C Borys1, S Nodop, R Tutzschke, C Anders, H C Scholle, B Strauß. 1. Institut für Psychosoziale Medizin und Psychotherapie, Universitätsklinikum Jena, Friedrich-Schiller-Universität, Stoystr. 3, 07740, Jena, Deutschland, constanze.borys@googlemail.com.
Abstract
BACKGROUND: Results related to the outcome of the classical back schools are inconsistent. Accordingly, a reformulation of the program integrating psychological and social aspects was performed as a necessary step for the development of the new back school in Germany. The aim of this study was to assess the effectiveness and sustainability of the new back school in subjects with non-specific back pain in the prevention setting. MATERIAL AND METHODS: In a modified waiting design, individuals were investigated with respect to demographical, pain-related and psychological characteristics 3 months before the start, at the start and at the end of the back school and as well as 12 months after completion. In addition, predictors for a successful participation were analyzed. RESULTS: A total of 88 subjects with back pain initially participated in the study. In the short and long-term course, low to moderate effects were detected; however, during follow-up a reduction of pain showed high effects. Depression as assessed by the hospital anxiety and depression scale (HADS) and passive coping strategies assessed using the coping strategies questionnaire (CSQ) were identified as predictors for response to the intervention. CONCLUSION: On the basis of the sample studied, the new back school proved to be an effective treatment for short and long-term reduction of pain-related stress and associated psychological aspects. Maladaptive, passive coping strategies and higher depression scores were associated with a higher probability of success in terms of pain reduction and functional improvement.
BACKGROUND: Results related to the outcome of the classical back schools are inconsistent. Accordingly, a reformulation of the program integrating psychological and social aspects was performed as a necessary step for the development of the new back school in Germany. The aim of this study was to assess the effectiveness and sustainability of the new back school in subjects with non-specific back pain in the prevention setting. MATERIAL AND METHODS: In a modified waiting design, individuals were investigated with respect to demographical, pain-related and psychological characteristics 3 months before the start, at the start and at the end of the back school and as well as 12 months after completion. In addition, predictors for a successful participation were analyzed. RESULTS: A total of 88 subjects with back pain initially participated in the study. In the short and long-term course, low to moderate effects were detected; however, during follow-up a reduction of pain showed high effects. Depression as assessed by the hospital anxiety and depression scale (HADS) and passive coping strategies assessed using the coping strategies questionnaire (CSQ) were identified as predictors for response to the intervention. CONCLUSION: On the basis of the sample studied, the new back school proved to be an effective treatment for short and long-term reduction of pain-related stress and associated psychological aspects. Maladaptive, passive coping strategies and higher depression scores were associated with a higher probability of success in terms of pain reduction and functional improvement.
Authors: Marije van der Hulst; Miriam M R Vollenbroek-Hutten; Karin G M Groothuis-Oudshoorn; Hermie J Hermens Journal: Clin J Pain Date: 2008-06 Impact factor: 3.442
Authors: Constanze Borys; Steffi Nodop; Christoph Anders; Robin Tutzschke; Hans Christoph Scholle; Andrea Thomas; Uwe Altmann; Bernhard Strauss Journal: PLoS One Date: 2018-11-15 Impact factor: 3.240
Authors: Marita Stier-Jarmer; Cornelia Oberhauser; Dieter Frisch; Götz Berberich; Thomas Loew; Carina Schels-Klemens; Birgit Braun; Angela Schuh Journal: Int J Environ Res Public Health Date: 2020-12-10 Impact factor: 3.390