Crenças de medo e evitação aumentam a percepção de dor e incapacidade em mexicanos com lombalgia crônica

Q Medicine

Revista Brasileira De Reumatologia Pub Date : 2017-07-01 DOI:10.1016/j.rbr.2016.09.004

Tania Inés Nava‐Bringas, Salvador Israel Macías‐Hernández, Jorge Rodrigo Vásquez‐Ríos, Roberto Coronado‐Zarco, Antonio Miranda‐Duarte, Eva Cruz‐Medina, Aurelia Arellano‐Hernández

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引用次数: 1

Abstract

Background

Fear‐avoidance beliefs are related to the prognosis of chronicity in low back pain in subacute stages, however in chronic pain, is no clear the influence of these factors; it has been suggested that the study population can determine the magnitude of influence on disability and pain of those suffering from back pain. Currently, information does not exist in the Mexican population.

Objective

To analyze the relationship between fear‐avoidance beliefs with pain and disability in Mexicans with chronic low back pain; analyze potentials differences between subgroups according to the time of evolution.

Methods

Cross‐sectional study in Mexicans with chronic LBP aged between 18 and 45. Data were collected on general socio demographic characteristics, time of evolution, body mass index, pain, disability and fear‐avoidance beliefs.

Results

33 men and 47 women, with an average age of 34.19 ± 7.65 years. Higher scores of fear‐avoidance beliefs were obtained in women (47.2 ± 20.99 versus 38.5 ± 9.7; p = 0.05) and single participants (p = 0.04). A positive correlation was found between disability (r = 0.603, p < 0.001) and pain (r = 0.234, p = 0.03) with high scores of fear‐avoidance beliefs. Through generalized linear models for disability, total score of the fear avoidance beliefs questionnaire showed a standardized beta coefficient of 0.603, p < 0.001 (R² of 0.656); for pain showed a standardized beta coefficient of 0.29, p = 0.01 (R² of 0.721)

Conclusion

The present study suggests that there is a strong relationship between pain severity, FABQ scores, and functional disability in Mexicans with chronic LBP.

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恐惧和回避的信念增加了患有慢性腰痛的墨西哥人对疼痛和残疾的感知

背景:恐惧-回避信念与慢性腰痛亚急性期的预后有关，但在慢性疼痛中，这些因素的影响尚不清楚;有人认为，研究人群可以确定对那些患有背痛的人的残疾和疼痛的影响程度。目前，墨西哥人口中还没有相关信息。目的分析墨西哥慢性腰痛患者恐惧-回避信念与疼痛和残疾的关系;根据进化时间分析不同亚群之间的潜在差异。方法对年龄在18 - 45岁的墨西哥慢性腰痛患者进行横断面研究。收集了一般社会人口统计学特征、进化时间、体重指数、疼痛、残疾和恐惧-回避信念的数据。结果男性33例，女性47例，平均年龄34.19±7.65岁。女性的恐惧回避信念得分较高(47.2±20.99比38.5±9.7;P = 0.05)和单个参与者(P = 0.04)。残障与残疾呈正相关(r = 0.603, p <0.001)和疼痛(r = 0.234, p = 0.03)。通过残疾的广义线性模型，恐惧回避信念问卷总分的标准化贝塔系数为0.603,p <0.001 (R2为0.656);结论本研究提示墨西哥慢性腰痛患者疼痛严重程度、FABQ评分与功能失能之间存在较强的相关性。

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

Revista Brasileira De Reumatologia RHEUMATOLOGY-

CiteScore

0.82

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： RBR nasceu da necessidade de se criar um órgão oficial da SBR que pudesse divulgar a produção científica dos reumatologistas brasileiros. O primeiro número foi publicado em setembro de 1957. A partir do volume 18 (1978), passou a seis números, com periodicidade atual. A RBR, em sua trajetória, tem sido objeto de constantes mudanças, sempre visando ao seu aprimoramento e revitalização, tanto em sua apresentação como em seu conteúdo.