Psychosocial differences in high risk versus low risk acute low-back pain patients

被引：21

作者：

Pulliam, CB ^{[1
]}

Gatchel, RJ ^{[1
]}

Gardea, MA ^{[1
]}

机构：

[1] Univ Texas, SW Med Ctr, Dallas, TX 75235 USA

来源：

JOURNAL OF OCCUPATIONAL REHABILITATION | 2001年 / 11卷 / 01期

基金：

美国国家卫生研究院;

关键词：

low-back pain; high and low risk patients; psychosocial assessment; biopsychosocial perspective;

D O I：

10.1023/A:1016604208480

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

The current study built upon previous research that predicted with 90.7%, accuracy which patients presenting with acute low-back pain go on to develop chronic disability problems. Fifty-seven patients were classified as high risk (HR) or lo,v risk (LR) according to a predictive algorithm, and were evaluated with a variety of psychosocial measures. Overall, HR patients had more Axis I pathology than ER patients, and used poorer coping styles. Logistic regression analyses identified variables that differentiated with 80% accuracy between? the HR and LR patients. The results highlight the importance of identifying patients who are at risk for developing chronic pain following acute injury so that prophylactic intervention can be offered before chronic pain disability status becomes entrenched.

引用

页码：43 / 52

页数：10