Psychosocial risk factors for chronic low back pain in primary care--a systematic review.

@article{Ramond2011PsychosocialRF,
  title={Psychosocial risk factors for chronic low back pain in primary care--a systematic review.},
  author={Aline Ramond and C{\'e}line Bouton and Isabelle Richard and Yves Roquelaure and Christophe Baufreton and Erick Legrand and Jean-François Huez},
  journal={Family practice},
  year={2011},
  volume={28 1},
  pages={
          12-21
        }
}
BACKGROUND Low back pain (LBP) is a major public health problem, often encountered in primary care. Guidelines recommend early identification of psychosocial factors that could prevent recovery from acute LBP. METHODS To review the evidence on the prognostic value of psychosocial factors on transition from acute to chronic non-specific LBP in the adult general population. Systematic review is the design of the study. A systematic search was undertaken for prospective studies dealing with… 

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References

SHOWING 1-10 OF 112 REFERENCES

A Systematic Review of Psychological Factors as Predictors of Chronicity/Disability in Prospective Cohorts of Low Back Pain

Study Design. A systematic review of prospective cohort studies in low back pain. Objectives. To evaluate the evidence implicating psychological factors in the development of chronicity in low back

Psychosocial predictors of failure to return to work in non-chronic non-specific low back pain: a systematic review

TLDR
To predict work outcome in non-chronic NSLBP, psychosocial assessment should focus on recovery expectation and fear avoidance, and research is needed to determine the best method of measuring these constructs.

Cognitive-Behavioral Therapy and Psychosocial Factors in Low Back Pain: Directions for the Future

TLDR
An amalgamated review of the current state of knowledge about psychosocial factors in low back pain as presented at the plenary session at the Fourth International Forum on LBP Research in Primary Care to outline evidence-based theories that have lead to the identification of yellow flags for nonspecific LBP.

Psychosocial Predictors of Outcome in Acute and Subchronic Low Back Trouble

TLDR
Early identification of psychosocial problems is important in understanding, and hopefully preventing, the progression to chronicity in low back trouble.

Determinants of Occupational Disability Following a Low Back Injury: A Critical Review of the Literature

TLDR
The aim of this research was to determine prognostic indicators of work disability in occupational back pain by systematically searching the research literature, assessing the methodological quality of the research, and synthesizing the findings into a concise summary.

Identification of prognostic factors for chronicity in patients with low back pain: a review of screening instruments

Low back pain (LBP) is currently the most prevalent and costly musculoskeletal problem in modern societies. Screening instruments for the identification of prognostic factors in LBP may help to

Predicting persistent disabling low back pain in general practice: a prospective cohort study.

TLDR
Patients who report passive coping strategies experience a significant increase in the risk of persistent symptoms, and this risk persists after controlling for initial pain severity and disability.

Predicting who develops chronic low back pain in primary care: a prospective study

TLDR
The presence of persistent low back pain is determined not only by clinical factors associated with pain but also by the premorbid state.

Prognosis and quality of life in patients with acute low back pain: insights from a comprehensive inception cohort study.

TLDR
This study highlights the large contribution of work-related factors, but also initial HRQOL, to the prognosis of LBP and suggests that LBP impairs HRQol mainly through compensation and inappropriate medical care, and that, in turn, impairedHRQOL favors the condition becoming chronic.

Determinants of chronic disability related to low back pain: Towards an integrative biopsychosocial model

  • M. Truchon
  • Medicine
    Disability and rehabilitation
  • 2001
TLDR
The proposed biopsychosocial model assumes that LBP-related chronic disability is possibly, in some cases, a stress-related disorder and could particularly improve the understanding of the interrelationships between certain variables.
...