Catastrophizing—a prognostic factor for outcome in patients with low back pain: a systematic review
Psychological factors including catastrophizing thoughts are believed to influence the development of chronic low back pain (LBP). To assess the prognostic importance of catastrophizing as a coping strategy in patients with LBP. This is a systematic review. This study included patients with LBP. Wor...
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| Published in: | The spine journal Vol. 14; no. 11; pp. 2639 - 2657 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Elsevier Inc
01.11.2014
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| Subjects: | |
| ISSN: | 1529-9430, 1878-1632, 1878-1632 |
| Online Access: | Get full text |
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| Abstract | Psychological factors including catastrophizing thoughts are believed to influence the development of chronic low back pain (LBP).
To assess the prognostic importance of catastrophizing as a coping strategy in patients with LBP.
This is a systematic review.
This study included patients with LBP.
Work-related outcomes and perceived measures including return to work, pain, and disability.
In September 2012, the following databases were searched: BIOSIS, CINAHL, Cochrane Library, Embase, OTSeeker, PeDRO, PsycInfo, Medline, Scopus, and Web of Science. To ensure completeness of the search, a hand search and a search of bibliographies were conducted and all relevant references included. All observational studies investigating the prognostic value of catastrophizing in patients with LBP were eligible. Included were studies with 100 and more patients and follow-up of at least 3 months. Excluded were studies with poor methodological quality, short follow-up duration, and small sample size.
A total of 1,473 references were retrieved, and 706 references remained after the removal of duplicates. For 77 references, the full text was assessed and 19 publications based on 16 studies were included. Of four studies that investigated work-related outcomes, two found catastrophizing to be associated with work status. Most studies that investigated self-reported outcome measures (n=8, 66%) found catastrophizing to be associated with pain and disability at follow-up in acute, subacute, and chronic LBP patients. In most studies that applied cutoff values, patients identified as high catastrophizers experienced a worse outcome compared with low catastrophizers (n=5, 83%).
There is some evidence that catastrophizing as a coping strategy might lead to delayed recovery. The influence of catastrophizing in patients with LBP is not fully established and should be further investigated. Of particular importance is the establishment of cutoff levels for identifying patients at risk. |
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| AbstractList | Psychological factors including catastrophizing thoughts are believed to influence the development of chronic low back pain (LBP).
To assess the prognostic importance of catastrophizing as a coping strategy in patients with LBP.
This is a systematic review.
This study included patients with LBP.
Work-related outcomes and perceived measures including return to work, pain, and disability.
In September 2012, the following databases were searched: BIOSIS, CINAHL, Cochrane Library, Embase, OTSeeker, PeDRO, PsycInfo, Medline, Scopus, and Web of Science. To ensure completeness of the search, a hand search and a search of bibliographies were conducted and all relevant references included. All observational studies investigating the prognostic value of catastrophizing in patients with LBP were eligible. Included were studies with 100 and more patients and follow-up of at least 3 months. Excluded were studies with poor methodological quality, short follow-up duration, and small sample size.
A total of 1,473 references were retrieved, and 706 references remained after the removal of duplicates. For 77 references, the full text was assessed and 19 publications based on 16 studies were included. Of four studies that investigated work-related outcomes, two found catastrophizing to be associated with work status. Most studies that investigated self-reported outcome measures (n=8, 66%) found catastrophizing to be associated with pain and disability at follow-up in acute, subacute, and chronic LBP patients. In most studies that applied cutoff values, patients identified as high catastrophizers experienced a worse outcome compared with low catastrophizers (n=5, 83%).
There is some evidence that catastrophizing as a coping strategy might lead to delayed recovery. The influence of catastrophizing in patients with LBP is not fully established and should be further investigated. Of particular importance is the establishment of cutoff levels for identifying patients at risk. Psychological factors including catastrophizing thoughts are believed to influence the development of chronic low back pain (LBP).BACKGROUND CONTEXTPsychological factors including catastrophizing thoughts are believed to influence the development of chronic low back pain (LBP).To assess the prognostic importance of catastrophizing as a coping strategy in patients with LBP.PURPOSETo assess the prognostic importance of catastrophizing as a coping strategy in patients with LBP.This is a systematic review.STUDY DESIGNThis is a systematic review.This study included patients with LBP.PATIENT SAMPLEThis study included patients with LBP.Work-related outcomes and perceived measures including return to work, pain, and disability.OUTCOME MEASURESWork-related outcomes and perceived measures including return to work, pain, and disability.In September 2012, the following databases were searched: BIOSIS, CINAHL, Cochrane Library, Embase, OTSeeker, PeDRO, PsycInfo, Medline, Scopus, and Web of Science. To ensure completeness of the search, a hand search and a search of bibliographies were conducted and all relevant references included. All observational studies investigating the prognostic value of catastrophizing in patients with LBP were eligible. Included were studies with 100 and more patients and follow-up of at least 3 months. Excluded were studies with poor methodological quality, short follow-up duration, and small sample size.METHODSIn September 2012, the following databases were searched: BIOSIS, CINAHL, Cochrane Library, Embase, OTSeeker, PeDRO, PsycInfo, Medline, Scopus, and Web of Science. To ensure completeness of the search, a hand search and a search of bibliographies were conducted and all relevant references included. All observational studies investigating the prognostic value of catastrophizing in patients with LBP were eligible. Included were studies with 100 and more patients and follow-up of at least 3 months. Excluded were studies with poor methodological quality, short follow-up duration, and small sample size.A