Early postoperative fear of movement predicts pain, disability, and physical health six months after spinal surgery for degenerative conditions
Abstract Background context The fear-avoidance model offers a promising framework for understanding the development of chronic postoperative pain and disability. However, limited research has examined this model in patients undergoing spinal surgery. Purpose To determine whether preoperative and ear...
Gespeichert in:
| Veröffentlicht in: | The spine journal 2014-05, Vol.14 (5), p.759-767 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 767 |
|---|---|
| container_issue | 5 |
| container_start_page | 759 |
| container_title | The spine journal |
| container_volume | 14 |
| creator | Archer, Kristin R., PhD, DPT Seebach, Caryn L., PsyD Mathis, Shannon L., PhD Riley, Lee H., MD Wegener, Stephen T., PhD |
| description | Abstract Background context The fear-avoidance model offers a promising framework for understanding the development of chronic postoperative pain and disability. However, limited research has examined this model in patients undergoing spinal surgery. Purpose To determine whether preoperative and early postoperative fear of movement predicts pain, disability, and physical health at 6 months following spinal surgery for degenerative conditions, after controlling for depressive symptoms and other potential confounding variables. Study design/setting A prospective cohort study conducted at an academic outpatient clinic. Patient sample One hundred forty-one patients undergoing surgery for lumbar or cervical degenerative conditions. Outcome measures Self-reported pain and disability were measured with the Brief Pain Inventory and the Oswestry Disability Index/Neck Disability Index, respectively. The physical composite scale of the 12-Item Short-Form Health Survey (SF-12) measured physical health. Methods Data collection occurred preoperatively and at 6 weeks and 6 months following surgery. Fear of movement was measured with the Tampa Scale for Kinesiophobia and depression with the Prime-MD PHQ-9. Results One hundred and twenty patients (85% follow-up) completed the 6-month postoperative assessment. Multivariable mixed-method linear regression analyses found that early postoperative fear of movement (6 weeks) predicted pain intensity, pain interference, disability, and physical health at 6-month follow-up (p |
| doi_str_mv | 10.1016/j.spinee.2013.06.087 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1518620417</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1529943013012096</els_id><sourcerecordid>1518620417</sourcerecordid><originalsourceid>FETCH-LOGICAL-c417t-587452d9bd1c44c6d1f252bd6de58faa74f927316b9a696664b0e9f88a0021eb3</originalsourceid><addsrcrecordid>eNqFUsFu1TAQjBCIlsIfIOQjhybYTuLEFyRUFahUiQNwthx70-dHnh28zlPzFfwyjl7bAxckS7bkmZ3dmS2Kt4xWjDLxYV_h7DxAxSmrKyoq2nfPinPWd33JRM2f53fLZSmbmp4VrxD3lGYI4y-LM95wxqiU58Wfax2nlcwBU5gh6uSOQEbQkYSRHMIRDuATmSNYZxKSWTt_SaxDPbjJpfWSaG_JvFvRGT2RHegp7Qi6-8z1aYdEjwki2TrN37jEO4grGUMkFu7APwqa4K1LLnh8XbwY9YTw5uG-KH5-vv5x9bW8_fbl5urTbWka1qWy7bum5VYOlpmmMcKykbd8sMJC249ad80oeVczMUgtpBCiGSjIse81pZzBUF8U70915xh-L4BJHRwamCbtISyoWMt6wWkWy9DmBDUxIEYY1RzdQcdVMaq2KNRenaJQWxSKCpV9zrR3DwrLcAD7RHr0PgM-ngCQ5zw6iAqNA2-y1RFMUja4_yn8W8BMzm9B_IIVcB-WmF3Psyjkiqrv2zps28Dy4VSK-i_PgLRm</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1518620417</pqid></control><display><type>article</type><title>Early postoperative fear of movement predicts pain, disability, and physical health six months after spinal surgery for degenerative conditions</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Archer, Kristin R., PhD, DPT ; Seebach, Caryn L., PsyD ; Mathis, Shannon L., PhD ; Riley, Lee H., MD ; Wegener, Stephen T., PhD</creator><creatorcontrib>Archer, Kristin R., PhD, DPT ; Seebach, Caryn L., PsyD ; Mathis, Shannon L., PhD ; Riley, Lee H., MD ; Wegener, Stephen T., PhD</creatorcontrib><description>Abstract Background context The fear-avoidance model offers a promising framework for understanding the development of chronic postoperative pain and disability. However, limited research has examined this model in patients undergoing spinal surgery. Purpose To determine whether preoperative and early postoperative fear of movement predicts pain, disability, and physical health at 6 months following spinal surgery for degenerative conditions, after controlling for depressive symptoms and other potential