Cognitive factors influencing the quality of life of people with chronic back pain
Abstract
Background: Chronic back pain is the second most common disease on the list of chronic diseases today. In addition to biological factors, psychological factors that can shape the course of the disease play a key role in coping with the condition. In our study, we examined the impact of mindfulness, pain catastrophizing and fear and avoidance beliefs in relation to health-related quality of life between people with chronic back pain.
Methodology: Our cross-sectional, quantitative research included individuals with chronic back pain who came from specific groups on social media (N = 65; men = 10; women = 55; agemean = 49,2). In the study, the Mindful Attention Awareness Scale (MAAS), Pain Catastrophizing Scale (PCS), Fear and Avoidance Belief Questionnaire (FABQ-H), and the Short Form Health Survey (SF-36) were used. To test our hypothesis Pearson correlation and multiple linear regression analysis were applied.
Results: In our sample, we found a significant association between mindfulness, pain catastrophizing, and fear-avoidance beliefs. Lower levels of mindfulness was associated with higher pain catastrophizing and fear-avoidance beliefs, but showed a positive correlation with quality of life. Further examining the data, we found that the lower levels of health-related quality of life was predicted by lower levels of mindfulness and higher levels of pain catastrophizing and fear-avoidance beliefs.
Conclusions: According to our results, the health-related quality of life of people with chronic back pain is negatively affected by lower levels of mindfulness and higher levels of pain catastrophizing and fear-avoidance beliefs. Our results underscore the role of these psychological factors in patients ’lives, emphasizing the importance of a multidisciplinary treatment in which, in addition to physical symptoms, psychological factors also play a key role in achieving higher health outcomes.
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