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Patient clusters in acute, work-related back pain based on patterns of disability risk factors
Örebro University, Department of Behavioural, Social and Legal Sciences. (Center for Health and Medical Psychology, CHAMP)ORCID iD: 0000-0001-5359-0452
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2007 (English)In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 49, no 2, 185-193 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To identify subgroups of patients with work-related back pain based on disability risk factors.

METHODS: Patients with work-related back pain (N = 528) completed a 16-item questionnaire of potential disability risk factors before their initial medical evaluation. Outcomes of pain, functional limitation, and work disability were assessed 1 and 3 months later.

RESULTS: A K-Means cluster analysis of 5 disability risk factors (pain, depressed mood, fear avoidant beliefs, work inflexibility, and poor expectations for recovery) resulted in 4 sub-groups: low risk (n = 182); emotional distress (n = 103); severe pain/fear avoidant (n = 102); and concerns about job accommodation (n = 141). Pain and disability outcomes at follow-up were superior in the low-risk group and poorest in the severe pain/fear avoidant group.

CONCLUSIONS: Patients with acute back pain can be discriminated into subgroups depending on whether disability is related to pain beliefs, emotional distress, or workplace concerns

Place, publisher, year, edition, pages
2007. Vol. 49, no 2, 185-193 p.
National Category
Pedagogical Work Psychology
Research subject
Clinical Psychology
Identifiers
URN: urn:nbn:se:oru:diva-6778DOI: 10.1097/01.jom.0000254205.47334.c3OAI: oai:DiVA.org:oru-6778DiVA: diva2:217230
Available from: 2009-05-13 Created: 2009-05-13 Last updated: 2017-12-13Bibliographically approved

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Linton, Steven J.

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