Juan José Montaño, Elena Gervilla, Rafael Jiménez, Albert Sesé
{"title":"From acute to chronic low back pain: the role of negative emotions.","authors":"Juan José Montaño, Elena Gervilla, Rafael Jiménez, Albert Sesé","doi":"10.1080/13548506.2025.2478657","DOIUrl":null,"url":null,"abstract":"<p><p>Low back pain (LBP) constitutes a persistent and burdensome condition, frequently intricately intertwined with negative emotional states. The focus of this study is to discern distinct patterns of negative emotions among individuals experiencing Acute Low Back Pain (ALBP) and Chronic Low Back Pain (CLBP), in comparison to a pain-free control group. The study endeavors to harness the potential of artificial intelligence (AI) models in evaluating the discriminatory capacity of these emotions within the groups, thus addressing the issue of pain chronicity. The participant cohort consisted of 54 chronic patients, 44 acute, and 51 pain-free individuals for comparison purposes. Using Artificial Neural Networks (ANN), the study unveiled discernible patterns of emotional association. Significant disparities in emotional experiences emerged between acute and chronic patients. Anxiety assumed an essential role following the onset of LBP, whereas in the chronic group, depression took precedence, accompanied by an escalation in both anger and anxiety-related comorbidity. It's crucial to emphasize the absence of discernible variations in pain intensity between chronic and acute patients. These findings hold considerable implications, as they contribute to the refinement of LBP diagnosis and proactively hinder its progression. By unraveling the intricate interplay between negative emotions and the temporal course of LBP, this study deepens our comprehension and lays the groundwork for interventions addressing both the physical and emotional dimensions. These insights provide valuable input for effective diagnostic and therapeutic strategies, thereby alleviating the burden of chronic LBP on individuals and healthcare systems.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.3000,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology Health & Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13548506.2025.2478657","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Low back pain (LBP) constitutes a persistent and burdensome condition, frequently intricately intertwined with negative emotional states. The focus of this study is to discern distinct patterns of negative emotions among individuals experiencing Acute Low Back Pain (ALBP) and Chronic Low Back Pain (CLBP), in comparison to a pain-free control group. The study endeavors to harness the potential of artificial intelligence (AI) models in evaluating the discriminatory capacity of these emotions within the groups, thus addressing the issue of pain chronicity. The participant cohort consisted of 54 chronic patients, 44 acute, and 51 pain-free individuals for comparison purposes. Using Artificial Neural Networks (ANN), the study unveiled discernible patterns of emotional association. Significant disparities in emotional experiences emerged between acute and chronic patients. Anxiety assumed an essential role following the onset of LBP, whereas in the chronic group, depression took precedence, accompanied by an escalation in both anger and anxiety-related comorbidity. It's crucial to emphasize the absence of discernible variations in pain intensity between chronic and acute patients. These findings hold considerable implications, as they contribute to the refinement of LBP diagnosis and proactively hinder its progression. By unraveling the intricate interplay between negative emotions and the temporal course of LBP, this study deepens our comprehension and lays the groundwork for interventions addressing both the physical and emotional dimensions. These insights provide valuable input for effective diagnostic and therapeutic strategies, thereby alleviating the burden of chronic LBP on individuals and healthcare systems.
期刊介绍:
Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management.
For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.