Observational studyBMC musculoskeletal disorders2015
Psychological predictors of recovery from low back pain: a prospective study.
Observational study in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
45 citing papers in PubMed, 103 citations in OpenAlex.
- Prognostic indicators for poor outcomes in low back pain patients consulted in primary care.PloS one · 2020Trial
- Virtual immersive gaming to optimize recovery (VIGOR) in low back pain: A phase II randomized controlled trial.Contemporary clinical trials · 2018Trial
- Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial.BMJ (Clinical research ed.) · 2018Trial
- Feasibility and Safety of a Virtual Reality Dodgeball Intervention for Chronic Low Back Pain: A Randomized Clinical Trial.The journal of pain · 2016Trial
- Observational
- A Novel Virtual Reality Intervention Combining Movement Exercises and Body Illusions for the Treatment of Chronic Back Pain: Prospective Feasibility Study.JMIR serious games · 2026Article
- Assessing the impact of manual therapy in the management of nonspecific low back pain: a scoping review of the outcomes used in clinical trials.BMC complementary medicine and therapies · 2026Article
- The Effects of Virtual Immersive Gaming to Optimize Recovery (VIGOR) in Low Back Pain: A Phase II Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Are depression, anxiety, and fear-avoidance predictors of outcomes after digital care for chronic musculoskeletal pain?Pain reports · 2025Article
- Grit and Chronic Pain: Associations with Distress, Catastrophizing, Interference, and Control.Journal of clinical psychology in medical settings · 2025Article
- Article
- Symptom burden and follow-up of patients with neck and back complaints in specialized outpatient care: a national register study.Scientific reports · 2024Article
- Article
- A Retrospective Study on Patient-Specific Predictors for Non-Response to Sacroiliac Joint Injections.International journal of environmental research and public health · 2022Article
- A cross-sectional hospital-based study of correlates of disability in patients with chronic low back pain in KwaZulu-Natal, South Africa.BMC musculoskeletal disorders · 2022Article
- Risk factors for low back pain outcome: Does it matter when they are measured?European journal of pain (London, England) · 2022Article
- A Virtual Reality Game Suite for Graded Rehabilitation in Patients With Low Back Pain and a High Fear of Movement: Within-Subject Comparative Study.JMIR serious games · 2022Article
- Differences in pain, disability, and psychological function in low back pain patients with and without anxiety.Frontiers in physiology · 2022Article
- Musculoskeletal Pain Is Associated with Dietary Diversity Score among Community-Dwelling Older Adult: A Cross-Sectional Study.International journal of food science · 2022Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundRecovery from low back pain (LBP) is an important outcome for patients and clinicians. Psychological factors are known to impact the course of LBP but have not been extensively investigated for predicting recovery. The purposes of this study were to: 1) describe LBP recovery rates at 6 months following 4 weeks of physical therapy; 2) identify psychological factors predictive of 6 month recovery status; and 3) identify psychological factors that co-occur with 6 month recovery status.
methodsThis study was a secondary analysis of a prospective cohort of patients (n = 111) receiving outpatient physical therapy for LBP. Patients were administered the STarT Back Screening Tool (SBT), individual psychological measures, a numerical pain rating scale (NPRS) and Roland Morris Disability Questionnaire (RMDQ) at intake, 4-week, and 6-month assessments. LBP recovery was operationally defined based on meeting NPRS = 0/10 and RMDQ ≤ 2 criterion at 6-month follow-up assessment. Recovery groups were then compared for differences on all variables at intake and on individual psychological measures at 6-months. Discriminant function analysis (DFA) identified which descriptive variables were predictive of recovery status.
resultsThe 6-month recovery rate was 14/111 (12.6%) for the combined NPRS and RMDQ criterion. Non-recovered patients were associated with SBT risk status (p = 0.004), higher intake pain intensity (p = .008) and higher depressive symptoms (p < .001) scores compared to recovered patients. The overall accuracy for intake classification using DFA was 87.2% with SBT risk status, pain intensity, and depressive symptoms all making unique contributions. At 6-months, non-recovered patients had higher fear-avoidance, kinesiophobia, and depressive symptoms (p's < .001) compared to recovered patients. The overall accuracy for 6-month classification using DFA was 86.4% with fear-avoidance, kinesiophobia, and depressive symptoms all making unique contributions.
conclusionsOur findings indicated that psychological risk status, depressive symptoms, and pain intensity were predictive of 6 month recovery status. Furthermore elevated fear-avoidance, kinesiophobia, and depressive symptoms co-occurred with non-recovery at 6 months. Future studies should investigate whether stratified psychologically informed treatment options have the potential to improve recovery rates for those most at risk for non-recovery.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.