P2-462 The influence of distress on disability, physical activity and pain intensity after 7 days of acute severe low back pain
Low back pain (LBP) is described as highly recurrent and frequently persistent public health worldwide. The “stay active” concept has been regarded as the most appropriate treatment recommendation for patients with acute LBP. The objective of this study was to evaluate the influence of distress on d...
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| Veröffentlicht in: | Journal of epidemiology and community health (1979) 2011-08, Vol.65 (Suppl 1), p.A348-A349 |
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| creator | Olaya-Contreras, P Styf, J Olsson, M Kaigle-Holm, A Hansson, T |
| description | Low back pain (LBP) is described as highly recurrent and frequently persistent public health worldwide. The “stay active” concept has been regarded as the most appropriate treatment recommendation for patients with acute LBP. The objective of this study was to evaluate the influence of distress on disability, physical activity and pain intensity in subjects with severe acute LBP.MethodsA Randomised Control Trial (RCT) was conducted, 99 employed subjects (mean age 45 years, 20–63), 61% white- and 39% blue-collar workers with acute LBP were examined within 48 h after the onset of pain. All patients were initially assessed using the Depression Anxiety and Positive Outlook Scale (DAPOS) and the Tampa Scale of Kinesiophobia (TSK) questionnaires. Thereafter, the patients documented the following in a diary over a 7-day period: pain intensity, disability rating index (DRI) and step count (pedometer). Linear Mixed Models (LMM) for repeated measures were employed for the statistical analyses. All results were adjusted for age, gender, treatment, number of days and for the interaction term (treatment *DAPOS-D).ResultsProspectively, DRI and pain intensity responses were differentially mediated by the treatment, in interaction with the scores of DAPOS (p38) had a lower step count over time (p |
| doi_str_mv | 10.1136/jech.2011.142976l.90 |
| format | Article |
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The “stay active” concept has been regarded as the most appropriate treatment recommendation for patients with acute LBP. The objective of this study was to evaluate the influence of distress on disability, physical activity and pain intensity in subjects with severe acute LBP.MethodsA Randomised Control Trial (RCT) was conducted, 99 employed subjects (mean age 45 years, 20–63), 61% white- and 39% blue-collar workers with acute LBP were examined within 48 h after the onset of pain. All patients were initially assessed using the Depression Anxiety and Positive Outlook Scale (DAPOS) and the Tampa Scale of Kinesiophobia (TSK) questionnaires. Thereafter, the patients documented the following in a diary over a 7-day period: pain intensity, disability rating index (DRI) and step count (pedometer). Linear Mixed Models (LMM) for repeated measures were employed for the statistical analyses. All results were adjusted for age, gender, treatment, number of days and for the interaction term (treatment *DAPOS-D).ResultsProspectively, DRI and pain intensity responses were differentially mediated by the treatment, in interaction with the scores of DAPOS (p<0.05). Patients with high scores on DAPOS exhibited higher risk for worse pain-disability after follow-up. Additionally, patients with higher baseline scores on TSK (>38) had a lower step count over time (p<0.05).ConclusionDepressed mood and fear of movement affect the outcomes of disability, the level of physical activity and the pain intensity in patients with acute LBP.</description><identifier>ISSN: 0143-005X</identifier><identifier>EISSN: 1470-2738</identifier><identifier>DOI: 10.1136/jech.2011.142976l.90</identifier><identifier>CODEN: JECHDR</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Age ; Analysis ; Anxiety ; Backache ; Community health ; depression ; disabilities ; Exercise ; Gender ; Handicapped ; Low back pain ; Pain ; Patients ; physical activity ; Public health ; Statistical analysis</subject><ispartof>Journal of epidemiology and community health (1979), 2011-08, Vol.65 (Suppl 1), p.A348-A349</ispartof><rights>2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Copyright: 2011 (c) 2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jech.bmj.com/content/65/Suppl_1/A348.3.