[Psychobehavioural assessment for chronic low back pain]
F Genêt1, E Lapeyre, A Schnitzler
1Service de médecine physique et de réadaptation, groupe hospitalier Raymond-Poincaré, hôpital maritime de Berck, 104 boulevard Raymond-Poincaré, 92380 Garches, France. genet.francois@rpc.aphp.fr
Summary
Psychobehavioural factors show weak correlations with pain and disability in chronic low back pain patients. These factors appear more debilitating than pain itself, suggesting a need for psychobehavioural therapies.
Area of Science:
- Pain Management
- Psychology
- Rehabilitation Medicine
Context:
- Chronic low back pain (CLBP) is a significant health issue in France.
- Psychobehavioural factors may influence treatment outcomes.
- Understanding these factors is crucial for effective CLBP management.
Purpose:
- To investigate the relationship between psychobehavioural factors and pain/disability in French CLBP patients.
- To assess correlations using validated questionnaires.
Summary:
- 83 CLBP patients completed the Fear-Avoidance Beliefs Questionnaire (FABQ), Coping Strategy Questionnaire (CSQ), visual analog scale (VAS) for pain, and Quebec Back Pain Disability Scale.
- Weak correlations were found between pain and anxiety/depression/FABQ scores.
- Disability showed weak correlations with FABQ scores, anxiety, and depression.
- Dramatization as a coping strategy strongly correlated with pain, disability, and psychological distress.
Impact:
- Psychobehavioural factors, particularly dramatization, are significantly associated with disability in CLBP.
- These factors may be more impactful on patient function than pain intensity alone.
- Findings support the evaluation of psychobehavioural assessments and therapies for CLBP.
