Yıl: 2012 Cilt: 22 Sayı: 6 Sayfa Aralığı: 724 - 731 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain

Öz:
AMAÇ: Çalışmamızın amacı, kronik bel ağrısı olan hastalarda korku kaçınma inançlarının yeti yitimi ile ilişkisinin ve yaşam kalitesindeki yordayıcılığının değerlendirilmesidir. YÖNTEM ve GEREÇLER: Çalışmaya kronik bel ağrısı yakınması ile başvuran 105 hasta dahil edildi. Katılımcılar sosyodemografik veri formu, Görsel Analog Skala Roland Morris Yetiyitimi anketi, Beck Anksiyete Envanteri, Beck Depresyon Envanteri, Bedensel duyumları abartma ölçeği, Korku kaçınma tutumları anketi ve Kısa form-36 ile değerlendirildi. BULGULAR: Ağrı şiddeti arttıkça korku kaçınma artmaktaydı. Depresyon anksiyete ve korku kaçınma (mesleki) düzeyindeki artış yetiyitiminin artmasına yol açmaktaydı. Ağrı şiddeti ve anksiyete düzeyi yeti yitiminin yordayıcıları olarak belirlendi. Ağrı şiddeti anksiyete ve depresyon düzeyleri korku kaçınma arttıkça fiziksel fonksiyon azalmaktaydı. Ağrı şiddeti ve fiziksel korku kaçınma tutumları fiziksel işlevselliğin yordayıcıları olarak bulundu. SONUÇ: Çalışmamızın bulguları kronik bel ağrılı hastalarda ağrı şiddetinin ve korku kaçınma inançlarının yeti yitimi ile ilişkisinin değerlendirildiği önceki çalışmalarla uyumlu bulunmuştur. Bu hastalarda korku kaçınma inançlarının değerlendirilmesinin yeti yitimini anlama ve buna bağlı yaşam kalitesindeki bozulmanın önlenmesinde rol oynayabileceğini düşünmekteyiz.
Anahtar Kelime:

Konular: Cerrahi

Kronik bel ağrısı olan hastalarda korku kaçınma tutumları; yeti yitimi ve yaşam kalitesi ile ilişkisi

Öz:
AIM: The aim of this study is to investigate the relationship between fear and avoidance beliefs with the disability of patients with chronic low back pain and the prediction of quality of life. MaterIal and Methods: 105 outpatients with chronic low back pain were included in the study. Patients were evaluated with a sociodemographic questionnaire Visual Analog Scale Roland Morris Disability Questionnaire Beck anxiety inventory Beck depression inventory, Somatosensory Amplification Scale Fear and avoidance beliefs questionaire and Short form-36 health survey questionnaire. Results: As pain intensity increased, FABQ increased. Higher levels of anxiety, depression, FABQ (work) leads to higher level of disability. The disability predictors were found to be pain intensity and level of anxiety. When levels of pain intensity, level of anxiety and depression, FABQ increased, physical function decreased. Pain intensity and FABQ (physical) were found to be the predictors of quality of life. ConclusIon: Findings of our study were compatible with the previous studies that evaluated the relationship between pain intensity and FAB with the disability of patients with chronic low back pain. We think that it‘d have a role for the perception of disability and connected to this to prevent the impairment of life quality by implications for FAB in these patients.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Asmundson GJ, Norton PJ, Vlaeyen JW: Fear-avoidance models of chronic pain: An overview. Asmundson GJ, Vlaeyen JW, Crombez G (eds), Understanding and Treating Fear of Pain, New York: Oxford University Press, 2004: 3-24
  • 2. Barsky AJ, Wyshak G, Klerman GL: The somatosensory amplification scale and its relationship to hypochondriasis. J Psychiatr Res 24:323-334, 1990
  • 3. Beck AT, Epstein N, Brown G, Steer RA: An inventory for measuring clinical anxiety: Psychometric properties. J Consult Clin Psychol 56:893-897, 1988
  • 4. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J: An inventory for measuring depression. Arch Gen Psychiatry 4:561-571, 1961
  • 5. Cai C, Pua YH, Lim KC: Correlates of self reported disability in patients with low back pain: The role of fear avoidance beliefs. Ann Acad Med Singapure 36:1013-1020, 2007
  • 6. Chaory K, Rannou F, Fermanian J, Genty M, Rosenberg S, Billabert C, Kemoun G, Richard I, Thevenon A, Coudeyre L, Sender J, Revel M, Poiraudeau S: Impact of functional restoration programs on fears, avoidance and beliefs in chronic low back pain patients. Ann Readapt Med Phys 47: 93-97, 2004