total of 1,473 references were retrieved, and 706 references remained after the removal of duplicates. For 77 references, the full text was assessed and 19 publications based on 16 studies were included. Of four studies that investigated work-related outcomes, two found catastrophizing to be associated with work status. Most studies that investigated self-reported outcome measures (n=8, 66%) found catastrophizing to be associated with pain and disability at follow-up in acute, subacute, and chronic LBP patients. In most studies that applied cutoff values, patients identified as high catastrophizers experienced a worse outcome compared with low catastrophizers (n=5, 83%).RESULTSA total of 1,473 references were retrieved, and 706 references remained after the removal of duplicates. For 77 references, the full text was assessed and 19 publications based on 16 studies were included. Of four studies that investigated work-related outcomes, two found catastrophizing to be associated with work status. Most studies that investigated self-reported outcome measures (n=8, 66%) found catastrophizing to be associated with pain and disability at follow-up in acute, subacute, and chronic LBP patients. In most studies that applied cutoff values, patients identified as high catastrophizers experienced a worse outcome compared with low catastrophizers (n=5, 83%).There is some evidence that catastrophizing as a coping strategy might lead to delayed recovery. The influence of catastrophizing in patients with LBP is not fully established and should be further investigated. Of particular importance is the establishment of cutoff levels for identifying patients at risk.CONCLUSIONSThere is some evidence that catastrophizing as a coping strategy might lead to delayed recovery. The influence of catastrophizing in patients with LBP is not fully established and should be further investigated. Of particular importance is the establishment of cutoff levels for identifying patients at risk. Abstract Background context Psychological factors including catastrophizing thoughts are believed to influence the development of chronic low back pain (LBP). Purpose To assess the prognostic importance of catastrophizing as a coping strategy in patients with LBP. Study design This is a systematic review. Patient sample This study included patients with LBP. Outcome measures Work-related outcomes and perceived measures including return to work, pain, and disability. Methods In September 2012, the following databases were searched: BIOSIS, CINAHL, Cochrane Library, Embase, OTSeeker, PeDRO, PsycInfo, Medline, Scopus, and Web of Science. To ensure completeness of the search, a hand search and a search of bibliographies were conducted and all relevant references included. All observational studies investigating the prognostic value of catastrophizing in patients with LBP were eligible. Included were studies with 100 and more patients and follow-up of at least 3 months. Excluded were studies with poor methodological quality, short follow-up duration, and small sample size. Results A total of 1,473 references were retrieved, and 706 references remained after the removal of duplicates. For 77 references, the full text was assessed and 19 publications based on 16 studies were included. Of four studies that investigated work-related outcomes, two found catastrophizing to be associated with work status. Most studies that investigated self-reported outcome measures (n=8, 66%) found catastrophizing to be associated with pain and disability at follow-up in acute, subacute, and chronic LBP patients. In most studies that applied cutoff values, patients identified as high catastrophizers experienced a worse outcome compared with low catastrophizers (n=5, 83%). Conclusions There is some evidence that catastrophizing as a coping strategy might lead to delayed recovery. The influence of catastrophizing in patients with LBP is not fully established and should be further investigated. Of particular importance is the establishment of cutoff levels for identifying patients at risk. |
| Author | Kofmehl, Reto Eugster, Rebekka Weiser, Sherri Wertli, Maria M. Steurer, Johann Held, Ulrike |
| Author_xml | – sequence: 1 givenname: Maria M. surname: Wertli fullname: Wertli, Maria M. email: Maria.Wertli@usz.ch organization: Department of Internal Medicine, Horten Centre for Patient-Oriented Research and Knowledge Transfer, University of Zurich, Pestalozzistrasse 24, 8032 Zurich, Switzerland – sequence: 2 givenname: Rebekka surname: Eugster fullname: Eugster, Rebekka organization: Department of Internal Medicine, Horten Centre for Patient-Oriented Research and Knowledge Transfer, University of Zurich, Pestalozzistrasse 24, 8032 Zurich, Switzerland – sequence: 3 givenname: Ulrike surname: Held fullname: Held, Ulrike organization: Department of Internal Medicine, Horten Centre for Patient-Oriented Research and Knowledge Transfer, University of Zurich, Pestalozzistrasse 24, 8032 Zurich, Switzerland – sequence: 4 givenname: Johann surname: Steurer fullname: Steurer, Johann organization: Department of Internal Medicine, Horten Centre for Patient-Oriented Research and Knowledge Transfer, University of Zurich, Pestalozzistrasse 24, 8032 Zurich, Switzerland – sequence: 5 givenname: Reto surname: Kofmehl fullname: Kofmehl, Reto organization: Department of Internal Medicine, Horten Centre for Patient-Oriented Research and Knowledge Transfer, University of Zurich, Pestalozzistrasse 24, 8032 Zurich, Switzerland – sequence: 6 givenname: Sherri surname: Weiser fullname: Weiser, Sherri organization: NYU Hospital for Joint Diseases, Occupational and Industrial Orthopedic Center (OIOC), New York University, 63 Downing St, New York, NY 10014, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24607845$$D View this record in MEDLINE/PubMed |
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| Snippet | Psychological factors including catastrophizing thoughts are believed to influence the development of chronic low back pain (LBP).
To assess the prognostic... Abstract Background context Psychological factors including catastrophizing thoughts are believed to influence the development of chronic low back pain (LBP).... Psychological factors including catastrophizing thoughts are believed to influence the development of chronic low back pain (LBP).BACKGROUND... |
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| SubjectTerms | Adaptation, Psychological Back pain Catastrophization - psychology Catastrophizing Fear avoidance Fear-avoidance beliefs Humans Low back pain Low Back Pain - psychology Orthopedics Persons with Disabilities - psychology Prognosis Prognostic factors Recovery of Function Return to Work |
| Title | Catastrophizing—a prognostic factor for outcome in patients with low back pain: a systematic review |
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