Evidence map›Paper›PMID 35002245›Full record

ReviewJournal of multidisciplinary healthcare2021

Psychosocial Predictors of Pain and Disability Outcomes in People with Chronic Low Back Pain Treated Conservatively by Guideline-Based Intervention: A Systematic Review.

Ahmed S Alhowimel, Mazyad A Alotaibi, Aqeel M Alenazi, Bader A Alqahtani, Mansour A Alshehri, Dalyah Alamam, Faris A Alodaibi

Abstract readReview
In one paragraph

Review in Journal of multidisciplinary healthcare, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Posterior-only versus combined anterior-posterior approaches for thoracolumbar burst fractures: a meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Pooled it
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  13. Validation and cross-cultural adaptation of an Arabic version of the chronic pain self-efficacy scale.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2025
    Article
  14. Article
  15. Review
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  17. Utility of the psychache scale in patients undergoing surgery for degenerative lumbar disease: a prospective single-center study.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 · 2025
    Article
  18. Observational
  19. Article
  20. Graded activity for chronic low back pain.The Cochrane database of systematic reviews · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ahmed S AlhowimelDepartment of Health and Rehabilitation Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.ORCID 0000-0002-2936-7581
Mazyad A AlotaibiDepartment of Health and Rehabilitation Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Aqeel M AlenaziDepartment of Health and Rehabilitation Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Bader A AlqahtaniDepartment of Health and Rehabilitation Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Mansour A AlshehriPhysiotherapy Department, Faculty of Applied Medical Sciences, Umm Al-Qura University, Mecca, Saudi Arabia.ORCID 0000-0002-0294-9856
Dalyah AlamamDepartment of Rehabilitation Sciences, King Saud University, Riyadh, Saudi Arabia.
Faris A AlodaibiDepartment of Rehabilitation Sciences, King Saud University, Riyadh, Saudi Arabia.ORCID 0000-0003-4471-768X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrevious evidence has recommended conservative interventions as the best treatment in individuals with chronic low back pain (CLBP). However, the influence of psychosocial factors on the treatment outcomes is unclear. Therefore, this systematic review aimed to address the psychosocial factors that influence changes in pain and disability in patients with CLBP after a guideline-based conservative intervention.

methodsFour electronic databases were systematically searched from inception until September 2020 for prospective studies examining the relationship between psychosocial factors and the outcomes of pain and disability after conservative intervention. All included studies were selected, extracted, and critically evaluated by two independent reviewers.

resultsIn total, 15 studies were included in this systematic review. The results support the link between the baseline fear of movement, depression, self-efficacy, and catastrophizing with future functional disability outcomes after conservative interventions. However, these factors were less likely to predict changes in pain intensity outcomes after conservative interventions. Self-efficacy seems to mediate between some of the baseline psychosocial factors (eg, fear) and future pain and disability.

conclusionFear of movement, self-efficacy, catastrophizing and depression were consistently reported to predict disability outcomes irrespective of the type of conservative intervention. This highlights the importance of addressing these factors in conservative management of CLBP.

Indexed as

chronic low back painconservative interventionsoutcomespsychosocial

Identifiers

PMID35002245
PMCPMC8722685

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.