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Related Experiment Videos

Predicting persistent disabling low back pain in general practice: a prospective cohort study.

Gareth T Jones1, Ruth E Johnson, Nicola J Wiles

  • 1Epidemiology Group, Department of Public Health, University of Aberdeen, Aberdeen. gareth.jones@abdn.ac.uk

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|April 28, 2006
PubMed
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Passive coping strategies significantly increase the risk of persistent disabling low back pain. Identifying patients with passive coping can help target treatments for better outcomes in chronic pain management.

Area of Science:

  • Pain Management
  • Psychosocial Factors in Health
  • Musculoskeletal Disorders

Background:

  • Coping strategies (active/passive) are used by patients experiencing pain.
  • The prognostic value of these strategies preceding chronic symptoms is unknown.
  • Understanding coping mechanisms is crucial for predicting pain prognosis.

Purpose of the Study:

  • To investigate the prognostic significance of active and passive coping styles in patients with low back pain.
  • To assess coping styles in relation to baseline pain, disability, and duration.
  • To determine if coping styles predict the development of chronic low back pain.

Main Methods:

  • Prospective cohort study conducted in nine general practices in North West England.
  • Recruited patients with a new episode of low back pain.

Related Experiment Videos

  • Assessed coping styles, pain severity, disability, and pain history via questionnaires; followed up at 3 months for persistent disabling pain.

    • Main Results:

    • High levels of passive coping were associated with a threefold increased risk of persistent disabling low back pain (RR=3.0).
    • Active coping did not show a significant association with prognosis.
    • Even after adjusting for baseline factors, passive coping remained a significant predictor (RR=1.5).

    Conclusions:

    • Passive coping strategies are linked to a significantly higher risk of persistent disabling low back pain.
    • This association remains robust even when controlling for initial pain severity and disability.
    • Identifying patients with passive coping may enable targeted interventions for those at higher risk of poor outcomes.