ArticleBrazilian journal of physical therapy
Which psychosocial factors are related to severe pain and functional limitation in patients with low back pain?: Psychosocial factors related to severe low back pain.
Article in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 40 citations in OpenAlex.
- The Effect of Information on the Time Course of Pain During an Episode of Acute Experimentally Induced Low Back Pain-A Randomised Experiment.European journal of pain (London, England) · 2025Trial
- Exploring physicians' perspectives on influencing factors of chronic non-specific low back pain: a qualitative study.Scandinavian journal of primary health care · 2026Article
- Age-Related Transitions in Low Back Pain Pathology: A Life-Course Narrative Review.Pain and therapy · 2026Review
- Effects of Adding MedX Lumbar Extension or Deadlift Exercises to a Core Stabilization Program on Extensor Strength, Disability, and Pain in Men with Chronic Low Back Pain: A Randomized Pilot Trial.Healthcare (Basel, Switzerland) · 2026Article
- Quality of Life in Adolescents with Idiopathic Scoliosis: A Longitudinal Study Exploring the Impact of Psychological Distress, Joint Hypermobility, Body Mass Index, and Physical Activity.Journal of clinical medicine · 2026Article
- Pain Resilience Therapy vs. Pain Neuroscience Education for Adults with Chronic Low Back Pain: Secondary Analysis of Data from a Randomized Controlled Trial of Risk and Resilience Factors.Healthcare (Basel, Switzerland) · 2026Article
- Kinesiophobia and Clinical Outcomes in People with Chronic Low Back Pain: A Cross-Sectional Study.Journal of clinical medicine · 2026Article
- Sex-related associations between psychoemotional factors and health-related quality of life in patients with chronic low back pain.Frontiers in pain research (Lausanne, Switzerland) · 2026Article
- Cross-sectional analysis of online information on low back pain across South African chiropractic websites.Chiropractic & manual therapies · 2025Article
- Chronic back pain patients with poor sleep quality had higher pain intensity, functional limitation, and psychosocial factors than their counterparts.Sleep and biological rhythms · 2025Article
- Trajectories of loneliness, social isolation, and depressive symptoms before and after onset of pain in middle-aged and older adults.EClinicalMedicine · 2025Article
- Physiotherapy management strategies for chronic pain control in patients with lumbosacral transitional vertebrae and low back pain: a review of the literature.Reumatologia · 2025Review
- Biomimetic Proteoglycans for Intervertebral Disc (IVD) Regeneration.Biomimetics (Basel, Switzerland) · 2024Review
- Chronic Low Back Pain: History, Symptoms, Pain Mechanisms, and Treatment.Life (Basel, Switzerland) · 2024Review
- The mutually reinforcing dynamics between pain and stress: mechanisms, impacts and management strategies.Frontiers in pain research (Lausanne, Switzerland) · 2024Review
- General Health of Healthcare Professionals With Low Back Pain.Materia socio-medica · 2024Article
- Initial treatment approaches and healthcare utilization among veterans with low back pain: a propensity score analysis.BMC health services research · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLow back pain (LBP) is a global public health issue. Psychosocial factors are linked to LBP. However, there is a lack of knowledge about the relation of psychosocial factors to clinical outcomes of patients with severe LBP.
objectiveTo investigate the relationship between specific psychosocial factors with severe pain and functional limitation of patients with LBP.
methodsA cross-sectional study of 472 participants with LBP was conducted. Participants completed self-reported questionnaires, including psychosocial factors, characteristics of pain, and functional limitations. Two multivariable logistic regression models were performed with severe pain intensity (≥ 7 out of 10) and functional limitation (≥ 7 out of 10) (dependent variables) and 15 psychosocial factors (independent variables).
resultsOne hundred twenty-five (26.5%) participants had severe LBP. Patients with catastrophising symptoms were 2.21 [95%Confidence Interval (CI): 1.30, 3.77] times more likely to have severe pain and 2.72 (95%CI: 1.75, 4.23) times more likely to have severe functional limitation than patients without catastrophising symptoms. Patients with maladaptive beliefs about rest were 2.75 (95%CI: 1.37, 5.52) times more likely to present with severe pain and 1.72 (95%CI: 1.04, 2.83) times more likely to have severe functional limitation. Patients with kinesiophobia were 3.34 (95%CI: 1.36, 8.24) times more likely to present with severe pain, and patients with social isolation were 1.98 (95%CI: 1.25, 3.14) times more likely to have severe functional limitation.
conclusionCatastrophising, kinesiophobia, maladaptive beliefs about rest, and social isolation are related to unfavourable clinical outcomes of patients with LBP.
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Registered trials
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.