ArticleBMJ open2017
The influence of multisite pain and psychological comorbidity on prognosis of chronic low back pain: longitudinal data from the Norwegian HUNT Study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.
- Distribution and prevalence of musculoskeletal pain co-occurring with persistent low back pain: a systematic review.BMC musculoskeletal disorders · 2021Pooled it
- Acute pain impairs locomotor learning and retention in older adults.The journal of pain · 2026Trial
- Trial
- A randomized trial of collaborative support for opioid taper after trauma hospitalization.Substance abuse treatment, prevention, and policy · 2024Trial
- The StarT back screening tool and a pain mannequin improve triage in individuals with low back pain at risk of a worse prognosis - a population based cohort study.BMC musculoskeletal disorders · 2019Trial
- The association between musculoskeletal symptoms and work characteristics, demographic factors, depression, anxiety, insomnia, and shift work disorder: a cross-sectional study among Norwegian nurses.Industrial health · 2026Article
- Economic burden of musculoskeletal pain in Danish senior workers: a working-life expectancy approach.Occupational and environmental medicine · 2026Article
- Unravelling the spine-gut-pain connection: chronic musculoskeletal pain and digestive dysfunction in a large-scale population-based cohort of 110,685 individuals.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Short-term outcomes of a micro-choice-based intervention for chronic low back pain: a quasi-experimental study.BMC musculoskeletal disorders · 2026Article
- Efficacy and Predictive Factors of Systemically Acting Diclofenac Sodium Patch for Chronic Low Back Pain: A Retrospective Observational Study.Spine surgery and related research · 2026Article
- Can pain self-efficacy mediate the influence of pain intensity on outcomes for patients with musculoskeletal pain? A prospective mediation analysis with 12 months follow-up.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Unique RNA Gene Expression Profile Is Seen in Chronic Non-Specific Low Back Pain.International journal of molecular sciences · 2025Article
- Change in self-reported activity in chronic low back pain after 13 years - a prospective longitudinal cohort study in primary healthcare.BMC musculoskeletal disorders · 2025Observational
- Pain patterns and their association with psychological measures among people accessing an online pain management program.Pain management · 2025Article
- Baseline Functional Connectivity of the Mesolimbic, Salience, and Sensorimotor Systems Predicts Responses to Psychological Therapies for Chronic Low Back Pain With Comorbid Depression: A Functional MRI Study.Brain and behavior · 2025Article
- Exploring the association between patient-drawn pain diagrams and psychological and physical health variables: A large-scale study of patients with low back pain.European journal of pain (London, England) · 2025Article
- Personality traits: an important factor affecting fear of movement in dialysis patients.Frontiers in psychiatry · 2025Article
- Same patient but different worlds: A state-of-the-art review translating best practice psychosocial care from musculoskeletal care to the orthopaedic context.BMC musculoskeletal disorders · 2024Review
- Changes in Widespread Pain After Surgical Weight Loss in Racialized Adults: A Secondary Analysis From a 2-Year Longitudinal Study.The journal of pain · 2024Article
- Prognostic factors for long-term improvement in pain and disability among patients with persistent low back pain.Chiropractic & manual therapies · 2024Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to investigate the prospective influence of multisite pain, depression, anxiety, self-rated health and pain-related disability on recovery from chronic low back pain (LBP).
settingThe data is derived from the second (1995-1997) and third (2006-2008) wave of the Nord-Trøndelag Health Study (HUNT) in Norway.
participantsThe study population comprises 4484 women and 3039 men in the Norwegian HUNT Study who reported chronic LBP at baseline in 1995-1997. PRIMARY OUTCOME MEASURES: The primary outcome was recovery from chronic LBP at the 11-year follow-up. Persons not reporting pain and/or stiffness for at least three consecutive months during the last year were defined as recovered. A Poisson regression model was used to estimate adjusted risk ratios (RRs) with 95% CIs.
resultsAt follow-up, 1822 (40.6%) women and 1578 (51.9%) men reported recovery from chronic LBP. The probability of recovery was inversely associated with number of pain sites (P-trend<0.001). Compared with reporting 2-3 pain sites, persons with only LBP had a slightly higher probability of recovery (RR 1.10, 95% CI 0.98 to 1.22 in women and RR 1.10, 95% CI 1.01 to 1.21 in men), whereas people reporting 6-9 pain sites had substantially lower probability of recovery (RR 0.58, 95% CI 0.52 to 0.63 in women and RR 0.70, 95% CI 0.63 to 0.79 in men). Poor/not so good self-rated general health, symptoms of anxiety and depression, and pain-related disability in work and leisure were all associated with reduced probability of recovery, but there was no statistical interaction between multisite pain and these comorbidities.
conclusionsIncreasing number of pain sites was inversely associated with recovery from chronic LBP. In addition, factors such as poor self-rated health, psychological symptoms and pain-related disability may further reduce the probability of recovery from chronic LBP.
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