confounding variables. Study design/setting A prospective cohort study conducted at an academic outpatient clinic. Patient sample One hundred forty-one patients undergoing surgery for lumbar or cervical degenerative conditions. Outcome measures Self-reported pain and disability were measured with the Brief Pain Inventory and the Oswestry Disability Index/Neck Disability Index, respectively. The physical composite scale of the 12-Item Short-Form Health Survey (SF-12) measured physical health. Methods Data collection occurred preoperatively and at 6 weeks and 6 months following surgery. Fear of movement was measured with the Tampa Scale for Kinesiophobia and depression with the Prime-MD PHQ-9. Results One hundred and twenty patients (85% follow-up) completed the 6-month postoperative assessment. Multivariable mixed-method linear regression analyses found that early postoperative fear of movement (6 weeks) predicted pain intensity, pain interference, disability, and physical health at 6-month follow-up (p<.05). Preoperative and early postoperative depression predicted pain interference, disability, and physical health. Conclusion Results provide support for the fear-avoidance model in a postsurgical spine population. Early postoperative screening for fear of movement and depressive symptoms that do not acutely improve following surgical intervention appears warranted. Cognitive and behavioral strategies may be beneficial for postsurgical patients with high fear of movement and/or depressive symptoms.</description><identifier>ISSN: 1529-9430</identifier><identifier>EISSN: 1878-1632</identifier><identifier>DOI: 10.1016/j.spinee.2013.06.087</identifier><identifier>PMID: 24211099</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cervical Vertebrae - surgery ; Depression ; Disability Evaluation ; Disabled Persons - psychology ; Fear - psychology ; Fear of movement ; Female ; Health Status ; Humans ; Lumbar Vertebrae - surgery ; Male ; Middle Aged ; Movement ; Multivariate Analysis ; Orthopedics ; Outcome Assessment (Health Care) ; Pain Measurement ; Pain, Postoperative - psychology ; Phobic Disorders - psychology ; Postoperative pain ; Postoperative Period ; Prospective Studies ; Rehabilitation ; Spinal Diseases - physiopathology ; Spinal Diseases - psychology ; Spinal Diseases - surgery ; Spine surgery ; Young Adult</subject><ispartof>The spine journal, 2014-05, Vol.14 (5), p.759-767</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-587452d9bd1c44c6d1f252bd6de58faa74f927316b9a696664b0e9f88a0021eb3</citedby><cites>FETCH-LOGICAL-c417t-587452d9bd1c44c6d1f252bd6de58faa74f927316b9a696664b0e9f88a0021eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1529943013012096$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24211099$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Archer, Kristin R., PhD, DPT</creatorcontrib><creatorcontrib>Seebach, Caryn L., PsyD</creatorcontrib><creatorcontrib>Mathis, Shannon L., PhD</creatorcontrib><creatorcontrib>Riley, Lee H., MD</creatorcontrib><creatorcontrib>Wegener, Stephen T., PhD</creatorcontrib><title>Early postoperative fear of movement predicts pain, disability, and physical health six months after spinal surgery for degenerative conditions</title><title>The spine journal</title><addtitle>Spine J</addtitle><description>Abstract Background context The fear-avoidance model offers a promising framework for understanding the development of chronic postoperative pain and disability. However, limited research has examined this model in patients undergoing spinal surgery. Purpose To determine whether preoperative and early postoperative fear of movement predicts pain, disability, and physical health at 6 months following spinal surgery for degenerative conditions, after controlling for depressive symptoms and other potential confounding variables. Study design/setting A prospective cohort study conducted at an academic outpatient clinic. Patient sample One hundred forty-one patients undergoing surgery for lumbar or cervical degenerative conditions. Outcome measures Self-reported pain and disability were measured with the Brief Pain Inventory and the Oswestry Disability Index/Neck Disability Index, respectively. The physical composite scale of the 12-Item Short-Form Health Survey (SF-12) measured physical health. Methods Data collection occurred preoperatively and at 6 weeks and 6 months following surgery. Fear of movement was measured with the