  • 7. Crombez G,Vlaeyen JW, Heuts PH, Lysens R: Pain related fear is more disabling than pain itself: Evidence on the role of pain related fear in chronic back pain disability. Pain 80:329-339, 1999
  • 8. Davey GC: Classical conditioning and the acquisition of human fears and phobias: A review and synthesis of the literature. Adv Behav Res Ther 14:29-66, 1992
  • 9. Fritz JM, George SZ: Identifying psychosocial variables in patients with acute work related low back pain: The importance of fear-avoidance beliefs. Phys Ther 82:973-983, 2002
  • 10. George SZ, Fritz JM, Childs JD: Investigation of elevated fear avoidance beliefs for patients with low back pain: A secondary analysis ınvolving patients enrolled in physical therapy clinical trials. J Orthop Sports Phy Ther 38:50-58, 2008
  • 11. George SZ, Fritz JM, Erhard RE: A comparison of fear avoidance beliefs in patients with lumbar spine pain and cervicalspine pain. Spine 26:2139-2145, 2001
  • 12. Goubert L, Crombez G, Peters M: Pain-related fear and avoidance: A conditioning perspective. Asmundson GJ, Vlaeyen JW, Crombez G (eds), Understanding and Treating Fear of Pain. New York: Oxford University Press, 2004: 25-50
  • 13. Gulec H, Sayar K: Reliability and validity of the Turkish form of the Somatosensory Amplification Scale. Psychiatry Clin Neurosci 61:25-30, 2007
  • 14. Hicks GE, Fritz JM, Delitto A, Mc Gill SM: Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil 86:1753-1762, 2005
  • 15. Hisli N: Reability and validity of Beck Depression Inventory among university students. J Turk Psychol 7:3-13, 1989
  • 16. Jellema P, van der Windt DA, van der Horst HE, Blankenstein AH, Bouter LM, Stalman WA: Why is a treatment aimed at psychosocial factors not effective in patients with (sub)acute low back pain? Pain 118:350-359, 2005
  • 17. Kocyigit H, Aydemir O, Fisek G, Olmez N, Memis A: Kısa form- 36’nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi 12:102-106, 1999
  • 18. Korkmaz N, Akinci A, Surucu SH, Saracbasi O, Ozcakar L: Validation and reliability of the Turkish version of the fear avoidance beliefs questionnaire in patients with low back pain. Eur J Phys Rehabil Med 45:527-535, 2009
  • 19. Kovacs FM, Muriel A, Medina JM, Abraira V, Sánchez MD, Jaúregui JO: Psychometric characteristics of the Spanish version of the FAB Questionnaire. Spine 31:104-110, 2006
  • 20. Kovascs FM, Abraira V, Zamora J, Fernandez C: The transition from acute to subacute and chronic low back pain: A study based on determinants of quality of life and prediction of chronic disability. Spine 30:1786-1792, 2005
  • 21. Kucukdeveci AA, Tennant A, Elhan AH, Niyazoglu H: Validation of the Turkish version of the Roland-Morris Disability Questionnaire for use in low back pain. Spine 26:2738-2743, 2001
  • 22. Loeser JD: Perspectives on pain. Tuner P (ed), Clin Pharm Ther, London: Macmillan Press, 1982: 313-316
  • 23. Lyons RA, Lo SV, Littlepage BNC: Comparative health status of patients with 11 common illnesses in Wales. J Epidemiol Community Health 48:388-390, 1994
  • 24. Swinkels-Meewisse IE, Roelofs J, Verbeek AL, Oostendorp RA, Vlaeyen JW: Fear-avoidance beliefs, disability and participation in workers and nonworkers with acute low back pain. Clin J Pain 22:45-54, 2006
  • 25. Melzack R, Wall PD: Pain mechanisms: A new theory. Science 19:971-979, 1965
  • 26. Miller EM, Slota GP, Agnew MJ, Madigan ML: Females exhibit shorter paraspinal reflex latencies than males in response to sudden trunk flexion perturbations. Clin Biomech 25: 541-545, 2010
  • 27. Ozkan S: Ağrılı hastaya psikiyatrik yaklaşım. PsychoMed 1: 49-54, 1995
  • 28. Price DD, McGrath PA, Rafii A, Buckingham B: The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 17:45-56, 1983
  • 29. Reneman MF, Schiphorts Preuper HR, Kleen M, Geertzen JHB, Dijkstra PU: Are pain intensity and pain related fear related to functional capacity evaluation performances of patients with chronic low back pain. J Occup Rehabil 17:247-258, 2007
