Department of Physical Therapy, Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Graduate Program in Public Health, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Musculoskeletal Care. 2022 Jun;20(2):279-289. doi: 10.1002/msc.1583. Epub 2021 Aug 11.
Psychosocial factors have been identified as important predictors of onset, course and persistence of low back pain (LBP) in the general population.
To identify factors associated with attitudes/beliefs in older adults with LBP throughout a 12-month follow-up.
A longitudinal investigation was conducted with 500 participants aged ≥60 years reporting a new (acute) episode of nonspecific LBP. Data were obtained at baseline, 6-week, 3-, 6-, 9-, and 12-month interviews. The study variables were: [dependent] LBP-related attitudes/beliefs that were assessed by the Back Beliefs Questionnaire (BBQ); [independent] age; sex; LBP intensity 'at-the-present-time' of interview and 'over-the-past-week' before interview; LBP frequency; LBP-related treatments; disability; mobility; depressive symptoms; self-perceived recovery; expectation of pain improvement; and expectation for returning to activities. Data were analysed by multiple linear regression analysis.
At baseline, 85.7% of the participants were female, had mean age of 69.0 (6.3) years, mean BBQ score of 24.5 (6.5), and 79.6% reported pain complaints after an acute episode of LBP. After 12 months, participants maintained a mean BBQ score of 24.6 (6.6) and 63.3% still reported pain complaints after an acute episode of LBP at baseline. Multivariate analysis showed that disability, advancing age, poor expectation of pain improvement in 3 months, and mobility decline were significantly associated with worse BBQ scores during all follow-ups.
Ageing, hopelessness, and physical and functional impairment impact pain-related behaviours among older patients seeking healthcare due to acute LBP complaints. Their screening may assist in strategies to manage symptoms and prevent the persistence of pain.
心理社会因素已被确定为一般人群中腰痛（LBP）发作、病程和持续的重要预测因素。
在 12 个月的随访中，确定与老年人腰痛相关的态度/信念相关的因素。
对 500 名年龄≥60 岁的新（急性）非特异性 LBP 发作患者进行纵向研究。在基线、6 周、3、6、9 和 12 个月访谈时收集数据。研究变量为：通过背部信念问卷（BBQ）评估的与 LBP 相关的态度/信念（因变量）；年龄；性别；访谈时“当前”和访谈前一周“LBP 强度”；LBP 频率；LBP 相关治疗；残疾；活动能力；抑郁症状；自我感知康复；对疼痛改善的期望；以及恢复活动的期望。通过多元线性回归分析对数据进行分析。
基线时，85.7%的参与者为女性，平均年龄为 69.0（6.3）岁，平均 BBQ 评分为 24.5（6.5），79.6%报告在急性 LBP 发作后出现疼痛。12 个月后，参与者保持了平均 BBQ 评分为 24.6（6.6），63.3%仍报告在基线急性 LBP 发作后出现疼痛。多变量分析表明，残疾、年龄增长、3 个月时疼痛改善的期望不佳以及活动能力下降与所有随访期间的 BBQ 评分较差显著相关。
在因急性 LBP 抱怨而寻求医疗保健的老年患者中，衰老、绝望以及身体和功能障碍会影响与疼痛相关的行为。对他们进行筛查可能有助于采取策略来管理症状并预防疼痛持续存在。
