Fear-avoidance beliefs are associated with changes of back shape and function.

IF 3.1 Q2 NEUROSCIENCES
Pain Reports Pub Date : 2025-03-21 eCollection Date: 2025-04-01 DOI:10.1097/PR9.0000000000001249
Nima Taheri, Luis Becker, Lena Fleig, Karolina Kolodziejczak, Lea Cordes, Bernhard U Hoehl, Ulrike Grittner, Lukas Mödl, Hendrik Schmidt, Matthias Pumberger
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引用次数: 0

Abstract

Introduction: Psychosocial function in people with chronic low back pain (cLBP) is often impaired, indicating poor well-being. Fear-avoidance beliefs (FAB) are common concomitants of cLBP. Fear-avoidance beliefs are gaining attention as a potential prognostic factor for chronification and resulting disability in cLBP. This article aims to examine the associations of back function with FAB.

Methods: This study presents data from a cohort study (DRKS00027907). In the present cross-sectional analyses, we included 914 participants (480 nonchronic LBP [ncLBP], 227 cLBP, 207 asymptomatic). Fear-avoidance beliefs were assessed using the fear-avoidance belief questionnaire (FABQ). The association between the FAB and clinical measures (Ott and Schober test, the sit-to-stand test [STS], and the finger-floor distance [FFD]) were analyzed. Back shape and function were also measured using a noninvasive device. The association between FABQ scores and clinical measures was assessed using age, body mass index, sex, and pain intensity-adjusted multiple linear regression models.

Results: Associations between FAB and both clinical (Ott, Schober, STS, FFD) and noninvasive device measures were small. All relevant clinical measures were attenuated in individuals with elevated FAB.

Discussion: We were able to demonstrate the association of both back shape and function in both clinical tests and noninvasive device measurements with self-reported fear-avoidance beliefs. However, the effect sizes were small. This may be attributed to the different assessment methods (objective vs self-report), resulting in reduced common method variance. In addition to the FAB, there may be other factors (eg, altered neuronal pathways; actual avoidance behavior such as reduced physical activity) that contribute to functional impairment.

恐惧回避信念与背部形状和功能的变化有关。
导言:慢性腰背痛(cLBP)患者的社会心理功能通常会受到损害,这表明他们的幸福感很差。恐惧-回避信念(FAB)是慢性腰背痛的常见并发症。作为慢性化和导致 cLBP 残疾的潜在预后因素,恐惧回避信念正受到越来越多的关注。本文旨在研究背部功能与 FAB 的关联:本研究提供了一项队列研究(DRKS00027907)的数据。在本横断面分析中,我们纳入了 914 名参与者(480 名非慢性枸杞多糖症患者 [ncLBP]、227 名慢性枸杞多糖症患者、207 名无症状患者)。我们使用恐惧-回避信念问卷(FABQ)对恐惧-回避信念进行了评估。分析了 FAB 与临床测量(Ott 和 Schober 测试、坐立测试 [STS] 和指地距离 [FFD])之间的关联。此外,还使用无创设备测量了背部形状和功能。使用年龄、体重指数、性别和疼痛强度调整后的多元线性回归模型评估了 FABQ 分数与临床指标之间的关联:结果:FAB 与临床指标(Ott、Schober、STS、FFD)和无创设备指标之间的关联很小。在 FAB 升高的人群中,所有相关临床指标均有所下降:讨论:我们能够证明临床测试和非侵入性设备测量中的背部形状和功能与自我报告的恐惧逃避信念有关。然而,效应大小很小。这可能是由于采用了不同的评估方法(客观与自我报告),导致共同方法方差减小。除了 FAB 之外,可能还有其他因素(例如,神经元通路的改变;实际的回避行为,如减少体力活动)会导致功能障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pain Reports
Pain Reports Medicine-Anesthesiology and Pain Medicine
CiteScore
7.50
自引率
2.10%
发文量
93
审稿时长
8 weeks
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