Dottington Fullwood1, Sydney Means2, Raheem Paxton3, Brandi Wells4, Joseph L Riley5, Zachary Stickley6, Carolyn Tucker7, Lu You8, Marie Elie9, Carol Thomas10, Stephen Anton2, Marco Pahor2, Diana J Wilkie11. 1. Institute On Aging, University of Florida, 2004 Mowry Road, CTRB 3118, Gainesville, FL, 32611, USA. mdottington.full@ufl.edu. 2. Institute On Aging, University of Florida, 2004 Mowry Road, CTRB 3118, Gainesville, FL, 32611, USA. 3. Department of Community Medicine and Population Health, University of Alabama, Tuscaloosa, AL, USA. 4. Jacksonville Aging Studies Center, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA. 5. Department of Community Dentistry and Behavioral Science, University of Florida, Gainesville, FL, USA. 6. Department of Educational Psychology, Leadership, & Counseling, Texas Tech University, Lubbock, TX, USA. 7. Department of Psychology, University of Florida, Gainesville, FL, USA. 8. Health Informatics Institute, University of South Florida, Tampa, FL, USA. 9. Department of Emergency Medicine, University of Florida, Gainesville, FL, USA. 10. Y Healthy Living Center, Johnson Family YMCA, Jacksonville, FL, USA. 11. Department of Biobehavioral Nursing Science, University of Florida, Gainesville, FL, USA.
Abstract
OBJECTIVE: The objective of the study was to investigate functional performance and pain intensity outcomes for associations with negative cognitive orientations, avoidance behaviors, and fear of pain in older Black men with low back pain (LBP). METHODS: Sixty Black men aged 60 and older (70 years[Formula: see text]) with LBP completed the Short Physical Performance Battery (SPPB), the 400-m walk test, and subjective measures of avoidance behaviors, back performance, pain intensity, and pain catastrophizing (i.e., rumination, magnification, and helplessness). Multiple regression models were used to examine associations. RESULTS: Higher helplessness scores were associated with worse back performance (ß = 0.55, p = 0.02), slower walking speed (ß = 0.30, p = 0.02), and higher average pain intensity (ß = 0.22, [Formula: see text] p = 0.03). Higher rumination scores were associated with better back performance (ß = - 0.36, p = 0.04). Avoidance behaviors, fear of pain, and magnification were not significantly associated with any of the variables included in the tested models. CONCLUSION: Negative cognitive internalization is associated with limitations in functional performance in older Black men with LBP. Additional research is needed to further examine the cognitive orientations for understanding experienced pain and function in this population. Such research may inform the development of interventions for improving functional performance outcomes of older Black men with LBP.
OBJECTIVE: The objective of the study was to investigate functional performance and pain intensity outcomes for associations with negative cognitive orientations, avoidance behaviors, and fear of pain in older Black men with low back pain (LBP). METHODS: Sixty Black men aged 60 and older (70 years[Formula: see text]) with LBP completed the Short Physical Performance Battery (SPPB), the 400-m walk test, and subjective measures of avoidance behaviors, back performance, pain intensity, and pain catastrophizing (i.e., rumination, magnification, and helplessness). Multiple regression models were used to examine associations. RESULTS: Higher helplessness scores were associated with worse back performance (ß = 0.55, p = 0.02), slower walking speed (ß = 0.30, p = 0.02), and higher average pain intensity (ß = 0.22, [Formula: see text] p = 0.03). Higher rumination scores were associated with better back performance (ß = - 0.36, p = 0.04). Avoidance behaviors, fear of pain, and magnification were not significantly associated with any of the variables included in the tested models. CONCLUSION: Negative cognitive internalization is associated with limitations in functional performance in older Black men with LBP. Additional research is needed to further examine the cognitive orientations for understanding experienced pain and function in this population. Such research may inform the development of interventions for improving functional performance outcomes of older Black men with LBP.
Authors: M J Sullivan; B Thorn; J A Haythornthwaite; F Keefe; M Martin; L A Bradley; J C Lefebvre Journal: Clin J Pain Date: 2001-03 Impact factor: 3.442