Acute and chronic low back pain: cognitive, affective, and behavioral dimensions.
J Consult Clin Psychol
; 62(2): 341-9, 1994 Apr.
Article
em En
| MEDLINE
| ID: mdl-8201072
ABSTRACT
Despite strong suppositions concerning differences between patients suffering acute and chronic low back pain, relatively few data-based comparisons have been made. In this study, affective, cognitive, behavioral, and demographic contrasts were conducted. Chronic patients were divided into those who demonstrated signs and symptoms that were either congruent or incongruent with underlying anatomical and physiological principles. Low socioeconomic status, compensation claims, use of opiate analgesics, greater disability, catastrophizing cognitions, stronger emotionality, and passive coping were more characteristic of both acute and chronic incongruent patients than chronic congruent patients. A relatively stereotyped, spontaneous facial expression of pain was observed in all groups when responding to painful movements during a physical examination. The similarities between acute and chronic incongruent patients have implications for the assessment and treatment of low back pain.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Papel do Doente
/
Dor Lombar
/
Sintomas Afetivos
/
Controle Interno-Externo
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Consult Clin Psychol
Ano de publicação:
1994
Tipo de documento:
Article
País de afiliação:
Canadá