Associations between social factors and spinal pain-related disability in people with back pain and/or neck pain.
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| Název: | Associations between social factors and spinal pain-related disability in people with back pain and/or neck pain. |
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| Autoři: | Bijker L; Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences - Program Musculoskeletal Health, The Netherlands.; Department of Clinical Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, The Netherlands., Ten Have M; Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands., Scholten-Peeters GGM; Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences - Program Musculoskeletal Health, The Netherlands., Coppieters MW; School of Health Sciences and Social Work, Griffith University, Brisbane, Australia., Cuijpers P; Department of Clinical Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, The Netherlands., de Wit LM; Department of Clinical Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, The Netherlands. |
| Zdroj: | Annals of medicine [Ann Med] 2025 Dec; Vol. 57 (1), pp. 2577877. Date of Electronic Publication: 2025 Nov 03. |
| Způsob vydávání: | Journal Article |
| Jazyk: | English |
| Informace o časopise: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 8906388 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2060 (Electronic) Linking ISSN: 07853890 NLM ISO Abbreviation: Ann Med Subsets: MEDLINE |
| Imprint Name(s): | Publication: London : Informa Healthcare Original Publication: Helsinki : Finnish Medical Society Duodecim, 1989- |
| Výrazy ze slovníku MeSH: | Neck Pain*/psychology , Neck Pain*/epidemiology , Back Pain*/psychology , Back Pain*/epidemiology, Humans ; Middle Aged ; Male ; Female ; Adult ; Cross-Sectional Studies ; Netherlands/epidemiology ; Aged ; Disability Evaluation ; Loneliness/psychology ; Employment ; Social Factors ; Persons with Disabilities/psychology ; Financial Stress ; Pain Measurement |
| Abstrakt: | Purpose: Pain-related disability is often managed using the biopsychosocial model. However, social factors, such as living situation, financial hardship and employment status, are understudied. This study focused on the association between social factors and pain-related disability after correcting for important biological factors (e.g. BMI) and psychological factors (e.g. depression) in people with spinal pain. Methods: Cross-sectional data were used from the fourth wave ( N = 4,007) of the second Netherlands Mental Health Survey and Incidence Study (NEMESIS-2), a representative cohort study in the general population of The Netherlands. Data from adults between 27-73 years of age with spinal pain ( N = 1,451) were extracted. Data were analysed using multivariable linear regression analyses and results are expressed in (standardized) beta coefficients. Results: Loneliness (β = 0.06; p = 0.01) and financial hardship (β = 0.04; p = 0.04) were significantly associated with pain-related disability after correction for biological and psychological factors. Educational background and employment status were the significant effect modifiers for the association of pain intensity and pain-related disability. Discussion: The social dimension acts as an independent component influencing pain-related disability, establishing itself as an important domain within the biopsychosocial model meriting deeper exploration. Clinicians and researchers should explore these social factors more in people with spinal pain in management and research. |
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| Contributed Indexing: | Keywords: Musculoskeletal pain; pain-related disability; population study; psychosocial factors; rehabilitation |
| Entry Date(s): | Date Created: 20251103 Date Completed: 20251103 Latest Revision: 20251106 |
| Update Code: | 20251106 |
| PubMed Central ID: | PMC12584822 |
| DOI: | 10.1080/07853890.2025.2577877 |
| PMID: | 41178599 |
| Databáze: | MEDLINE |
| Abstrakt: | Purpose: Pain-related disability is often managed using the biopsychosocial model. However, social factors, such as living situation, financial hardship and employment status, are understudied. This study focused on the association between social factors and pain-related disability after correcting for important biological factors (e.g. BMI) and psychological factors (e.g. depression) in people with spinal pain.<br />Methods: Cross-sectional data were used from the fourth wave ( N = 4,007) of the second Netherlands Mental Health Survey and Incidence Study (NEMESIS-2), a representative cohort study in the general population of The Netherlands. Data from adults between 27-73 years of age with spinal pain ( N = 1,451) were extracted. Data were analysed using multivariable linear regression analyses and results are expressed in (standardized) beta coefficients.<br />Results: Loneliness (β = 0.06; p = 0.01) and financial hardship (β = 0.04; p = 0.04) were significantly associated with pain-related disability after correction for biological and psychological factors. Educational background and employment status were the significant effect modifiers for the association of pain intensity and pain-related disability.<br />Discussion: The social dimension acts as an independent component influencing pain-related disability, establishing itself as an important domain within the biopsychosocial model meriting deeper exploration. Clinicians and researchers should explore these social factors more in people with spinal pain in management and research. |
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| ISSN: | 1365-2060 |
| DOI: | 10.1080/07853890.2025.2577877 |
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