. L. Abelson, and I. Liberzon The Development of Persistent Pain and Psychological Morbidity After Motor Vehicle Collision: Integrating the Potential Role of Stress Response Systems Into a Biopsychosocial Model Psychosom Med, September 1, 2005; 67(5): 783 - 790. [Abstract] [Full Text] [PDF]
|
|