Tampa Scale for Kinesiophobia and depression with the Prime-MD PHQ-9. Results One hundred and twenty patients (85% follow-up) completed the 6-month postoperative assessment. Multivariable mixed-method linear regression analyses found that early postoperative fear of movement (6 weeks) predicted pain intensity, pain interference, disability, and physical health at 6-month follow-up (p<.05). Preoperative and early postoperative depression predicted pain interference, disability, and physical health. Conclusion Results provide support for the fear-avoidance model in a postsurgical spine population. Early postoperative screening for fear of movement and depressive symptoms that do not acutely improve following surgical intervention appears warranted. Cognitive and behavioral strategies may be beneficial for postsurgical patients with high fear of movement and/or depressive symptoms.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cervical Vertebrae - surgery</subject><subject>Depression</subject><subject>Disability Evaluation</subject><subject>Disabled Persons - psychology</subject><subject>Fear - psychology</subject><subject>Fear of movement</subject><subject>Female</subject><subject>Health Status</subject><subject>Humans</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Movement</subject><subject>Multivariate Analysis</subject><subject>Orthopedics</subject><subject>Outcome Assessment (Health Care)</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - psychology</subject><subject>Phobic Disorders - psychology</subject><subject>Postoperative pain</subject><subject>Postoperative Period</subject><subject>Prospective Studies</subject><subject>Rehabilitation</subject><subject>Spinal Diseases - physiopathology</subject><subject>Spinal Diseases - psychology</subject><subject>Spinal Diseases - surgery</subject><subject>Spine surgery</subject><subject>Young Adult</subject><issn>1529-9430</issn><issn>1878-1632</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUsFu1TAQjBCIlsIfIOQjhybYTuLEFyRUFahUiQNwthx70-dHnh28zlPzFfwyjl7bAxckS7bkmZ3dmS2Kt4xWjDLxYV_h7DxAxSmrKyoq2nfPinPWd33JRM2f53fLZSmbmp4VrxD3lGYI4y-LM95wxqiU58Wfax2nlcwBU5gh6uSOQEbQkYSRHMIRDuATmSNYZxKSWTt_SaxDPbjJpfWSaG_JvFvRGT2RHegp7Qi6-8z1aYdEjwki2TrN37jEO4grGUMkFu7APwqa4K1LLnh8XbwY9YTw5uG-KH5-vv5x9bW8_fbl5urTbWka1qWy7bum5VYOlpmmMcKykbd8sMJC249ad80oeVczMUgtpBCiGSjIse81pZzBUF8U70915xh-L4BJHRwamCbtISyoWMt6wWkWy9DmBDUxIEYY1RzdQcdVMaq2KNRenaJQWxSKCpV9zrR3DwrLcAD7RHr0PgM-ngCQ5zw6iAqNA2-y1RFMUja4_yn8W8BMzm9B_IIVcB-WmF3Psyjkiqrv2zps28Dy4VSK-i_PgLRm</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Archer, Kristin R., PhD, DPT</creator><creator>Seebach, Caryn L., PsyD</creator><creator>Mathis, Shannon L., PhD</creator><creator>Riley, Lee H., MD</creator><creator>Wegener, Stephen T., PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Early postoperative fear of movement predicts pain, disability, and physical health six months after spinal surgery for degenerative conditions</title><author>Archer, Kristin R., PhD, DPT ; Seebach, Caryn L., PsyD ; Mathis, Shannon L., PhD ; Riley, Lee H., MD ; Wegener, Stephen T., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-587452d9bd1c44c6d1f252bd6de58faa74f927316b9a696664b0e9f88a0021eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cervical Vertebrae - surgery</topic><topic>Depression</topic><topic>Disability Evaluation</topic><topic>Disabled Persons - psychology</topic><topic>Fear - psychology</topic><topic>Fear of movement</topic><topic>Female</topic><topic>Health Status</topic><topic>Humans</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Movement</topic><topic>Multivariate Analysis</topic><topic>Orthopedics</topic><topic>Outcome Assessment (Health Care)</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - psychology</topic><topic>Phobic Disorders - psychology</topic><topic>Postoperative pain</topic><topic>Postoperative Period</topic><topic>Prospective Studies</topic><topic>Rehabilitation</topic><topic>Spinal Diseases - physiopathology</topic><topic>Spinal Diseases - psychology</topic><topic>Spinal Diseases - surgery</topic><topic>Spine surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Archer, Kristin R., PhD, DPT</creatorcontrib><creatorcontrib>Seebach, Caryn L., PsyD</creatorcontrib><creatorcontrib>Mathis, Shannon L., PhD</creatorcontrib><creatorcontrib>Riley, Lee H., MD</creatorcontrib><creatorcontrib>Wegener, Stephen T., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Archer, Kristin