Correlates of care seeking ID'd for those with low back pain

July 9, 2013
Correlates of care seeking ID'd for those with low back pain
Not all patients with low back pain (LBP) seek medical care, with female sex, LBP frequency, limitations in activities of daily living, and fear-avoidance beliefs contributing to increased odds of seeking care, according to a study published in the May 20 issue of Spine.

(HealthDay)—Not all patients with low back pain (LBP) seek medical care, with female sex, LBP frequency, limitations in activities of daily living, and fear-avoidance beliefs contributing to increased odds of seeking care, according to a study published in the May 20 issue of Spine.

Anne F. Mannion, Ph.D., from Schulthess Klinik in Zurich, and colleagues examined the correlation between LBP beliefs and care seeking using data from mailed to a random sample of 2,507 participants from an of musculoskeletal health. Participants were questioned about sociodemographics, LBP characteristics, and LBP-related care seeking, and completed the Back Beliefs Questionnaire (BBQ) and the Fear-Avoidance Beliefs Questionnaire (FABQ; and work scales).

The researchers found that 43 percent of participants reported current LBP, of whom 28 percent had sought care. Care seeking was significantly related to female sex; increasing age; not working full time; lower income; greater LBP frequency; LBP intensity; limitations in activities of daily living; worse ; and higher FABQ-Physical Activity, FABQ-Work, and BBQ scores in univariate analyses. Factors that contributed significantly to the final model included female sex (odds ratio [OR], 1.731); LBP frequency (OR, 1.492); limitations in activities of daily living (OR, 1.010); and high FABQ-Work Scores (OR, 1.025) in multiple regression.

"That the odds of seeking care are higher in fear-avoidant individuals, even when controlling for other established predictors, emphasizes the importance of addressing such beliefs during the consultation; public health education programs may serve to underpin the delivery of positive messages, ultimately reducing health care demands," the authors write.

Explore further: Catastrophizing doesn't predict low back pain evolution

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Lower Right Back Pain
not rated yet Jul 19, 2013
But is there a correlation between cause of back pain and the output of behavior. For example, isolated pain on the lower right side could be due to poor sleeping posture. Wouldn't poor sleep also lead to different behavior. At (and I hope this is allowed) lowerrightbackpainhq.net - they talk about all of the different causes of lower right back pain. Isolated pain has specific causes which may create specific behavior.

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