Articles: low-back-pain.
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Comparative Study
A population-based study of factors associated with combinations of active and passive coping with neck and low back pain.
Pain coping strategies can be active or passive. Previous studies have examined these strategies separately, however individuals use combinations of both types of coping strategies. We examined the associations between sociodemographic, pain and health-related factors and combinations of active and passive strategies in a general population random sample of 1,131 adults. ⋯ Lower education was associated with the combination of low levels of active and high levels of passive coping. Individuals with better self-reported general health were less likely to use high levels of passive coping regardless of their active coping. We conclude that high levels of passive coping are strongly associated with disabling pain and that there is no evidence of an association between pain severity and active coping.
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An amalgamated review of the current state of knowledge about psychosocial factors in low back pain (LBP), as presented at the plenary session at the Fourth International Forum on LBP Research in Primary Care (March 16-18, 2000, Israel). ⋯ In the treatment of psychological factors, the role of clinicians in primary care remains unclear. Further evidence is needed to identify specific psychological risk factors, primary care tools for their identification need developing, and interventions at different stages of LBP by different professionals need to be tested.
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Validation of a translated, culturally adapted questionnaire. ⋯ The Spanish version of the RMQ has good comprehensibility, internal consistency, and reliability, and is an adequate and useful instrument for the assessment of disability caused by LBP.
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Review of advances in the primary care research on low back pain (LBP) from a unique international forum, and analysis of open-ended questionnaires from participants. ⋯ The Fourth Forum reflected a major shift in the conceptualization of LBP in primary care and an increased emphasis on implementation and dissemination of LBP research findings and clinical guidelines. Although there is a wide array of challenges ahead, the Fourth Forum provided a clear message regarding the need to focus research energies on changing practitioner behavior.