Physical Therapy, Department of Rehabilitation, Huelva Fremap Hospital, Huelva, Andalucía, Spain.
Department of Nursing and Health Sciences, University of Huelva, Huelva, Spain.
PLoS One. 2020 Dec 10;15(12):e0242994. doi: 10.1371/journal.pone.0242994. eCollection 2020.
The influence of pain catastrophizing, kinesiophobia and fear-avoidance attitudes towards non-specific low-back pain has been scarcely studied in an occupational insurance provider context. The objective of this work is to ascertain the relationship between these psychosocial variables with work absence, its duration and the disability of subjects with work-related low back pain. This is a descriptive observational methodological strategy. All patients with work-related non-specific low back pain who attended to an occupational health hospital during the study period were included consecutively. Clinical variables of kinesiophobia, pain catastrophizing, fear-avoidance attitudes, disability and pain were collected; sociodemographic variables of sex, age, type of work, educational level, occupational status and duration in days of work absence were recorded. Kinesiophobia (b = 1.43, P = 0.011, r = 0.333), fear-avoidance beliefs in its global dimension (b = 0.910, P = 0.014, r = 0.321), fear-avoidance beliefs in its work dimension (b = 1.255, P = 0.016, r = 0.321) and pain catastrophizing (b = 0.997, P = 0.013, r = 0.340) show individual association with the duration of sickness absence. Kinesiophobia (b = 0.821, P = 0.011, r = 0.30) and fear-avoidance beliefs (b = 1.760, P = 0.016, r = 0.28) are associated with disability (Kinesiophobia, b = 0.880, P = 0.045, r = 0.26; Fear-avoidance beliefs, b = 0.724, P = 0.010, r = 0.34). Kinesiophobia, fear-avoidance beliefs and pain catastrophizing are related to an increase in the duration of work absence and disability in patients with back pain in an occupational insurance provider context.
疼痛灾难化、运动恐惧症和对回避态度对非特异性腰痛的影响在职业保险提供商的背景下很少被研究。这项工作的目的是确定这些心理社会变量与工作缺勤、缺勤持续时间以及与工作相关的下腰痛患者的残疾之间的关系。这是一种描述性的观察性方法策略。所有在研究期间到职业健康医院就诊的与工作相关的非特异性下腰痛患者均连续纳入。收集了运动恐惧症、疼痛灾难化、回避态度、残疾和疼痛的临床变量;记录了性别、年龄、工作类型、教育水平、职业状况和缺勤天数等社会人口学变量。运动恐惧症(b = 1.43,P = 0.011,r = 0.333)、整体维度的回避信念(b = 0.910,P = 0.014,r = 0.321)、工作维度的回避信念(b = 1.255,P = 0.016,r = 0.321)和疼痛灾难化(b = 0.997,P = 0.013,r = 0.340)均与病假持续时间有个体相关性。运动恐惧症(b = 0.821,P = 0.011,r = 0.30)和回避信念(b = 1.760,P = 0.016,r = 0.28)与残疾相关(运动恐惧症,b = 0.880,P = 0.045,r = 0.26;回避信念,b = 0.724,P = 0.010,r = 0.34)。在职业保险提供商的背景下,运动恐惧症、回避信念和疼痛灾难化与腰痛患者的工作缺勤时间和残疾增加有关。