Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 7-12 |
| Number of pages | 6 |
| Journal | Maturitas |
| Volume | 113 |
| DOIs | |
| Publication status | Published - Jul 2018 |
Keywords
- Disability
- Epidemiology
- General well-being
- Low back pain
- Pain intensity
Cite this
}
Poor general health and lower levels of vitality are associated with persistent, high-intensity low back pain and disability in community-based women : A prospective cohort study. / Ng, Sin-Ki; Cicuttini, Flavia M.; Davis, Susan R.; Bell, Robin; Botlero, Roslin; Fitzgibbon, Bernadette M.; Urquhart, Donna M.
In: Maturitas, Vol. 113, 07.2018, p. 7-12.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Poor general health and lower levels of vitality are associated with persistent, high-intensity low back pain and disability in community-based women
T2 - A prospective cohort study
AU - Ng, Sin-Ki
AU - Cicuttini, Flavia M.
AU - Davis, Susan R.
AU - Bell, Robin
AU - Botlero, Roslin
AU - Fitzgibbon, Bernadette M.
AU - Urquhart, Donna M.
PY - 2018/7
Y1 - 2018/7
N2 - While low back pain significantly impacts on an individual’s well-being, our understanding of the role of well-being in the natural history of low back pain is limited. This cohort study aimed to investigate the association between psychological and general well-being and the development and progression of low back pain and disability in community-based women over a 2-year period. 506 women recruited from a research database were invited to participate. Overall psychological and general well-being and its subdomains were assessed at baseline using the Psychological General Well-Being Index (PGWB). The intensity of and degree of disability arising from low back pain were examined using the Chronic Pain Grade Questionnaire at baseline and at 2-year follow-up. Participants were categorized as having no, developing, resolving, or persistent high-intensity pain and disability. 444 participants (87.8%) completed the study. Women with persistent high-intensity pain had lower PGWB scores at baseline than those with no high-intensity pain at follow-up, after adjusting for confounders (M(SE) = 69.9(2.55) vs 80.1(2.63), p < 0.005). Furthermore, women with persistent high disability scores had lower well-being scores than those without persistent high disability scores (M(SE) = 69.1(3.49) vs. 81.2(0.802), p = 0.001). Moreover, lower scores in the well-being subdomains of general health and vitality were associated with persistent high pain intensity and disability (all p < 0.007). In summary, lower levels of general health and vitality were associated with persistent high-intensity low back pain and disability, suggesting that improving these aspects of well-being has the potential to reduce high levels of chronic low back pain and disability in community-based women.
AB - While low back pain significantly impacts on an individual’s well-being, our understanding of the role of well-being in the natural history of low back pain is limited. This cohort study aimed to investigate the association between psychological and general well-being and the development and progression of low back pain and disability in community-based women over a 2-year period. 506 women recruited from a research database were invited to participate. Overall psychological and general well-being and its subdomains were assessed at baseline using the Psychological General Well-Being Index (PGWB). The intensity of and degree of disability arising from low back pain were examined using the Chronic Pain Grade Questionnaire at baseline and at 2-year follow-up. Participants were categorized as having no, developing, resolving, or persistent high-intensity pain and disability. 444 participants (87.8%) completed the study. Women with persistent high-intensity pain had lower PGWB scores at baseline than those with no high-intensity pain at follow-up, after adjusting for confounders (M(SE) = 69.9(2.55) vs 80.1(2.63), p < 0.005). Furthermore, women with persistent high disability scores had lower well-being scores than those without persistent high disability scores (M(SE) = 69.1(3.49) vs. 81.2(0.802), p = 0.001). Moreover, lower scores in the well-being subdomains of general health and vitality were associated with persistent high pain intensity and disability (all p < 0.007). In summary, lower levels of general health and vitality were associated with persistent high-intensity low back pain and disability, suggesting that improving these aspects of well-being has the potential to reduce high levels of chronic low back pain and disability in community-based women.
KW - Disability
KW - Epidemiology
KW - General well-being
KW - Low back pain
KW - Pain intensity
UR - http://www.scopus.com/inward/record.url?scp=85046019553&partnerID=8YFLogxK
U2 - 10.1016/j.maturitas.2018.04.007
DO - 10.1016/j.maturitas.2018.04.007
M3 - Article
VL - 113
SP - 7
EP - 12
JO - Maturitas
JF - Maturitas
SN - 0378-5122
ER -