Hampel Petra, Neumann Anne
Institut für Gesundheits‑, Ernährungs- und Sportwissenschaften, Europa-Universität Flensburg, Auf dem Campus 1, 24943, Flensburg, Deutschland.
Schmerz. 2024 Oct;38(5):335-342. doi: 10.1007/s00482-023-00701-0. Epub 2023 Mar 9.
The transition from acute to non-specific chronic low back pain (CLBP) is especially associated with psychological factors. However, working mechanisms of psychological factors have been little examined in non-specific CLBP, especially the mediator effect of pain self-efficacy.
Does pain self-efficacy mediate the long-term prediction of work-related factors by depressive symptoms?
Within the framework of an exploratory secondary analysis, simple mediation analyses were conducted to longitudinally predict prognosis of gainful employment, as well as subjective physical and mental work ability by depressive symptoms mediated by pain self-efficacy in 382 inpatients with non-specific CLBP.
The findings suggest that depressive symptoms prior to rehabilitation predicted levels of all three work-related factors 24 months after rehabilitation, and pain self-efficacy 12 months after rehabilitation mediated this relationship.
To improve the success of work-related rehabilitation in the long-term, pain self-efficacy in particular, but also depressive symptoms should be targeted by treatments of non-specific CLBP.
从急性非特异性慢性腰痛（CLBP）转变尤其与心理因素相关。然而，心理因素的作用机制在非特异性CLBP中很少被研究，尤其是疼痛自我效能感的中介作用。
疼痛自我效能感是否介导抑郁症状对工作相关因素的长期预测？
在探索性二次分析的框架内，进行简单中介分析，以纵向预测382例非特异性CLBP住院患者中，由疼痛自我效能感介导的抑郁症状对有偿就业预后以及主观身心工作能力的影响。
研究结果表明，康复前的抑郁症状可预测康复24个月后所有三个工作相关因素的水平，而康复12个月后的疼痛自我效能感介导了这种关系。
为了长期提高与工作相关的康复成功率，尤其是疼痛自我效能感，但也包括抑郁症状，应在非特异性CLBP治疗中加以针对性处理。
