Catastrophizing can predict low back pain, disability

Catastrophizing can predict low back pain, disability

(HealthDay)—For patients treated for low back pain, catastrophizing may predict the degree of pain and disability, according to a review published in the Feb. 1 issue of Spine.

Maria M. Wertli, M.D., from the University of Zurich, and colleagues conducted a systematic literature review to examine the effect of catastrophizing on treatment efficacy and outcome in patients treated for . Eleven studies, comprising 2,269 patients, were included in analyses.

Due to in study settings, treatments, outcomes, and patient populations, meta-analyses were impeded. The researchers found that catastrophizing at baseline predicted disability and pain at follow-up in four and two studies, respectively. In three studies there was no evidence of a predictive effect for catastrophizing. In all five studies that assessed the impact of a decrease in catastrophizing during treatment, a moderating effect was found, with a greater decrease linked to better outcome. There was no effect seen in most studies that assessed the moderating effects on treatment efficacy, although most studies did not focus on a direct interaction between the treatment and catastrophizing thoughts. The influence of catastrophizing on work-related outcomes, including return to work, was not investigated in any of the studies.

"The presence of catastrophizing should be considered in with persisting back pain," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Catastrophizing doesn't predict low back pain evolution

Aug 16, 2012

(HealthDay) -- For adult patients with acute or chronic low back pain (LBP), assessing the baseline score for catastrophizing does not help clinicians in routine clinical practice predict the evolution of ...

Many women suffer persistent pain after mastectomy

Nov 14, 2013

(HealthDay)—Although breast cancer treatments have dramatically improved outcomes for women with the disease, ongoing pain continues to trouble many survivors long after they undergo a mastectomy, a new ...

Managing pain -- a family affair

Apr 11, 2011

Could adult children's strategies for coping with pain come from watching their parents react to and deal with pain? According to Suzyen Kraljevic, from the University Hospital Split in Croatia, and colleagues, a family may ...

Multidisciplinary approach cuts symptoms of fibromyalgia

Aug 26, 2012

(HealthDay)—Multidisciplinary treatment adapted for women with low educational levels is superior to conventional pharmacotherapy in reducing key symptoms of fibromyalgia (FM), including sleep disturbances, ...

Recommended for you

Is Australia prepared for Ebola?

2 hours ago

Australia needs to be proactive about potential disease outbreaks like Ebola and establish a national centre for disease control.

Dallas hospital confirms first Ebola case in US

7 hours ago

A patient at a Dallas hospital has tested positive for Ebola, the first case of the disease to be diagnosed in the United States, federal health officials announced Tuesday.

First case of Ebola diagnosed in US

8 hours ago

The United States has diagnosed its first case of the deadly Ebola virus in a man who became infected in Liberia and traveled to Texas, US health officials said Tuesday.

Study finds acupuncture does not improve chronic knee pain

9 hours ago

Among patients older than 50 years with moderate to severe chronic knee pain, neither laser nor needle acupuncture provided greater benefit on pain or function compared to sham laser acupuncture, according to a study in the ...

User comments