Chronic pain: the role of psychosocial factors in common musculoskeletal disorders

Psychiatry ◽  
2006 ◽  
Vol 5 (2) ◽  
pp. 52-56 ◽  
Author(s):  
Max Henderson ◽  
Christopher Bass
2021 ◽  
Author(s):  
Antonio Varela

Abstract Background Chronic pain in all its forms and the accompanying level of disability is a healthcare crisis that reaches epidemic proportions and is considered a world level crisis. Chronic non-specific low back pain contributes a significant proportion of chronic pain. Specific psychosocial factors and their influence on reported disability in a chronic non-specific low back pain (CNLBP) population was researched. Methods Psychosocial factors examined include fear, catastrophizing, depression, and pain self-efficacy. This cross-sectional correlational study examined the mediating role between pain self-efficacy and the specific psychosocial factors with reported disability. The study included 90 participants with CNLBP between 20 and 60 years of age. Participants completed the Fear Avoidance Belief Questionnaire, The Pain Catastrophizing Scale, The Patient Health Questionnaire-9, The Pain Self-Efficacy Questionnaire, and The Lumbar Oswestry Disability Index to measure fear of physical activity, pain catastrophizing, depression, pain self-efficacy, and reported disability, respectively. The study used multivariate regression and mediation analyses. Results The principal finding of the study was a strong inverse relationship between pain self-efficacy and reported disability. Further, pain self-efficacy was considered a statistic mediator for all psychosocial factors investigated within this data set. Pain self-efficacy was strongly considered to have a mediating role between reported fear of physical activity and disability, reported pain catastrophizing and disability, and reported depression and disability. Additionally, adjusting for age and reported pain levels proved to be statistically significant, and it did not alter the role of pain self-efficacy. Conclusion The results identified that pain self-efficacy had a mediating role in the relationship between the specific psychosocial factors of fear, catastrophizing, and depression and reported disability. Pain self-efficacy plays a more significant role in the relationships between specific psychosocial factors and reported disability with CNLBP than previously considered.


2016 ◽  
Vol 17 (4) ◽  
pp. S97-S98 ◽  
Author(s):  
J. Baxter ◽  
A. Newman ◽  
C. Torres ◽  
J. Eyer ◽  
B. Thorn

Author(s):  
Fadi A. Fathallah ◽  
Sheila Krawczyk ◽  
George E. Brogmus ◽  
Stover H. Snook ◽  
Soo-Yee Lim ◽  
...  

2021 ◽  
Vol 4 (1) ◽  
pp. 25-35
Author(s):  
Dian Palupi Restuputri ◽  
Bagos Bagos ◽  
Dessi Novianti ◽  
Estining Tias ◽  
Meilliza Dresanala ◽  
...  

The role of women farmers in various regions in Indonesia is very much needed because the need for food in Indonesia is relatively high. The working hours also high, with an average of 35 hours per week. Based on the results of preliminary observations using the Nordic Body Map, it was found that the average female farmer felt pain in the back, neck, upper arms, and wrists. This study uses the QEC (Quick exposure checklist) method. Based on this method, several parts of the body assess the onset of work disorders, namely the neck, back, shoulders or arms, and wrists. Apart from that, there are also psychosocial factors, including work speed and stress. In the QEC method, there is an exposure score calculation to determine what action is taken based on the analysis of the total exposure score. This research was conducted by filling out questionnaires in 36 different regions in Indonesia. Based on the questionnaire results, it was found that female farmers in Indonesia had the highest exposure score of 51.33%. This result can occur due to the increased load carried and the length of time worked.


2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Antonio J. Varela ◽  
Kathryn W. Van Asselt

Abstract Background Chronic pain and the accompanying level of disability is a healthcare crisis that reaches epidemic proportions and is now considered a world level crisis. Chronic non-specific low back pain (CNLBP) contributes a significant proportion to the chronic pain population. CNLBP occurs with overlapping psychosocial factors. This study was design to investigate specific psychosocial factors and their influence on reported disability in a population with CNLBP. Methods The specific psychosocial factors examined included fear, catastrophizing, depression, and pain self-efficacy. This cross-sectional correlational study investigated the mediating role between pain self-efficacy, the specific psychosocial factors, and reported disability. The study recruited 61 female and 29 male participants from physical therapy clinics. The participants were between 20-to-60 years of age and diagnosed with CNLBP. All participants completed the Fear Avoidance Belief Questionnaire, The Pain Catastrophizing Scale, The Patient Health Questionnaire-9, The Pain Self-Efficacy Questionnaire, and The Lumbar Oswestry Disability Index. The battery of questionnaires measured fear of physical activity, pain catastrophizing, depression, pain self-efficacy, and reported disability. Multivariate regression and mediation analyses was used to analyse the data. Results The principal finding was a strong inverse relationship between pain self-efficacy and reported disability with a p-value < 0.001. Further, pain self-efficacy was considered a statistical mediator with consistent p-value < 0.001 for the specific psychosocial factors investigated within this data set. Pain self-efficacy was considered to have a mediating role between reported fear of physical activity and disability, reported pain catastrophizing and disability, and reported depression and disability. Additionally, age and reported pain levels proved to be statistically significant. Adjustments for age and pain level did not alter the role of pain self-efficacy. Conclusion The results identified a mediating role for pain self-efficacy between the specific psychosocial factors (fear, catastrophizing, and depression) and reported disability. Pain self-efficacy plays a more significant role in the relationships between these specific psychosocial factors and reported disability with CNLBP than previously considered.


1999 ◽  
Author(s):  
Joshua M. Smyth ◽  
Jill Hockemeyer ◽  
Adam Hurewitz ◽  
Arthur A. Stone

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