Psychosocial Differences in High Risk Versus Low Risk Acute Low-Back Pain Patients

Carla B. Pulliam; Robert J. Gatchel; Margaret A. Gardea

doi:10.1023/A:1016604208480

Psychosocial Differences in High Risk Versus Low Risk Acute Low-Back Pain Patients

Carla B. Pulliam, Robert J. Gatchel, Margaret A. Gardea

Texas College of Osteopathic Medicine

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

The current study built upon previous research that predicted with 90.7% accuracy which patients presenting with acute low-back pain go on to develop chronic disability problems. Fifty-seven patients were classified as high risk (HR) or low risk (LR) according to a predictive algorithm, and were evaluated with a variety of psychosocial measures. Overall, HR patients had more Axis I pathology than LR patients, and used poorer coping styles. Logistic regression analyses identified variables that differentiated, with 80% accuracy, between the HR and LR patients. The results highlight the importance of identifying patients who are at risk for developing chronic pain following acute injury so that prophylactic intervention can be offered before chronic pain disability status becomes entrenched.

Original language	English
Pages (from-to)	43-52
Number of pages	10
Journal	Journal of Occupational Rehabilitation
Volume	11
Issue number	1
DOIs	https://doi.org/10.1023/A:1016604208480
State	Published - 2001

Keywords

Biopsychosocial perspective
High and low risk patients
Low-back pain
Psychosocial assessment

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title = "Psychosocial Differences in High Risk Versus Low Risk Acute Low-Back Pain Patients",

abstract = "The current study built upon previous research that predicted with 90.7% accuracy which patients presenting with acute low-back pain go on to develop chronic disability problems. Fifty-seven patients were classified as high risk (HR) or low risk (LR) according to a predictive algorithm, and were evaluated with a variety of psychosocial measures. Overall, HR patients had more Axis I pathology than LR patients, and used poorer coping styles. Logistic regression analyses identified variables that differentiated, with 80% accuracy, between the HR and LR patients. The results highlight the importance of identifying patients who are at risk for developing chronic pain following acute injury so that prophylactic intervention can be offered before chronic pain disability status becomes entrenched.",

keywords = "Biopsychosocial perspective, High and low risk patients, Low-back pain, Psychosocial assessment",

author = "Pulliam, {Carla B.} and Gatchel, {Robert J.} and Gardea, {Margaret A.}",

note = "Funding Information: This study was supported in part by grant Nos. 2R01-MH46452 and 2K02-MH01107 awarded to the second author by the National Institutes of Health.",

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AU - Pulliam, Carla B.

AU - Gatchel, Robert J.

AU - Gardea, Margaret A.

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Psychosocial Differences in High Risk Versus Low Risk Acute Low-Back Pain Patients

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Keywords

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