  • 30. Roland M, Morris R: A study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability in low-back pain. Spine 8:141-144, 1983
  • 31. Sengul Y, Kara B, Arda MN: The relationship between health locus of control and quality of life in patients with chronic low back pain. Turkish Neurosurgery 20:180-185, 2010
  • 32. Sions JM, Hicks GE: Fear avoidance beliefs are associated with disability in older American adults with low back pain. Phys Ther 91:525-534, 2011
  • 33. Staerkle R, Mannion AF, Elfering A, Junge A, Semmer NK, Jacobshagen N, Grob D, Dvorak J, Boos N: Longitudinal validation of the fear-avoidance beliefs questionnaire (FABQ) in a Swiss-German sample of low back pain patients. Eur Spine J 13:332-340, 2004
  • 34. Turk DC: Psychological factors in chronic pain: Evolution and revolution. J Cons Clin Psyco 70:678-690, 2002
  • 35. Ulusoy M, Erkmen H, Sahin N: Turkish version of the Beck Anxiety Inventory: Psychometric properties. J Cog Psychother 12:163-172, 1998
  • 36. Van den Hout JHC, Vlaeyen JWS, Heuts PHTG, Sillen WJT, Willen AJEHL: Functional disability in nonspecific low back pain: The role of pain-related fear and problem-solving skills. Int J Behav Med 8:134-138, 2001
  • 37. Vlaeyen JW, De Jong JR, Onghena P, Kerckhoffs-Hanssen M, Kole-Snijders AM: Can pain related fear be reduces? The application of cognitive behavioural exposure in vivo. Pain Res Manag 7:144-153, 2002
  • 38. Waddell G, Newton M, Henderson I, Somerville D, Main CJ: A fear-avoidance beliefs questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain 52:157-168, 1993
  • 39. Ware JE, Sherbourne CD: The MOS 36 item short form health survey (SF 36) Conceptual framework and item selection. Med Care 30:473-483, 1992
APA GUCLU D, güçlü o, OZANER A, ŞENORMANCI Ö, KONKAN R (2012). The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain. , 724 - 731.
Chicago GUCLU Doğan Gucluhan,güçlü oya,OZANER Aysel,ŞENORMANCI ÖMER,KONKAN RAMAZAN The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain. (2012): 724 - 731.
MLA GUCLU Doğan Gucluhan,güçlü oya,OZANER Aysel,ŞENORMANCI ÖMER,KONKAN RAMAZAN The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain. , 2012, ss.724 - 731.
AMA GUCLU D,güçlü o,OZANER A,ŞENORMANCI Ö,KONKAN R The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain. . 2012; 724 - 731.
Vancouver GUCLU D,güçlü o,OZANER A,ŞENORMANCI Ö,KONKAN R The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain. . 2012; 724 - 731.
IEEE GUCLU D,güçlü o,OZANER A,ŞENORMANCI Ö,KONKAN R "The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain." , ss.724 - 731, 2012.
ISNAD GUCLU, Doğan Gucluhan vd. "The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain". (2012), 724-731.
APA GUCLU D, güçlü o, OZANER A, ŞENORMANCI Ö, KONKAN R (2012). The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain. Turkish Neurosurgery, 22(6), 724 - 731.
Chicago GUCLU Doğan Gucluhan,güçlü oya,OZANER Aysel,ŞENORMANCI ÖMER,KONKAN RAMAZAN The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain. Turkish Neurosurgery 22, no.6 (2012): 724 - 731.
MLA GUCLU Doğan Gucluhan,güçlü oya,OZANER Aysel,ŞENORMANCI ÖMER,KONKAN RAMAZAN The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain. Turkish Neurosurgery, vol.22, no.6, 2012, ss.724 - 731.
AMA GUCLU D,güçlü o,OZANER A,ŞENORMANCI Ö,KONKAN R The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain. Turkish Neurosurgery. 2012; 22(6): 724 - 731.
Vancouver GUCLU D,güçlü o,OZANER A,ŞENORMANCI Ö,KONKAN R The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain. Turkish Neurosurgery. 2012; 22(6): 724 - 731.
IEEE GUCLU D,güçlü o,OZANER A,ŞENORMANCI Ö,KONKAN R "The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain." Turkish Neurosurgery, 22, ss.724 - 731, 2012.
ISNAD GUCLU, Doğan Gucluhan vd. "The relationship between disability, quality of life and fear-avoidance beliefs in patients with chronic low back pain". Turkish Neurosurgery 22/6 (2012), 724-731.