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

Harland, Nicholas and Ryan, Cormac (2013) The Value of Pain Coping Constructs in Subcategorising Back Pain Patients according to Risk of Poor Outcome. BioMed Research International, 2013. pp. 1-7. ISSN 2314-6133

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Abstract

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.

Item Type: Article
Subjects: Sciences > Health Sciences
Divisions: Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences
Depositing User: Nick Harland
Date Deposited: 06 Aug 2020 15:58
Last Modified: 06 Aug 2020 15:58
URI: http://sure.sunderland.ac.uk/id/eprint/12394
ORCID for Nicholas Harland: ORCID iD orcid.org/0000-0003-3402-3457

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