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The Value of Pain Coping Constructs in Subcategorising Back Pain Patients according to Risk of Poor Outcome

Background. Subcategorising patients with chronic low back pain (CLBP) could improve patient outcomes and facilitate prioritisation of treatment resources. Objective. This study aimed to develop a subcategorising method for individuals with CLBP using the Coping Strategies Questionnaire 24 (CSQ24) a...

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Autores principales: Harland, Nicholas, Ryan, Cormac Gerard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821903/
https://www.ncbi.nlm.nih.gov/pubmed/24260746
http://dx.doi.org/10.1155/2013/898573
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author Harland, Nicholas
Ryan, Cormac Gerard
author_facet Harland, Nicholas
Ryan, Cormac Gerard
author_sort Harland, Nicholas
collection PubMed
description Background. Subcategorising patients with chronic low back pain (CLBP) could improve patient outcomes and facilitate prioritisation of treatment resources. Objective. This study aimed to develop a subcategorising method for individuals with CLBP using the Coping Strategies Questionnaire 24 (CSQ24) and to investigate the methods potential validity. Methods. 196 patients were recruited from a physiotherapy outpatients department. All participants completed a battery of questionnaires before and after treatment including the CSQ24 and a measure of pain, disability, and mood. At discharge participants also completed a global subjective outcomes scale consisting of a 6-point Likert scale. All participants received usual physiotherapy. Results. Cut-off values for the CSQ24 were calculated using triangulation of the findings from three different statistical methods. Cut-off values were identified for the Catastrophising and Cognitive Coping subscales of the CSQ24. Participants were categorised into low, medium, and high risk of a poor outcome. The cut-off values for these were ≥21 on Cognitive Coping and ≤9 on Catastrophising for low risk and ≤15 on Cognitive Coping for high risk, with all other patients being classified as being at moderate risk. Conclusion. Further validation is required before this approach can be recommended for clinical practice.
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spelling pubmed-38219032013-11-20 The Value of Pain Coping Constructs in Subcategorising Back Pain Patients according to Risk of Poor Outcome Harland, Nicholas Ryan, Cormac Gerard Biomed Res Int Research Article Background. Subcategorising patients with chronic low back pain (CLBP) could improve patient outcomes and facilitate prioritisation of treatment resources. Objective. This study aimed to develop a subcategorising method for individuals with CLBP using the Coping Strategies Questionnaire 24 (CSQ24) and to investigate the methods potential validity. Methods. 196 patients were recruited from a physiotherapy outpatients department. All participants completed a battery of questionnaires before and after treatment including the CSQ24 and a measure of pain, disability, and mood. At discharge participants also completed a global subjective outcomes scale consisting of a 6-point Likert scale. All participants received usual physiotherapy. Results. Cut-off values for the CSQ24 were calculated using triangulation of the findings from three different statistical methods. Cut-off values were identified for the Catastrophising and Cognitive Coping subscales of the CSQ24. Participants were categorised into low, medium, and high risk of a poor outcome. The cut-off values for these were ≥21 on Cognitive Coping and ≤9 on Catastrophising for low risk and ≤15 on Cognitive Coping for high risk, with all other patients being classified as being at moderate risk. Conclusion. Further validation is required before this approach can be recommended for clinical practice. Hindawi Publishing Corporation 2013 2013-10-24 /pmc/articles/PMC3821903/ /pubmed/24260746 http://dx.doi.org/10.1155/2013/898573 Text en Copyright © 2013 N. Harland and C. G. Ryan. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Harland, Nicholas
Ryan, Cormac Gerard
The Value of Pain Coping Constructs in Subcategorising Back Pain Patients according to Risk of Poor Outcome
title The Value of Pain Coping Constructs in Subcategorising Back Pain Patients according to Risk of Poor Outcome
title_full The Value of Pain Coping Constructs in Subcategorising Back Pain Patients according to Risk of Poor Outcome
title_fullStr The Value of Pain Coping Constructs in Subcategorising Back Pain Patients according to Risk of Poor Outcome
title_full_unstemmed The Value of Pain Coping Constructs in Subcategorising Back Pain Patients according to Risk of Poor Outcome
title_short The Value of Pain Coping Constructs in Subcategorising Back Pain Patients according to Risk of Poor Outcome
title_sort value of pain coping constructs in subcategorising back pain patients according to risk of poor outcome
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821903/
https://www.ncbi.nlm.nih.gov/pubmed/24260746
http://dx.doi.org/10.1155/2013/898573
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