Abstract
Low back pain (LBP) is a common problem that is costly in both financial and human terms. The impact of LBP on an individual varies greatly. For some, LBP is a minor inconvenience; but for others LBP is associated with significant disability and with psychosocial dysfunction for the individual and for the family. Whether psychosocial factors are causes or consequences has been the subject of debate. This paper is a review of psychosocial factors associated with disabling LBP. It addresses the question of whether these factors are causes or consequences of the disability due to LBP. Based on this review it was concluded that there is little evidence in support of the concept of a pain-prone personality. Once LBP has occurred, the impact of the LBP on the individual and the family is influenced by the health-beliefs and coping strategies of the individual and the family. Distress appears to be secondary to physical restriction rather than pain, but the distress may aggravate the pain and thus the disability. The paper concludes with a discussion of the impact of health practitioners on pain-related disability.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 161-168 |
| Number of pages | 8 |
| Journal | Disability and Rehabilitation |
| Volume | 18 |
| Issue number | 4 |
| State | Published - 1996 |
| Externally published | Yes |
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Keywords
- Disability
- Low back pain
- Psychosocial factors
ASJC Scopus subject areas
- Rehabilitation
- Health Professions(all)
Cite this
Psychosocial factors in disabling low back pain : Causes or consequences? / Simmonds, Maureen J.; Kumar, Shrawan; Lechelt, Eugene.
In: Disability and Rehabilitation, Vol. 18, No. 4, 1996, p. 161-168.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Psychosocial factors in disabling low back pain
T2 - Causes or consequences?
AU - Simmonds, Maureen J.
AU - Kumar, Shrawan
AU - Lechelt, Eugene
PY - 1996
Y1 - 1996
N2 - Low back pain (LBP) is a common problem that is costly in both financial and human terms. The impact of LBP on an individual varies greatly. For some, LBP is a minor inconvenience; but for others LBP is associated with significant disability and with psychosocial dysfunction for the individual and for the family. Whether psychosocial factors are causes or consequences has been the subject of debate. This paper is a review of psychosocial factors associated with disabling LBP. It addresses the question of whether these factors are causes or consequences of the disability due to LBP. Based on this review it was concluded that there is little evidence in support of the concept of a pain-prone personality. Once LBP has occurred, the impact of the LBP on the individual and the family is influenced by the health-beliefs and coping strategies of the individual and the family. Distress appears to be secondary to physical restriction rather than pain, but the distress may aggravate the pain and thus the disability. The paper concludes with a discussion of the impact of health practitioners on pain-related disability.
AB - Low back pain (LBP) is a common problem that is costly in both financial and human terms. The impact of LBP on an individual varies greatly. For some, LBP is a minor inconvenience; but for others LBP is associated with significant disability and with psychosocial dysfunction for the individual and for the family. Whether psychosocial factors are causes or consequences has been the subject of debate. This paper is a review of psychosocial factors associated with disabling LBP. It addresses the question of whether these factors are causes or consequences of the disability due to LBP. Based on this review it was concluded that there is little evidence in support of the concept of a pain-prone personality. Once LBP has occurred, the impact of the LBP on the individual and the family is influenced by the health-beliefs and coping strategies of the individual and the family. Distress appears to be secondary to physical restriction rather than pain, but the distress may aggravate the pain and thus the disability. The paper concludes with a discussion of the impact of health practitioners on pain-related disability.
KW - Disability
KW - Low back pain
KW - Psychosocial factors
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UR - http://www.scopus.com/inward/citedby.url?scp=0029662288&partnerID=8YFLogxK
M3 - Article
C2 - 8744903
AN - SCOPUS:0029662288
VL - 18
SP - 161
EP - 168
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
SN - 0963-8288
IS - 4
ER -