Yellow flags as predictors of rehabilitation outcome in chronic low back pain

Rehabilitation Psychology
Manuela GlattackerTeresa Jakob

Abstract

While it is agreed that yellow flags (prognostic psychosocial factors for poor recovery in low back pain) predict pain-related outcomes, uncertainty remains regarding which constructs are the central ones, particularly as there is considerable conceptual overlap between constructs. Therefore, the aim of our study was to analyze the distinctiveness of different psychological factors in predicting rehabilitation outcomes in a sample of patients with chronic low back pain (CLBP) in a rehabilitation setting. Research Method/Design: We conducted a longitudinal study using multivariable modeling taking into account a broad set of psychological variables as potential predictors. Rehabilitation outcome was assessed via health related quality of life (HRQL) and disease-specific functioning at the end of rehabilitation and six months later. The sample comprised N = 214 patients. When considered separately, a range of psychological factors were significant predictors of HRQL and functioning at the end of rehabilitation and at six months follow-up, even if baseline values of outcome variables, sociodemographic variables, and baseline pain intensity are controlled. When considered in combination, a better work prognosis, self-efficacy and i...Continue Reading

Citations

Nov 26, 2019·The Cochrane Database of Systematic Reviews·Jill A HaydenRachel Ogilvie
Apr 14, 2020·Journal of Pain Research·Anne-Katrin PuschmannPia-Maria Wippert
Feb 25, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Dalyah M AlamamMartin G Mackey
Apr 10, 2021·Clinical Orthopaedics and Related Research·Nicole G LemasterTim L Uhl

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