ArticleJournal of pain research2017
The pain, depression, disability pathway in those with low back pain: a moderation analysis of health locus of control.
Article in Journal of pain research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 35 citations in OpenAlex.
- The association between pain and negative alcohol-related consequences among college students engaged in binge drinking: The moderating role of reward and relief drinking motives.Addictive behaviors · 2025Article
- The mediating role of depressive symptoms among Turkish population related to gender and low back pain: evidence from a national health survey.BMC public health · 2024Article
- Well-being of Veterans with chronic pain with fewer activities limited by pain: Life After Service Survey 2019.Journal of military, veteran and family health · 2023Article
- Predictors of disability in patients with chronic low back pain.Archives of medical science : AMS · 2023Article
- The impact of manual patient handling on work ability: A cross-sectional study in a Brazilian hospital.Nursing open · 2022Observational
- A Brief Survey of the COVID-19 Pandemic's Impact on the Chronic Pain Experience.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2022Article
- Perceived discrimination and relative deprivation in Chinese migrant adolescents: the mediating effect of locus of control and moderating effect of duration since migration.Child and adolescent psychiatry and mental health · 2022Article
- The clinical impact of pain neuroscience continuing education on physical therapy outcomes for patients with low back and neck pain.PloS one · 2022Article
- Non-Preferred Work and the Incidence of Spinal Pain and Psychological Distress-A Prospective Cohort Study.International journal of environmental research and public health · 2021Article
- What is pain: Are cognitive and social features core components?Paediatric & neonatal pain · 2021Review
- Multi-Dimensional Impact of Chronic Low Back Pain among Underserved African American and Latino Older Adults.International journal of environmental research and public health · 2021Article
- Observational Study of Qigong as a Complementary Self-Care Practice at a Tertiary-Care Pain Management Unit.Evidence-based complementary and alternative medicine : eCAM · 2021Article
- Race, Social Status, and Depressive Symptoms: A Moderated Mediation Analysis of Chronic Low Back Pain Interference and Severity.The Clinical journal of pain · 2020Article
- Internal health locus of control as a predictor of pain reduction in multidisciplinary inpatient treatment for chronic pain: a retrospective study.Journal of pain research · 2019Article
- Chronic Musculoskeletal Pain, Self-Reported Health and Quality of Life among Older Populations in South Africa and Uganda.International journal of environmental research and public health · 2018Article
- Functional Limitations and Disability in Persons Living with HIV in South Africa and United States: Similarities and Differences.Journal of the International Association of Providers of AIDS CareArticle
- Article
- Identification of DNA methylation associated enrichment pathways in adults with non-specific chronic low back pain.Molecular painArticle
- Neuronal activation patterns during self-referential pain imagination.Neurobiology of pain (Cambridge, Mass.)Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
Low back pain (LBP) is common, impacts on the individual and society, and is a major health concern. Psychological consequences of LBP, such as depression, are significant barriers to recovery, but mechanisms for the development of depression are less well understood. One potential mechanism is the individual's health locus of control (HLoC), that is, perception of the level of control an individual has over their health. The objective of this study is to investigate the moderation effect of HLoC on the pain-depression-disability pathway in those with LBP. The design is a nested cross-sectional analysis of two existing cohorts of patients (n=637) who had previously consulted their primary care physician about LBP. Measures were taken of HLoC, pain intensity and interference, depression, disability, and bothersomeness. Structural Equation Modeling analysis was applied to two path models that examined the pain to depression to disability pathway moderated by the HLoC constructs of Internality and Externality, respectively. Critical ratio (CR) difference tests were applied to the coefficients using pairwise comparisons. The results show that both models had an acceptable model fit and pathways were significant. CR tests indicated a significant moderation effect, with stronger pathway coefficients for depression for those who report low Internality (β 0.48), compared to those with high Internality (β 0.28). No moderation effects were found within the Externality model. HLoC Internality significantly moderates the pain-depression pathway in those with LBP, meaning that those who have a low perception of control report greater levels of depression. HLoC may signify depression among people with LBP, and could potentially be a target for intervention.
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Registered trials
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