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://jech.bmj.com/content/65/Suppl_1/A348.3.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,776,780,3183,23550,27901,27902,77343,77374</link.rule.ids></links><search><creatorcontrib>Olaya-Contreras, P</creatorcontrib><creatorcontrib>Styf, J</creatorcontrib><creatorcontrib>Olsson, M</creatorcontrib><creatorcontrib>Kaigle-Holm, A</creatorcontrib><creatorcontrib>Hansson, T</creatorcontrib><title>P2-462 The influence of distress on disability, physical activity and pain intensity after 7 days of acute severe low back pain</title><title>Journal of epidemiology and community health (1979)</title><addtitle>J Epidemiol Community Health</addtitle><description>Low back pain (LBP) is described as highly recurrent and frequently persistent public health worldwide. The “stay active” concept has been regarded as the most appropriate treatment recommendation for patients with acute LBP. The objective of this study was to evaluate the influence of distress on disability, physical activity and pain intensity in subjects with severe acute LBP.MethodsA Randomised Control Trial (RCT) was conducted, 99 employed subjects (mean age 45 years, 20–63), 61% white- and 39% blue-collar workers with acute LBP were examined within 48 h after the onset of pain. All patients were initially assessed using the Depression Anxiety and Positive Outlook Scale (DAPOS) and the Tampa Scale of Kinesiophobia (TSK) questionnaires. Thereafter, the patients documented the following in a diary over a 7-day period: pain intensity, disability rating index (DRI) and step count (pedometer). Linear Mixed Models (LMM) for repeated measures were employed for the statistical analyses. All results were adjusted for age, gender, treatment, number of days and for the interaction term (treatment *DAPOS-D).ResultsProspectively, DRI and pain intensity responses were differentially mediated by the treatment, in interaction with the scores of DAPOS (p<0.05). Patients with high scores on DAPOS exhibited higher risk for worse pain-disability after follow-up. Additionally, patients with higher baseline scores on TSK (>38) had a lower step count over time (p<0.05).ConclusionDepressed mood and fear of movement affect the outcomes of disability, the level of physical activity and the pain intensity in patients with acute LBP.</description><subject>Age</subject><subject>Analysis</subject><subject>Anxiety</subject><subject>Backache</subject><subject>Community health</subject><subject>depression</subject><subject>disabilities</subject><subject>Exercise</subject><subject>Gender</subject><subject>Handicapped</subject><subject>Low back pain</subject><subject>Pain</subject><subject>Patients</subject><subject>physical activity</subject><subject>Public health</subject><subject>Statistical analysis</subject><issn>0143-005X</issn><issn>1470-2738</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNqNkbtuFDEUhi0EEkvgDSgsUdAwG1_H4xJtgEQKAaEA6Sxfzmi9mZ1Z7JnAdqHgRXkSPNmIgorGPjr6vnMs_wg9p2RJKa-PN-DXS0YoXVLBtKq7pSYP0IIKRSqmePMQLQgVvCJEXj1GT3LekFIqphfo50dWiZr9vv11uQYc-7aboPeAhxaHmMcEOeOhn2vrYhfH_Su8W-9z9LbD1o_xprSw7QPe2dgXf4Q-37XaERJWONh9nodZP42AM9xAAtwN37Gz_vpOeooetbbL8Oz-PkKf3765XJ1W5x_ena1en1eOMU0qKjmnWooQaIAgiGWtp85DExrKvOZCWeYotJapckiuFDhGSPDSNXUrHT9CLw9zd2n4NkEezTZmD11neximbBqtKZeMsEK--IfcDFPqy-MMVUozJTWtCyUOlE9Dzglas0txa9PeUGLmWMwci5ljMfexGE2KVh208rvw469j07WpFVfSXHxZmZNPV-L0_dcLc1L44wPvtpv_2_AH3aag3g</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>Olaya-Contreras, P</creator><creator>Styf, J</creator><creator>Olsson, M</creator><creator>Kaigle-Holm, A</creator><creator>Hansson, T</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7T2</scope><scope>7TS</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>20110801</creationdate><title>P2-462 The influence of distress on disability, physical activity and pain intensity after 7 days