비급성기 요통환자에 있어 장애를 예측하는 요인으로서의 통증관련 두려움과 우울

• Published in: Han'guk Chŏnmun Mulli Ch'iryo Hakhoe chi = Journal of the Korean Academy of University Trained Physical Therapists Vol. 16; no. 3; pp. 60 - 68
• Main Authors: 원종임, Jong Im Won
• Format: Journal Article
• Language: Korean
• Published: 한국전문물리치료학회 30.09.2009; Korean Academy Of University Trained Physical Therapy
• Subjects: Depression; Disability; Fear-avoidance belief; Low back pain; Pain intensity; 물리치료학; Disability; Fear-avoidance belief; Depression; Low back pain; Pain intensity
• ISSN: 1225-8962; 2287-982X

Psychsocial factors appear to play an important role in the maintenance and development of chronic disability from low back pain. Fear of pain may be more disabling than the pain itself in patients with nonacute low back pain. The purpose of this study was to identify the contribution of gender, age, depression and pain-related fear to pain intensity and disability in nonacute low back pain patients. This was a cross-sectional survey study of eighty four patients who had low back pain for at least 4 weeks. More than moderate correlations were found between pain intensity, disability, fear-avoidance beliefs and depression. Regression analyses revealed that disability ratings and fear-avoidance beliefs for work activities significantly contributed to the prediction of pain intensity, even when controlling for age, gender and pain duration. Also, fear-avoidance beliefs for physical activity, pain intensity, age and depression, significantly contributed to the prediction of disability, even when controlling for gender and pain duration. These findings suggest that disability scores and fear-avoidance beliefs for work activities are important determinants of pain intensity. They also suggest that fear-avoidance beliefs for physical activity, pain intensity, age and depression are important determinants of disability.