S Roch1, J Föllmer2, P Hampel2. 1. Institut für Gesundheits-, Ernährungs- und Sportwissenschaften, Europa-Universität Flensburg, Auf dem Campus 1, 24943, Flensburg, Deutschland. svenja.roch@uni-flensburg.de. 2. Institut für Gesundheits-, Ernährungs- und Sportwissenschaften, Europa-Universität Flensburg, Auf dem Campus 1, 24943, Flensburg, Deutschland.
Abstract
BACKGROUND: Chronic low back pain is often accompanied by fear-avoidance cognitions, increased depressive symptoms and decreased quality of life. OBJECTIVE: Is the relationship between fear-avoidance cognitions and quality of life mediated by depressive symptoms? METHODS: Mediation analyses were conducted to predict the long-term quality of life with depressive symptoms as mediator using longitudinal data from 131 patients. RESULTS: Fear-avoidance cognitions prior to rehabilitation predicted the physical quality of life 24 months after rehabilitation, which was mediated by the degree of depressive symptoms 6 months after rehabilitation. The other assumed models could not be tested due to non-significant correlations between the model variables. CONCLUSION: To improve the physical quality of life, depressive symptoms should be included into the treatment of chronic low back pain.
BACKGROUND: Chronic low back pain is often accompanied by fear-avoidance cognitions, increased depressive symptoms and decreased quality of life. OBJECTIVE: Is the relationship between fear-avoidance cognitions and quality of life mediated by depressive symptoms? METHODS: Mediation analyses were conducted to predict the long-term quality of life with depressive symptoms as mediator using longitudinal data from 131 patients. RESULTS: Fear-avoidance cognitions prior to rehabilitation predicted the physical quality of life 24 months after rehabilitation, which was mediated by the degree of depressive symptoms 6 months after rehabilitation. The other assumed models could not be tested due to non-significant correlations between the model variables. CONCLUSION: To improve the physical quality of life, depressive symptoms should be included into the treatment of chronic low back pain.
Entities:
Keywords:
Chronic low back pain; Depressive symptoms; Fear-avoidance model (FAM); Mediation analysis; Quality of life
Authors: B Arnold; T Brinkschmidt; H-R Casser; A Diezemann; I Gralow; D Irnich; U Kaiser; B Klasen; K Klimczyk; J Lutz; B Nagel; M Pfingsten; R Sabatowski; R Schesser; M Schiltenwolf; D Seeger; W Söllner Journal: Schmerz Date: 2014-10 Impact factor: 1.107