Relationship between psychological factors and spinal motor behaviour in low back pain: a systematic review and meta-analysis.

Details

Serval ID
serval:BIB_8940D2DD9BDF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Relationship between psychological factors and spinal motor behaviour in low back pain: a systematic review and meta-analysis.
Journal
Pain
Author(s)
Christe G., Crombez G., Edd S., Opsommer E., Jolles B.M., Favre J.
ISSN
1872-6623 (Electronic)
ISSN-L
0304-3959
Publication state
Published
Issued date
01/03/2021
Peer-reviewed
Oui
Volume
162
Number
3
Pages
672-686
Language
english
Notes
Publication types: Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Systematic Review
Publication Status: ppublish
Abstract
This meta-analysis investigated whether more negative psychological factors are associated with less spinal amplitude of movement and higher trunk muscle activity in individuals with low back pain. Furthermore, it examined whether pain intensity was a confounding factor in this relationship. We included studies that provided at least 1 correlation coefficient between psychological (pain-related fear, catastrophizing, depression, anxiety, and self-efficacy) and spinal motor behaviour (spinal amplitude and trunk muscle activity) measures. In total, 52 studies (3949 participants) were included. The pooled correlation coefficients (95% confidence interval; number of participants) were -0.13 (-0.18 to -0.09; 2832) for pain-related fear, -0.16 (-0.23 to -0.09; 756) for catastrophizing, -0.08 (-0.13 to -0.03; 1570) for depression, -0.08 (-0.30 to 0.14; 336) for anxiety, and -0.06 (-0.46 to 0.36; 66) for self-efficacy. The results indicated that higher levels of pain-related fear, catastrophizing, and depression are significantly associated with reduced amplitudes of movement and larger muscle activity and were consistent across subgroup and moderation analyses. Pain intensity did not significantly affect the association between these psychological factors and spinal motor behaviour and had a very small independent association with spinal motor behaviour. In conclusion, the very small effect sizes found in the meta-analyses question the role of psychological factors as major causes of spinal movement avoidance in low back pain. Experimental studies with more specific and individualized measures of psychological factors, pain intensity, and spinal motor behaviour are recommended.
Keywords
Anxiety, Catastrophization, Fear, Humans, Low Back Pain, Surveys and Questionnaires
Pubmed
Web of science
Create date
01/10/2020 8:36
Last modification date
19/06/2021 5:33
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