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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Veröffentlicht in:The spine journal Jg. 14; H. 11; S. 2639 - 2657
Hauptverfasser: Wertli, Maria M., Eugster, Rebekka, Held, Ulrike, Steurer, Johann, Kofmehl, Reto, Weiser, Sherri
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Elsevier Inc 01.11.2014
Schlagworte:
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
Fear avoidance
Back pain
Prognosis
Low back pain
Catastrophizing
Fear-avoidance beliefs
Prognostic factors
ISSN:1529-9430, 1878-1632, 1878-1632
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Zusammenfassung: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.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
ObjectType-Review-3
content type line 23
ObjectType-Undefined-4
ISSN:1529-9430
1878-1632
1878-1632
DOI:10.1016/j.spinee.2014.03.003