Clinical-demographic factors associated with fear-avoidance in subjects with non-specific chronic low back pain in Primary Care: secondary analysis of intervention study
To describe some sociodemographics and clinical characteristics of subjects with Non-specific Chronic Low Back Pain (NCLBP) in Primary Care, as well as to investigate their association with Fear-Avoidance (FA). Cross-sectional. Secondary analysis of an intervention study. Basic Health Areas in Costa...
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| Veröffentlicht in: | Atención primaria 2019-01, Vol.51 (1), p.3-10 |
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| container_title | Atención primaria |
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| creator | Díaz-Cerrillo, Juan Luis Rondón-Ramos, Antonio Clavero-Cano, Susana Pérez-González, Rita Martinez-Calderon, Javier Luque-Suarez, Alejandro |
| description | To describe some sociodemographics and clinical characteristics of subjects with Non-specific Chronic Low Back Pain (NCLBP) in Primary Care, as well as to investigate their association with Fear-Avoidance (FA).
Cross-sectional. Secondary analysis of an intervention study.
Basic Health Areas in Costa del Sol Health District (Málaga, Spain).
An analysis was performed on 147 subjects with NCLBP from a previous intervention study database in Primary Care Physiotherapy (PCP). Characteristics: age 18-65; understanding of the Spanish language; absence of cognitive disorders, fibromyalgia or dorsolumbar surgery, and to be able to perform physical exercise.
The main variable was FA level (FABQ and the FABQ-PA and FABQ-W) sub-scales. Clinical variables included: pain (NRPS-11), disability (RMQ), evolution, previous treatments and diagnostic imaging. The sociodemographic variables included: gender, age, educational level, and employment status.
Just over half (51.7%) of the subjects had high FA on the FABQ-PA sub-scale. Sick leave (SL) [β=24.45 (P=.009
); β=13.03 (P=.016
); β=14.04 (P=.011
) for FABQ, FABQ-PA and FABQ-W, respectively]; primary studies level [β=15.09 (P=.01
); β=9.73 (P=.01
) for FABQ and FABQ-PA], and disability [β=1.45 (P |
| doi_str_mv | 10.1016/j.aprim.2017.07.003 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1993995127</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1993995127</sourcerecordid><originalsourceid>FETCH-LOGICAL-p211t-e06814ef94f2f5b75bfb015ca2fcf3ef578dfb02255d4e511095ec7f325520643</originalsourceid><addsrcrecordid>eNo1UE1PwzAMjZAQG4NfgIRy5NKRpM26ckMTX9IkOMB5clOHZbRJSVKm_ST-JZk2JEuWn5-f7UfIFWdTzvjsdjOF3ptuKhgvpywFy0_ImMtynnFRyhE5D2HDmBBVXp6RUUqV5CIfk99Fa6xR0GYNdu7TQ782impQ0flAIQSnDERs6NbENdUIPoMfZxqwCqmxNAz1BlUMh751Ngs9KqOTiFp7l6Rp67a0BvVFe0gDKd7SpeB3dAEe72hA5Wyzr8FCuwsmUKcTLaL_QRuNS0vi0OwuyKmGNuDlMU_Ix-PD--I5W74-vSzul1kvOI8ZstmcF6irQgst61LWumZcKhBa6Rx1sqRJiBBSNgVKzlklUZU6T4BgsyKfkJuDbu_d94AhrjoTFLYtWHRDWPEqmbd3r0zU6yN1qDtsVv3hsdW_vfkfx6WAgA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1993995127</pqid></control><display><type>article</type><title>Clinical-demographic factors associated with fear-avoidance in subjects with non-specific chronic low back pain in Primary Care: secondary analysis of intervention study</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elsevier ScienceDirect Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Díaz-Cerrillo, Juan Luis ; Rondón-Ramos, Antonio ; Clavero-Cano, Susana ; Pérez-González, Rita ; Martinez-Calderon, Javier ; Luque-Suarez, Alejandro</creator><creatorcontrib>Díaz-Cerrillo, Juan Luis ; Rondón-Ramos, Antonio ; Clavero-Cano, Susana ; Pérez-González, Rita ; Martinez-Calderon, Javier ; Luque-Suarez, Alejandro</creatorcontrib><description>To describe some sociodemographics and clinical characteristics of subjects with Non-specific Chronic Low Back Pain (NCLBP) in Primary Care, as well as to investigate their association with Fear-Avoidance (FA).
