Biopsychosocial Management of Chronic Low Back Pain Patients with Psychological Assessment and Management Tools

Harland, Nicholas; Lavallee, David

doi:10.1016/s0031-9406(05)60043-0

Cited by 15 publications

(4 citation statements)

References 40 publications

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“…There is literature supporting the implementation of a biopsychosocial approach to managing CLBP in order to provide more effective and desired outcomes (Croft et al, 1996;Jorgensen et al, 2000;Guzman et al, 2001;Harland and Lavallee, 2003). The biopsychosocial model views an illness from a broad perspective by acknowledging the somatic, interpersonal and environmental levels of the illness experience (Fava & Sonino, 2008).…”

Section: Pain Perspectives and A Biopsychosocial Approach To Clbpmentioning

confidence: 99%

Chronic low back pain and the construction of illness identities in women from Kuwait

Abdal¹

2016

Manual Therapy

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Chronic low back pain (CLBP) has been identified as a prominent health problem and a major cause of disability. Recent research has focussed on providing a better understanding of subjective experiences of people with CLBP; however, emphasis continues to be geared towards the physical restrictions associated with CLBP. There is a scarcity of literature that considers the relation between self and identity, and people"s experiences with CLBP. Moreover, studies have concentrated on the experiences of people in Western contexts; to date, no studies have been carried out in Middle Eastern sociocultural contexts including Kuwait. Finally, there is a deficiency of studies that focus on the particularity of the experiences of women with CLBP and the impact on identity. This is the first study that investigates how women with CLBP construct illness identities in Kuwait.This study adopted a constructivist grounded theory methodology using dimensional analysis. In line with the grounded theory (GT) approach, data collection and analysis took place concurrently. A longitudinal study design was adopted. Semi-structured interviews were used to investigate women"s perspectives on their experiences with CLBP in relation to their socio-political and cultural context. Eleven women were recruited from three musculoskeletal outpatient clinics in Kuwait. Initially, five women were purposively sampled. A follow up interview was conducted with four of those women one year after the initial interview to investigate any changes in their experiences. Subsequently, six women were theoretically sampled with the aim of comparing the influence of age, educational level, marital status, socioeconomic status and time on women"s illness experiences.The findings of this study offer the first explanatory theory of the construction of illness identities of women with CLBP in Kuwait. Women"s identities can be seen as part of a continuum from oppressed at one end to liberated at the other. Salience of oppressed identities was associated with periods of exacerbation of CLBP and passive coping behaviours. Appearance of liberated identities was accompanied with episodes of remission of CLBP and active coping approaches. Changes in women"s social circumstances, thoughts and feelings over time were related to changes in the identities they portrayed, and changes in their manifestation of CLBP and illness experiences. The substantive theory developed through this study has implications for clinical practice, education and research, and may inform physiotherapy professional development activities in Kuwait.

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Section: Pain Perspectives and A Biopsychosocial Approach To Clbpmentioning

confidence: 99%

Chronic low back pain and the construction of illness identities in women from Kuwait

Abdal¹

2016

Manual Therapy

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“…Because the fact that chronic pain results from the interaction between biological, psychological, and social factors has now been recognized, the current trend is to view chronic pain as a biopsychosocial experience (Harlan and Lavallee, ). Furthermore, it is widely believed that chronic pain varies with gender.…”

Section: Introductionmentioning

confidence: 99%

Life events, anxiety, social support, personality, and alexithymia in female patients with chronic pain: A path analysis

Fan-min

Sun

Yang

et al. 2015

Asia-Pacific Psychiatry

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IntroductionThis study sought to identify a model that explains the relationship between psychosocial factors and chronic pain in female patients, and to explore all of these constructs in a single study and provide a more holistic examination of the overall psychosocial factors that female patients with chronic pain encounter.MethodsFemale patients with chronic pain (n = 147), aged 20–65 (M = 34.9 years, SD = 11.25), from an outpatient pain clinic completed a cross‐sectional self‐report questionnaire on anxiety, life events, personality, social support, and alexithymia. Data were analyzed by means of path analysis.ResultsThe direct effect of anxiety on female patients with chronic pain was greatest among all the paths. Personality and alexithymia led to chronic pain in female patients only indirectly, mediated by life events. The personality factors of neuroticism and extraversion were associated positively with social support, which had an indirect effect on the influence of life events on chronic pain. However, alexithymia was associated negatively with social support, which had an indirect effect on the influence of life events on chronic pain.DiscussionOur findings provide evidence that life events are a mediator in the relationship between personality, social support, alexithymia, and chronic pain in female patients.

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“…Due to the multifactorial nature of lowback pain, efforts aimed at preventing and managing the prevalence of the condition has proven mostly unsuccessful. Effective treatment of low-back pain is indeed embraced by substantial difficulties (Linton andvan Tulder 2001, Harland andLavallee 2003). This has led to the existence of many therapeutic and health-education approaches (Moseley 2002).…”

Section: Introductionmentioning

confidence: 99%

Health education needs among individuals with low back pain

Nyagah

2006

South African Journal of Physiotherapy

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Lack of positive results from many of the health-education programmes for patients with low-back pain (LBP) is possibly due to the type of health information that may have been presented and the method that had been used. The present study sought to explore health-education needs among individuals with LBP. A qualitative approach that utilised in-depth interviews and a focus-group discussion was used. Data was drawn from ten participants attending physiotherapy treatment due to a non-specific LBP at the Nairobi Hospital Rehabilitation Unit, using purposive sampling. A thematic analysis procedure was used to analyse the data. The study found the participants’ health education needs to be incongruent with the medical professionals’ assumptions of what the patients’ health education needs were. Deficiencies in explanation of the cause, diagnosis, prognosis, and the appropriate use of health services were found. The findings suggest that a more encompassing model of health education was believed to be more fitting. Since the findings indicate that the individuals with LBP require health education on various aspects, a Rehabilitative Model of health education was probably more pertinent to the individuals. That way, a more encompassing, all-inclusive model of health education would cover on the aspects that were currently neglected.

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Biopsychosocial Management of Chronic Low Back Pain Patients with Psychological Assessment and Management Tools

Cited by 15 publications

References 40 publications

Chronic low back pain and the construction of illness identities in women from Kuwait

Chronic low back pain and the construction of illness identities in women from Kuwait

Life events, anxiety, social support, personality, and alexithymia in female patients with chronic pain: A path analysis

Health education needs among individuals with low back pain

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