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Acute and chronic low back pain: cognitive, affective, and behavioral dimensions
H D Hadjistavropoulos1, K D Craig
1Department of Psychology, University of British Columbia, Vancouver, Canada.
Journal of Consulting and Clinical Psychology
|April 1, 1994
Summary
Acute and chronic low back pain patients share similarities, especially when symptoms don't align with anatomy. This finding impacts how healthcare providers assess and treat low back pain.
Area of Science:
- Orthopedics
- Pain Medicine
- Rehabilitation Medicine
Background:
- Limited data compares acute and chronic low back pain (LBP) patients.
- Understanding differences is crucial for effective LBP management.
Purpose of the Study:
- To conduct data-based comparisons of affective, cognitive, behavioral, and demographic factors in acute and chronic LBP patients.
- To differentiate chronic LBP patients based on symptom congruence with anatomical/physiological principles.
Main Methods:
- Comparative analysis of patient groups: acute LBP, chronic LBP congruent, and chronic LBP incongruent.
- Assessment of demographic, socioeconomic, and clinical variables.
- Observation of pain expressions during physical examination.
Main Results:
- Acute and chronic incongruent LBP patients shared characteristics like low socioeconomic status, compensation claims, opiate use, higher disability, catastrophizing, emotionality, and passive coping.
- Chronic congruent LBP patients differed significantly on these factors.
Conclusions:
- Similarities between acute and chronic incongruent LBP patients suggest shared underlying mechanisms.
- Findings have implications for refining assessment and treatment strategies for diverse low back pain populations.