Dr VASILEIOS GEORGOPOULOS VASILEIOS.GEORGOPOULOS@NOTTINGHAM.AC.UK
Research Fellow
Influence of central aspects of pain on self-management in people with chronic low back pain
Georgopoulos, Vasileios; McWilliams, Daniel F.; Hendrick, Paul; Walsh, David A.
Authors
Dr DANIEL MCWILLIAMS DAN.MCWILLIAMS@NOTTINGHAM.AC.UK
Senior Research Fellow
Paul Hendrick
DAVID WALSH david.walsh@nottingham.ac.uk
Professor of Rheumatology
Contributors
Dr VASILEIOS GEORGOPOULOS VASILEIOS.GEORGOPOULOS@NOTTINGHAM.AC.UK
Other
Abstract
Objective: This observational study investigated whether central aspects of pain are associated with self-management domains in individuals with chronic low back pain (CLBP) undertaking a pain management program. Methods: Individuals with CLBP provided pain sensitivity and self-management data at baseline (n = 97) and 3-months (n = 87). Pressure pain detection threshold (PPT) at the forearm, temporal summation (TS) and conditioned pain modulation (CPM), Widespread Pain Index (WPI), and a Central Aspects of Pain factor (CAPf) were considered as central aspects of pain. Self-management was measured using the 8 domains of the Health Education Impact Questionnaire, as well as Pain Self Efficacy and Health Care Utilisation questionnaires. Results: PPT, CPM, WPI and CAPf predicted worse performance in several self-management domains at 3-months (r = 0.21 to 0.54, p < 0.05 overall). In multivariable regression models (adjusted for baseline scores of self-management, depression, catastrophization, pain and fatigue) low PPT, high TS, and high CAPf at baseline predicted poorer self-management at 3 months (R2 =0.14 to 0.52, β = −0.37 to 0.35, p < 0.05). Conclusions: Central aspects of pain are associated with impaired self-management, over and above effects of pain intensity, fatigue, depression and catastrophizing. Practice implications: Treatments that target central aspects of pain might help improve self-management in people with CLBP.
Citation
Georgopoulos, V., McWilliams, D. F., Hendrick, P., & Walsh, D. A. (2023). Influence of central aspects of pain on self-management in people with chronic low back pain. Patient Education and Counseling, 121, Article 108109. https://doi.org/10.1016/j.pec.2023.108109
Journal Article Type | Article |
---|---|
Acceptance Date | Dec 10, 2023 |
Online Publication Date | Dec 13, 2023 |
Publication Date | Dec 13, 2023 |
Deposit Date | Dec 15, 2023 |
Publicly Available Date | Dec 14, 2024 |
Journal | Patient Education and Counseling |
Print ISSN | 0738-3991 |
Electronic ISSN | 1873-5134 |
Publisher | Elsevier |
Peer Reviewed | Peer Reviewed |
Volume | 121 |
Article Number | 108109 |
DOI | https://doi.org/10.1016/j.pec.2023.108109 |
Keywords | General Medicine |
Public URL | https://nottingham-repository.worktribe.com/output/24149516 |
Publisher URL | https://www.sciencedirect.com/science/article/pii/S0738399123004901?via%3Dihub |
Additional Information | This article is maintained by: Elsevier; Article Title: Influence of central aspects of pain on self-management in people with chronic low back pain; Journal Title: Patient Education and Counseling; CrossRef DOI link to publisher maintained version: https://doi.org/10.1016/j.pec.2023.108109; Content Type: article; Copyright: © 2023 The Author(s). Published by Elsevier B.V. |
Files
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