Cross-sectional. Secondary analysis of an intervention study.
Basic Health Areas in Costa del Sol Health District (Málaga, Spain).
An analysis was performed on 147 subjects with NCLBP from a previous intervention study database in Primary Care Physiotherapy (PCP). Characteristics: age 18-65; understanding of the Spanish language; absence of cognitive disorders, fibromyalgia or dorsolumbar surgery, and to be able to perform physical exercise.
The main variable was FA level (FABQ and the FABQ-PA and FABQ-W) sub-scales. Clinical variables included: pain (NRPS-11), disability (RMQ), evolution, previous treatments and diagnostic imaging. The sociodemographic variables included: gender, age, educational level, and employment status.
Just over half (51.7%) of the subjects had high FA on the FABQ-PA sub-scale. Sick leave (SL) [β=24.45 (P=.009
); β=13.03 (P=.016
); β=14.04 (P=.011
) for FABQ, FABQ-PA and FABQ-W, respectively]; primary studies level [β=15.09 (P=.01
); β=9.73 (P=.01
) for FABQ and FABQ-PA], and disability [β=1.45 (P<.001); β=0.61 (P<.001); β=0.68 (P<.001) for FABQ, FABQ-PA and FABQ-W, respectively] were associated with FA when they were modeled by multivariate regression.
Some sociodemographic and clinical features of the NCLBP population are presented. Imaging tests (81.63%) and previous passive treatments (55.78%) could reflect problems of adherence to recommendations of CPGs. Sick leave, primary studies level, and disability were associated with FA. The findings should be interpreted in the light of possible limitations. Some suggestions for clinical practice are provided.</description><identifier>EISSN: 1578-1275</identifier><identifier>DOI: 10.1016/j.aprim.2017.07.003</identifier><identifier>PMID: 29395123</identifier><language>spa</language><publisher>Spain</publisher><subject>Adult ; Age Factors ; Aged ; Avoidance Learning ; Chronic Pain - diagnostic imaging ; Chronic Pain - psychology ; Chronic Pain - therapy ; Cross-Sectional Studies ; Educational Status ; Employment ; Exercise Therapy ; Fear - psychology ; Female ; Humans ; Low Back Pain - diagnostic imaging ; Low Back Pain - psychology ; Low Back Pain - therapy ; Male ; Middle Aged ; Primary Health Care ; Sex Factors ; Surveys and Questionnaires - statistics & numerical data</subject><ispartof>Atención primaria, 2019-01, Vol.51 (1), p.3-10</ispartof><rights>Copyright © 2017 Elsevier España, S.L.U. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29395123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Díaz-Cerrillo, Juan Luis</creatorcontrib><creatorcontrib>Rondón-Ramos, Antonio</creatorcontrib><creatorcontrib>Clavero-Cano, Susana</creatorcontrib><creatorcontrib>Pérez-González, Rita</creatorcontrib><creatorcontrib>Martinez-Calderon, Javier</creatorcontrib><creatorcontrib>Luque-Suarez, Alejandro</creatorcontrib><title>Clinical-demographic factors associated with fear-avoidance in subjects with non-specific chronic low back pain in Primary Care: secondary analysis of intervention study</title><title>Atención primaria</title><addtitle>Aten Primaria</addtitle><description>To describe some sociodemographics and clinical characteristics of subjects with Non-specific Chronic Low Back Pain (NCLBP) in Primary Care, as well as to investigate their association with Fear-Avoidance (FA).
Cross-sectional. Secondary analysis of an intervention study.
Basic Health Areas in Costa del Sol Health District (Málaga, Spain).
An analysis was performed on 147 subjects with NCLBP from a previous intervention study database in Primary Care Physiotherapy (PCP). Characteristics: age 18-65; understanding of the Spanish language; absence of cognitive disorders, fibromyalgia or dorsolumbar surgery, and to be able to perform physical exercise.