of acute severe low back pain</title><author>Olaya-Contreras, P ; Styf, J ; Olsson, M ; Kaigle-Holm, A ; Hansson, T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b2290-15331954dd1ded40a2fc1bce8d812c9347a2b1efa27efa5377eb200dc5b86f5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Age</topic><topic>Analysis</topic><topic>Anxiety</topic><topic>Backache</topic><topic>Community health</topic><topic>depression</topic><topic>disabilities</topic><topic>Exercise</topic><topic>Gender</topic><topic>Handicapped</topic><topic>Low back pain</topic><topic>Pain</topic><topic>Patients</topic><topic>physical activity</topic><topic>Public health</topic><topic>Statistical analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Olaya-Contreras, P</creatorcontrib><creatorcontrib>Styf, J</creatorcontrib><creatorcontrib>Olsson, M</creatorcontrib><creatorcontrib>Kaigle-Holm, A</creatorcontrib><creatorcontrib>Hansson, T</creatorcontrib><collection>Istex</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Physical Education Index</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Journal of epidemiology and community health (1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Olaya-Contreras, P</au><au>Styf, J</au><au>Olsson, M</au><au>Kaigle-Holm, A</au><au>Hansson, T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>P2-462 The influence of distress on disability, physical activity and pain intensity after 7 days of acute severe low back pain</atitle><jtitle>Journal of epidemiology and community health (1979)</jtitle><addtitle>J Epidemiol Community Health</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>65</volume><issue>Suppl 1</issue><spage>A348</spage><epage>A349</epage><pages>A348-A349</pages><issn>0143-005X</issn><eissn>1470-2738</eissn><coden>JECHDR</coden><abstract>Low back pain (LBP) is described as highly recurrent and frequently persistent public health worldwide. The “stay active” concept has been regarded as the most appropriate treatment recommendation for patients with acute LBP. The objective of this study was to evaluate the influence of distress on disability, physical activity and pain intensity in subjects with severe acute LBP.MethodsA Randomised Control Trial (RCT) was conducted, 99 employed subjects (mean age 45 years, 20–63), 61% white- and 39% blue-collar workers with acute LBP were examined within 48 h after the onset of pain. All patients were initially assessed using the Depression Anxiety and Positive Outlook Scale (DAPOS) and the Tampa Scale of Kinesiophobia (TSK) questionnaires. Thereafter, the patients documented the following in a diary over a 7-day period: pain intensity, disability rating index (DRI) and step count (pedometer). Linear Mixed Models (LMM) for repeated measures were employed for the statistical analyses. All results were adjusted for age, gender, treatment, number of days and for the interaction term (treatment *DAPOS-D).ResultsProspectively, DRI and pain intensity responses were differentially mediated by the treatment, in interaction with the scores of DAPOS (p<0.05). Patients with high scores on DAPOS exhibited higher risk for worse pain-disability after follow-up. Additionally, patients with higher baseline scores on TSK (>38) had a lower step count over time (p<0.05).ConclusionDepressed mood and fear of movement affect the outcomes of disability, the level of physical activity and the pain intensity in patients with acute LBP.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><doi>10.1136/jech.2011.142976l.90</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of epidemiology and community health (1979), 2011-08, Vol.65 (Suppl 1), p.A348-A349 |
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| source | Jstor Complete Legacy; BMJ Journals - NESLi2 |
| subjects | Age Analysis Anxiety Backache Community health depression disabilities Exercise Gender Handicapped Low back pain Pain Patients physical activity Public health Statistical analysis |
| title | P2-462 The influence of distress on disability, physical activity and pain intensity after 7 days of acute severe low back pain |
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