R., PhD, DPT</au><au>Seebach, Caryn L., PsyD</au><au>Mathis, Shannon L., PhD</au><au>Riley, Lee H., MD</au><au>Wegener, Stephen T., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early postoperative fear of movement predicts pain, disability, and physical health six months after spinal surgery for degenerative conditions</atitle><jtitle>The spine journal</jtitle><addtitle>Spine J</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>14</volume><issue>5</issue><spage>759</spage><epage>767</epage><pages>759-767</pages><issn>1529-9430</issn><eissn>1878-1632</eissn><abstract>Abstract Background context The fear-avoidance model offers a promising framework for understanding the development of chronic postoperative pain and disability. However, limited research has examined this model in patients undergoing spinal surgery. Purpose To determine whether preoperative and early postoperative fear of movement predicts pain, disability, and physical health at 6 months following spinal surgery for degenerative conditions, after controlling for depressive symptoms and other potential confounding variables. Study design/setting A prospective cohort study conducted at an academic outpatient clinic. Patient sample One hundred forty-one patients undergoing surgery for lumbar or cervical degenerative conditions. Outcome measures Self-reported pain and disability were measured with the Brief Pain Inventory and the Oswestry Disability Index/Neck Disability Index, respectively. The physical composite scale of the 12-Item Short-Form Health Survey (SF-12) measured physical health. Methods Data collection occurred preoperatively and at 6 weeks and 6 months following surgery. Fear of movement was measured with the Tampa Scale for Kinesiophobia and depression with the Prime-MD PHQ-9. Results One hundred and twenty patients (85% follow-up) completed the 6-month postoperative assessment. Multivariable mixed-method linear regression analyses found that early postoperative fear of movement (6 weeks) predicted pain intensity, pain interference, disability, and physical health at 6-month follow-up (p<.05). Preoperative and early postoperative depression predicted pain interference, disability, and physical health. Conclusion Results provide support for the fear-avoidance model in a postsurgical spine population. Early postoperative screening for fear of movement and depressive symptoms that do not acutely improve following surgical intervention appears warranted. Cognitive and behavioral strategies may be beneficial for postsurgical patients with high fear of movement and/or depressive symptoms.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24211099</pmid><doi>10.1016/j.spinee.2013.06.087</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1529-9430 |
| ispartof | The spine journal, 2014-05, Vol.14 (5), p.759-767 |
| issn | 1529-9430 1878-1632 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1518620417 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Aged, 80 and over Cervical Vertebrae - surgery Depression Disability Evaluation Disabled Persons - psychology Fear - psychology Fear of movement Female Health Status Humans Lumbar Vertebrae - surgery Male Middle Aged Movement Multivariate Analysis Orthopedics Outcome Assessment (Health Care) Pain Measurement Pain, Postoperative - psychology Phobic Disorders - psychology Postoperative pain Postoperative Period Prospective Studies Rehabilitation Spinal Diseases - physiopathology Spinal Diseases - psychology Spinal Diseases - surgery Spine surgery Young Adult |
| title | Early postoperative fear of movement predicts pain, disability, and physical health six months after spinal surgery for degenerative conditions |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T09%3A03%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Early%20postoperative%20fear%20of%20movement%20predicts%20pain,%20disability,%20and%20physical%20health%20six%20months%20after%20spinal%20surgery%20for%20degenerative%20conditions&rft.jtitle=The%20spine%20journal&rft.au=Archer,%20Kristin%20R.,%20PhD,%20DPT&rft.date=2014-05-01&rft.volume=14&rft.issue=5&rft.spage=759&rft.epage=767&rft.pages=759-767&rft.issn=1529-9430&rft.eissn=1878-1632&rft_id=info:doi/10.1016/j.spinee.2013.06.087&rft_dat=%3Cproquest_cross%3E1518620417%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1518620417&rft_id=info:pmid/24211099&rft_els_id=S1529943013012096&rfr_iscdi=true |