000152201 001__ 152201
000152201 005__ 20251017144606.0
000152201 0247_ $$2doi$$a10.23736/S1973-9087.25.08419-9
000152201 0248_ $$2sideral$$a143448
000152201 037__ $$aART-2025-143448
000152201 041__ $$aeng
000152201 100__ $$aDoménech-Fernández, Julio
000152201 245__ $$aCatastrophizing and fear avoidance beliefs in chronic low back pain: a cross-sectional study
000152201 260__ $$c2025
000152201 5060_ $$aAccess copy available to the general public$$fUnrestricted
000152201 5203_ $$aBACKGROUND: Chronic low back pain continues to be a challenge in everyday rehabilitation services as improvement keeps being unpredictable.
AIM: To evaluate the role of pain coping strategies, fear-avoidance beliefs, anxiety and depression in pain and disability in patients with chronic low back pain.
POPULATION: Overall, 276 patients (200 women) with nonspecific low back pain according COST-B13 guidelines and lasting more than 6 months.
SETTING: Rehabilitation and Orthopedic departments in four tertiary hospitals in Spain.
DESIGN: A cross sectional study.
METHODS: Pain, disability, coping strategies, catastrophizing, anxiety, depression and fear-avoidance beliefs were evaluated with validated questionnaires. Predictive associations of disability and pain were analyzed by Pearson’s test and by multivariate regression.
RESULTS: Catastrophizing is the pain coping strategy with the highest association with disability (r=0.52, P<0.01). Low back pain and disability showed little correlation in between (r=0.40, P<0.01). The correlation between fear-avoidance ideas and pain and disability was slight (r=0.20, P<0.01). No association was found between anxiety and depression with low back pain and disability. In the regression model, catastrophizing, kinesiophobia and gender explained 35% of the variance in disability. In the subanalysis of patients with surgical indication the influence of catastrophizing was maintained. However, correlation between pain and disability is lower than in patients without surgical indication.
CONCLUSIONS: The limited correlation between pain and disability suggests that pain alone cannot explain the variability of disability. Catastrophizing and kinesiophobia are predictors of the degree of disability in chronic low back pain and are cognitions potentially modifiable.
CLINICAL REHABILITATION IMPACT: These results support the biopsychosocial model in the pathogenesis of chronic low back pain and support the use of cognitive behavioral therapy to modify maladaptive beliefs and attitudes as part of medical or surgical treatment in low back pain.
000152201 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/PI12-02710
000152201 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
000152201 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000152201 700__ $$aEzzeddine Angulo, Aida
000152201 700__ $$aPeñalver-Barrios, Lourdes
000152201 700__ $$adel Rio-González, Eva
000152201 700__ $$0(orcid)0000-0001-6987-6607$$aHerrero, Rocio$$uUniversidad de Zaragoza
000152201 700__ $$aGarcía-Palacios, Azucena
000152201 700__ $$aMartinez-Diaz, Monica
000152201 700__ $$aGarreta-Catalá, Iago
000152201 700__ $$aDiez-Ulloa, Máximo A.
000152201 700__ $$aBaños-Rivera, Rosa M.
000152201 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló.
000152201 773__ $$g61 (2025), [8 pp.]$$pEur J Phys Rehabil Med$$tEuropean Journal of Physical and Rehabilitation Medicine$$x1973-9087
000152201 8564_ $$s622728$$uhttps://zaguan.unizar.es/record/152201/files/texto_completo.pdf$$yVersión publicada
000152201 8564_ $$s2602459$$uhttps://zaguan.unizar.es/record/152201/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000152201 909CO $$ooai:zaguan.unizar.es:152201$$particulos$$pdriver
000152201 951__ $$a2025-10-17-14:15:31
000152201 980__ $$aARTICLE