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.


Explore further

Catastrophizing doesn't predict low back pain evolution

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

Copyright © 2014 HealthDay. All rights reserved.

Citation: Catastrophizing can predict low back pain, disability (2014, March 3) retrieved 16 June 2019 from https://medicalxpress.com/news/2014-03-catastrophizing-pain-disability.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more