The main variable was FA level (FABQ and the FABQ-PA and FABQ-W) sub-scales. Clinical variables included: pain (NRPS-11), disability (RMQ), evolution, previous treatments and diagnostic imaging. The sociodemographic variables included: gender, age, educational level, and employment status.
Just over half (51.7%) of the subjects had high FA on the FABQ-PA sub-scale. Sick leave (SL) [β=24.45 (P=.009
); β=13.03 (P=.016
); β=14.04 (P=.011
) for FABQ, FABQ-PA and FABQ-W, respectively]; primary studies level [β=15.09 (P=.01
); β=9.73 (P=.01
) for FABQ and FABQ-PA], and disability [β=1.45 (P<.001); β=0.61 (P<.001); β=0.68 (P<.001) for FABQ, FABQ-PA and FABQ-W, respectively] were associated with FA when they were modeled by multivariate regression.
Some sociodemographic and clinical features of the NCLBP population are presented. Imaging tests (81.63%) and previous passive treatments (55.78%) could reflect problems of adherence to recommendations of CPGs. Sick leave, primary studies level, and disability were associated with FA. The findings should be interpreted in the light of possible limitations. Some suggestions for clinical practice are provided.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Avoidance Learning</subject><subject>Chronic Pain - diagnostic imaging</subject><subject>Chronic Pain - psychology</subject><subject>Chronic Pain - therapy</subject><subject>Cross-Sectional Studies</subject><subject>Educational Status</subject><subject>Employment</subject><subject>Exercise Therapy</subject><subject>Fear - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Low Back Pain - diagnostic imaging</subject><subject>Low Back Pain - psychology</subject><subject>Low Back Pain - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Primary Health Care</subject><subject>Sex Factors</subject><subject>Surveys and Questionnaires - statistics & numerical data</subject><issn>1578-1275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1UE1PwzAMjZAQG4NfgIRy5NKRpM26ckMTX9IkOMB5clOHZbRJSVKm_ST-JZk2JEuWn5-f7UfIFWdTzvjsdjOF3ptuKhgvpywFy0_ImMtynnFRyhE5D2HDmBBVXp6RUUqV5CIfk99Fa6xR0GYNdu7TQ782impQ0flAIQSnDERs6NbENdUIPoMfZxqwCqmxNAz1BlUMh751Ngs9KqOTiFp7l6Rp67a0BvVFe0gDKd7SpeB3dAEe72hA5Wyzr8FCuwsmUKcTLaL_QRuNS0vi0OwuyKmGNuDlMU_Ix-PD--I5W74-vSzul1kvOI8ZstmcF6irQgst61LWumZcKhBa6Rx1sqRJiBBSNgVKzlklUZU6T4BgsyKfkJuDbu_d94AhrjoTFLYtWHRDWPEqmbd3r0zU6yN1qDtsVv3hsdW_vfkfx6WAgA</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Díaz-Cerrillo, Juan Luis</creator><creator>Rondón-Ramos, Antonio</creator><creator>Clavero-Cano, Susana</creator><creator>Pérez-González, Rita</creator><creator>Martinez-Calderon, Javier</creator><creator>Luque-Suarez, Alejandro</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201901</creationdate><title>Clinical-demographic factors associated with fear-avoidance in subjects with non-specific chronic low back pain in Primary Care: secondary analysis of intervention study</title><author>Díaz-Cerrillo, Juan Luis ; Rondón-Ramos, Antonio ; Clavero-Cano, Susana ; Pérez-González, Rita ; Martinez-Calderon, Javier ; Luque-Suarez, Alejandro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-e06814ef94f2f5b75bfb015ca2fcf3ef578dfb02255d4e511095ec7f325520643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Avoidance Learning</topic><topic>Chronic Pain - diagnostic imaging</topic><topic>Chronic Pain - psychology</topic><topic>Chronic Pain - therapy</topic><topic>Cross-Sectional Studies</topic><topic>Educational Status</topic><topic>Employment</topic><topic>Exercise Therapy</topic><topic>Fear - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Low Back Pain - diagnostic imaging</topic><topic>Low Back Pain - psychology</topic><topic>Low Back Pain - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Primary Health Care</topic><topic>Sex Factors</topic><topic>Surveys and Questionnaires - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Díaz-Cerrillo, Juan Luis</creatorcontrib><creatorcontrib>Rondón-Ramos, Antonio</creatorcontrib><creatorcontrib>Clavero-Cano, Susana</creatorcontrib><creatorcontrib>Pérez-González, Rita</creatorcontrib><creatorcontrib>Martinez-Calderon, Javier</creatorcontrib><creatorcontrib>Luque-Suarez, Alejandro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Atención primaria</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Díaz-Cerrillo, Juan Luis</au><au>Rondón-Ramos, Antonio</au><au>Clavero-Cano, Susana</au><au>Pérez-González, Rita</au><au>Martinez-Calderon, Javier</au><au>Luque-Suarez, Alejandro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical-demographic factors associated with fear-avoidance in subjects with non-specific chronic low back pain in Primary Care: secondary analysis of intervention study</atitle><jtitle>Atención primaria</jtitle><addtitle>Aten Primaria</addtitle><date>2019-01</date><risdate>2019</risdate><volume>51</volume><issue>1</issue><spage>3</spage><epage>10</epage><pages>3-10</pages><eissn>1578-1275</eissn><abstract>To describe some sociodemographics and clinical characteristics of subjects with Non-specific Chronic Low Back Pain (NCLBP) in Primary Care, as well as to investigate their association with Fear-Avoidance (FA).
Cross-sectional. Secondary analysis of an intervention study.
Basic Health Areas in Costa del Sol Health District (Málaga, Spain).
An analysis was performed on 147 subjects with NCLBP from a previous intervention study database in Primary Care Physiotherapy (PCP). Characteristics: age 18-65; understanding of the Spanish language; absence of cognitive disorders, fibromyalgia or dorsolumbar surgery, and to be able to perform physical exercise.
The main variable was FA level (FABQ and the FABQ-PA and FABQ-W) sub-scales. Clinical variables included: pain (NRPS-11), disability (RMQ), evolution, previous treatments and diagnostic imaging. The sociodemographic variables included: gender, age, educational level, and employment status.
Just over half (51.7%) of the subjects had high FA on the FABQ-PA sub-scale. Sick leave (SL) [β=24.45 (P=.009
); β=13.03 (P=.016
); β=14.04 (P=.011
) for FABQ, FABQ-PA and FABQ-W, respectively]; primary studies level [β=15.09 (P=.01
); β=9.73 (P=.01
) for FABQ and FABQ-PA], and disability [β=1.45 (P<.001); β=0.61 (P<.001); β=0.68 (P<.001) for FABQ, FABQ-PA and FABQ-W, respectively] were associated with FA when they were modeled by multivariate regression.
Some sociodemographic and clinical features of the NCLBP population are presented. Imaging tests (81.63%) and previous passive treatments (55.78%) could reflect problems of adherence to recommendations of CPGs. Sick leave, primary studies level, and disability were associated with FA. The findings should be interpreted in the light of possible limitations. Some suggestions for clinical practice are provided.</abstract><cop>Spain</cop><pmid>29395123</pmid><doi>10.1016/j.aprim.2017.07.003</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Atención primaria, 2019-01, Vol.51 (1), p.3-10 |
| issn | 1578-1275 |
| language | spa |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Adult Age Factors Aged Avoidance Learning Chronic Pain - diagnostic imaging Chronic Pain - psychology Chronic Pain - therapy Cross-Sectional Studies Educational Status Employment Exercise Therapy Fear - psychology Female Humans Low Back Pain - diagnostic imaging Low Back Pain - psychology Low Back Pain - therapy Male Middle Aged Primary Health Care Sex Factors Surveys and Questionnaires - statistics & numerical data |
| title | Clinical-demographic factors associated with fear-avoidance in subjects with non-specific chronic low back pain in Primary Care: secondary analysis of intervention study |
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