scholarly journals The Psychological Inflexibility in Pain Scale (PIPS): Validity and Reliability of the Japanese Version for Chronic Low Back Pain and Knee Pain

2021 ◽  
Vol Volume 14 ◽  
pp. 325-332
Author(s):  
Yasuhiro Nagasawa ◽  
Ai Shibata ◽  
Hanako Fukamachi ◽  
Kaori Ishii ◽  
Rikard K Wicksell ◽  
...  
Author(s):  
Linda Fischer-Grote ◽  
Kerstin Tuechler ◽  
Thomas Kienbacher ◽  
Patrick Mair ◽  
Juliane Spreitzer ◽  
...  

BACKGROUND: The struggle with pain often interferes with the ability of chronic low back pain (CLBP) patients to pursue important life values due to psychological inflexibility. OBJECTIVE: This research examined life values, related inhibitors and facilitators relevant to personalized therapy planning. METHODS: Two hundred and forty-four CLBP patients completed the Chronic Pain Values Inventory (CPVI). Of these, 68 patients were interviewed to assess inhibitors and facilitators related to life values. Mixed-effects models quantitatively examined differences in the values, structuring content analysis served to qualitatively analyze the interviews. RESULTS: Participants rated the value “family” as being of highest importance and success. The largest discrepancy between importance and success was found for “health”. Content analyses revealed a broad range of inhibitors and facilitators related to the examined life values with the highest number of inhibitors related to “work”. Facilitators were also found to be of relevance to all life values, but to a lower extent than inhibitors. CONCLUSIONS: The perceived importance and success of life values and their related inhibitors and facilitators may differentially affect CLBP patients. Considering such individual aspects is therefore of utmost importance to improve patient care, as they enable treatment goals and the therapeutic strategies to be adapted accordingly.


Background: Pain catastrophizing is an important psychosocial factor that predicts disability and other important pain-related outcomes in individuals with chronic pain. The University of Washington - Concerns about Pain scale (UW-CAP6) is the brief version of a new item bank that assesses pain-related catastrophizing. However, a Thai version of the UW-CAP6 has not yet been developed. Objective: To 1) cross-culturally adapt the UW-CAP6 items into Thai, using the Functional Assessment of Chronic Illness Therapy translation methodology, and 2) evaluate its measurement properties. Materials and Methods: Two hundred forty-one patients with chronic low back pain completed the Thai version of UW-CAP6 (T-UW-CAP6), the Thai Fear Avoidance Beliefs Questionnaire (T-FABQ), and the Thai Medical Outcome Study Short-Form 36 (T-SF-36). A subset of 152 participants completed the T-UW-CAP6 again after at least a 7-day interval. Results: The T-UW-CAP6 had good internal consistency (Cronbach’s α=0.89) and moderate test-retest reliability [intraclass correlation coefficient (2, 1)=0.72]. The T-UW-CAP6 was positively correlated with the T-FABQ work and physical activity scales (Spearman’s rho=0.38 and 0.39, respectively), and negatively correlated with the social functioning, vitality, and mental health scales of the T-SF-36 (Spearman’s rho=–0.54, –0.41, and –0.45, respectively). Conclusion: The T-UW-CAP6 demonstrated good psychometric properties for assessing pain catastrophizing in Thai individuals with chronic low back pain, supporting the use of the T-UW-CAP6 for clinical and research purposes in this population. Keywords: Pain catastrophizing, Cross-cultural adaptation, Chronic low back pain, Reliability, Validity


2014 ◽  
Vol 13 (1) ◽  
pp. 20-22 ◽  
Author(s):  
Renata Alvarenga Nunes ◽  
Jardel Pillo Alves Teixeira ◽  
Frederico Barra de Moraes ◽  
Lindomar Guimarães Oliveira ◽  
Flávia Tandaya Grandi ◽  
...  

OBJECTIVE: The objective was to assess the improvement of chronic low back pain in osteoporotic patients treated with teriparatide (TPTD). METHODS: This was an observational study with a convenience sample of 21 patients with osteoporosis using TPTD, 20 mcg/day, between 2006 and 2010, with chronic low back pain (more than three months). Dorsolumbar radiographs and bone densitometry (DXA) were performed before and after treatment. For pain measurement the VAS pain scale was used. Data were entered in Excel and processed in STATA/SE 8.0 with Chi2 square or Fisher (p < 0.05). RESULTS: twenty-one patients aged 40-90 (mean 70 years), eight (40%) had senile osteoporosis and thirteen (60%) had osteoporosis secondary to medications. Seventeen (80%) had previous dorsolumbar fractures. Ten (47.5%) used TPTD for 24 months, six (27.5 %) used the medication for 18 months, four (20%) for 12 months and one (5%) for six months. Eight patients (40%) received previous anti-reabsortive therapy. Thirteen patients (60%) exhibited bone mass gain between 0% and 9% while eight (40%), between 10% and 15%. The final average VAS was 2.6 representing an improvement of 4.7 (p< 0.05). CONCLUSION: There was a significant reduction in the severity of low back pain with the use of TPTD (initial mean VAS: 7.3, final VAS: 2.6, improvement: 4.7).


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