Transition from acute to chronic pain and disability: A model including cognitive, affective, and trauma factors

Casey, Corinna Young; Greenberg, Melanie A.; Nicassio, Perry M.; Harpin, R. Edward; Hubbard, David R.

doi:10.1016/j.pain.2007.03.032

Cited by 224 publications

(132 citation statements)

References 57 publications

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“…Our finding also concurs with the view that the psychosocial factor is one predictor for chronic musculoskeletal pain in office workers 16,45) . In this study, several work-related psychosocial factors, including psychological job demands, decision latitude, supervisor support, coworker support, physical job demands, job security, and hazards at work, were evaluated using the Job Content Questionnaire.…”

Section: Discussionsupporting

confidence: 92%

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Sihawong

Sitthipornvorakul

Paksaichol

et al. 2016

Journal of Occupational Health

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Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study: Rattaporn Sihawong, et al. Faculty of Allied Health Sciences, Chulalongkorn University, Thailand Objective All occupations expose workers to varied and unique conditions. The nature of work has been recognized as influencing the health of workers. Whether predictors for chronic neck and low back pain would be occupation‐specific is unknown. This study aimed to identify predictors for chronic neck and low back pain in a cohort of office workers. Methods A prospective study was carried out among 669 healthy office workers. At baseline, risk factors were assessed using a questionnaire and standardized physical examination. A symptomatic case was defined as an individual who reported pain greater than 30 mm on a 100‐mm VAS, and chronic pain was defined as experiencing ongoing neck or low back pain for greater than 3 months over the past 6 months. Two regression models were built to analyze the risk factors for developing chronic neck and low back pain. Results Of the sample, 17 and 27% of office workers who reported a new onset of neck or low back pain developed chronicity, respectively. Predictors for chronic neck pain were high body mass index, frequent neck extension during the work day, high initial pain intensity, and high psychological job demands. The development of chronic low back pain was associated with history of low back pain and high initial pain intensity. Conclusions The findings suggest that predictors for chronic musculoskeletal pain in a subpopulation may be a subset of predictors identified in a general population or occupation specific. Successful management to prevent chronic musculoskeletal pain may also need to consider the patient's occupation.

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Section: Discussionsupporting

confidence: 92%

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Sihawong

Sitthipornvorakul

Paksaichol

et al. 2016

Journal of Occupational Health

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“…The present study only sourced patients whose current episode was less than six weeks, and the average time since onset of the baseline assessment was less than three weeks. Studies that have found depression a useful predictor have used a less strict inception cohort 24,25,26,29 or collected data sometime after the initial consultation 27 . In support of this view, we found that depression measured at six weeks was significantly correlated with chronic disability.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Predicting Outcome in Acute Low Back Pain Using Different Models of Patient Profiling

Wand¹,

McAuley²,

Marston³

et al. 2009

Spine

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Tel +61 8 9433 0203Fax +61 8 9433 0210Competing interest: No funds were received in support of this work. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subjects of this manuscript Acknowledgements: We would like to thank Christien Bird, Maureen MacDowell, Anne Golden and Mary Sexton for their initial contribution to this study. Ethical approval: Ethical approval was obtained from the Health Authorities Research Ethics Committee 3 Abstract Study DesignProspective observational study of prognostic indicators, utilising data from a randomised, controlled trial of physiotherapy care of acute low back pain (ALBP) with follow up at 6 weeks, 3 months and 6 months. ObjectiveTo evaluate which patient profile offers the most useful guide to long-term outcome in ALBP. Summary of Background DataThe evidence used to inform prognostic decision-making is derived largely from studies where baseline data is used to predict future status. Clinicians often see patients on multiple occasions so may profile patients in a variety of ways. It is worth considering if better prognostic decisions can be made from alternative profiles. MethodsClinical, psychological and demographic data were collected from a sample of 54 ALBP patients. Three clinical profiles were developed from information collected at baseline, information collected at 6 weeks, and the change in status between these two time points. A series of regression models were used to determine the independent and relative contributions of these profiles to the prediction of chronic pain and disability. 4 ResultsThe baseline profile predicted long-term pain only. The 6-week profile predicted both long-term pain and disability. The change profile only predicted long-term disability (p < 0.01). When predicting long-term pain, after the baseline profile had been added to the model, the 6-week profile did not add significantly when forced in at the second step (p>0.05). A similar result was obtained when the order of entry was reversed. When predicting long-term disability, after the 6-week profile was entered at the first step, the change profile was not significant when forced in at the second step. However, when the change profile was entered at the first step and the 6-week clinical profile was forced in at the second step, a significant contribution of the 6-week profile was found. ConclusionsThe profile derived from information collected at 6 weeks provided the best guide to long-term pain and disability. The baseline profile and change in status offered less predictive value.Key words: acute low back pain; clinical guidelines; prognosis; physiotherapy. Key points• International guidelines for ALBP use information about prognosis to shape care pathways for ALBP patients. 5• This information is derived largely from studies that have assessed patients at a single (early) time point.• The clinical situation provides a much richer source of information and potential for varying models of patient profiling.• The 6...

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“…Although some reported that persistent pain should be considered as a disease, a key feature of pain is its subjectivity 1) . Furthermore, psychological factors such as more cumulative traumatic life events, higher levels of depression in the early stages of a new pain episode, and early beliefs that pain may be permanent significantly contribute to increased severity of subsequent pain and disability 4,23) . Psychological factors have been reported to be predictive of long-term disability for many pain syndromes as well as for pain severity, emotional distress, and treatment seeking 16,19) .…”

Section: Discussionmentioning

confidence: 99%

Disability Evaluation of the Pain : The Present and Prospect in Korea

Lee

Shim

Yoon

et al. 2009

J Korean Neurosurg Soc

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Objective : Pain has long been regarded as a subjective symptom. Recently, however, some regard a type of intractable chronic pain as a disease. Furthermore, chronic persistent pain becomes a cause of permanent impairment (PI). In 6th edition, the American Medical Association (AMA) Guides has rated the pain as a PI. In Korea, pain has been already been rated as a PI. Here, we examined the present status and the prospect of disability evaluation for the pain in Korea. Methods : Pain can be rated as a PI by the Workmen's Compensation Insurance Act (WCIA) and Patriots and Veterans Welfare Corporation Act (PVWCA) in Korea. We examined the definition, diagnostic criteria and grades of the pain related disability (PRD) in these two acts. We also examined legal judgments, which were made in 2005 for patients with severe pain. We also compared the acts and the judgments to the criteria of the 6th AMA Guides. Results : The PRD can be rated as one of the 4 grades according to the WCIA. The provisions of the law do not limit the pain only for the complex regional pain syndrome (CRPS). The PRD can be rated as one of the 3 grades by the PVWCA. If there were objective signs such as osteoporosis, joint contracture and muscle atrophy corresponding to the CRPS, the grade is rated as 6. When the pain always interferes with one's job except easy work, the grade is rated as high as 5. In Korea, judicial precedents dealt the pain as a permanent disability in 2005. Conclusion : Although there were no objective criteria for evaluation of the PRD, pain has been already rated as a PI by the laws or judicial precedents, in Korea. Thus, we should regulate the Korean criteria of PRD like the AMA 6th edition. We also should develop the objective tools for evaluation of the PRD near in future.

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Transition from acute to chronic pain and disability: A model including cognitive, affective, and trauma factors

Cited by 224 publications

References 57 publications

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Predicting Outcome in Acute Low Back Pain Using Different Models of Patient Profiling

Disability Evaluation of the Pain : The Present and Prospect in Korea

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