본문 바로가기
KERD
논문KCI 등재

회귀분석을 이용한 만성요통환자의 통증 및 기능장애수준과 심리사회학적 요인의 상관성 연구

Regression Analysis of the Relationship Among the Level of Pain and Dysfunction and Psychosocial Factors in Patients With Chronic Back Pain

장현정|김선엽|최임순
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2016.02|한국전문물리치료학회지 (Physical Therapy Korea)|제23권 제1호|pp. 38-45|DOI http://dx.doi.org/10.12674/ptk.2016.23.1.038

2

조회

0

다운로드

7

인용

0

참고문헌

키워드

DysfunctionChronic low back painPain self-efficacy.
주제분류물리치료학

초록

Background: Chronic back pain shows a high correlation with lumbar disability, physical disability for daily activities, and psychosocial factors, such as depression. Object: The purpose of this study was to examine the correlation of the level of pain and disability with psychosocial factors, which are potential disturbance variables, in patients with chronic lumbar pain. Method: The sample included 258 patients, who had complained of chronic lumbar pain for more than three months. The Quadruple Visual Analogue Scale was used to measure the level of pain, and a Korean version of Oswestry Disability Index was used to measure the level of disability. Psychosocial factors were measured using the Tampa scale for Kinesiophobia-11, Fear Avoidance Beliefs Questionnaire, and Pain Self-Efficacy Questionnaire. The collected data was analyzed using PASW 18.0, and an independent samples t-test was used to examine frequency, percentage, mean, and standard deviation of sociodemographic characteristics and major variables. Pearson’s correlation coefficient was used to investigate the correlation between the level of pain and disability and psychosocial factors. Stepwise multiple regression analysis was done to determine the level of pain and psychosocial factors of functional disorder. The significance level was set at α=.05. Result: There is a strong correlation between the level of pain and functional disorder and psychosocial factors in patients with chronic lumbar pain. The study also revealed that as the levels of pain and fear avoidance increase, pain self-efficacy decreases. Conclusion: The results suggest that negative perceptions towards pain, limitations of physical movement, and severe fear avoidance directly affect the decrease in pain self-efficacy. Therefore, it is recommended to test pain self-efficacy when measuring the level of pain and disability in patients with chronic low back pain.

Abstract

Background: Chronic back pain shows a high correlation with lumbar disability, physical disability for daily activities, and psychosocial factors, such as depression. Object: The purpose of this study was to examine the correlation of the level of pain and disability with psychosocial factors, which are potential disturbance variables, in patients with chronic lumbar pain. Method: The sample included 258 patients, who had complained of chronic lumbar pain for more than three months. The Quadruple Visual Analogue Scale was used to measure the level of pain, and a Korean version of Oswestry Disability Index was used to measure the level of disability. Psychosocial factors were measured using the Tampa scale for Kinesiophobia-11, Fear Avoidance Beliefs Questionnaire, and Pain Self-Efficacy Questionnaire. The collected data was analyzed using PASW 18.0, and an independent samples t-test was used to examine frequency, percentage, mean, and standard deviation of sociodemographic characteristics and major variables. Pearson’s correlation coefficient was used to investigate the correlation between the level of pain and disability and psychosocial factors. Stepwise multiple regression analysis was done to determine the level of pain and psychosocial factors of functional disorder. The significance level was set at α=.05. Result: There is a strong correlation between the level of pain and functional disorder and psychosocial factors in patients with chronic lumbar pain. The study also revealed that as the levels of pain and fear avoidance increase, pain self-efficacy decreases. Conclusion: The results suggest that negative perceptions towards pain, limitations of physical movement, and severe fear avoidance directly affect the decrease in pain self-efficacy. Therefore, it is recommended to test pain self-efficacy when measuring the level of pain and disability in patients with chronic low back pain.

참고문헌 (40)

  1. Bandura A, "Self-efficacy: Toward a unifying theory of behavioral change", Psychol Rev, 84(2), pp.191~215 (1977)
  2. M.C. Boonstra, "How to quantify knee function after total knee arthroplasty?", The Knee, 15(5), pp.390~395 (2008), Elsevier BV[DOI]
  3. Borenstein DG, "Epidemiology, etiology, diagnostic evaluation, and treatment of low back pain", Curr Opin Rheumatol, 13(2), pp.128~134 (2001)
  4. Bowman JM, "The meaning of chronic low back pain", AAOHN J, 39(8), pp.381~384 (1991)
  5. Chaory K, "Validation of the French version of the fear avoidance belief questionnaire", Spine, 29(8), pp.908~913 (2004)
  6. Christie HJ, "Postural aberrations in low back pain", Arch Phys Med Rehabil, 76(3), pp.218~224 (1995)
  7. Clark ME, "Kinesiophobia and chronic pain: Psychometric characteristics and factor analysis of the Tampa scale", Am Pain Soc Abstr, 15, pp.77~ (1996)
  8. Denison E, "Self-efficacy, fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients in primary health care", Pain, 111(3), pp.245~252 (2004)
  9. Fairbank, JC, "The Oswestry low back pain disability questionnaire", Physiotherapy, 66(8), pp.271~273 (1980)
  10. Faas A, "Exercises: Which ones are worth trying, for which patients, and when?", Spine, 21(24), pp.2874~2878 (1996)
  11. Julie M. Fritz, "Physical Therapy for Acute Low Back Pain", Spine, 33(16), pp.1800~1805 (2008), Ovid Technologies (Wolters Kluwer Health)[DOI]
  12. Fritz JM, "Segmental instability of the lumbar spine", Phys Ther, 78(8), pp.889~896 (1998)
  13. Fritz JM, "The role of fear-avoidance beliefs in acute low back pain:Relationships with current and future disability and work status", Pain, 94(1), pp.7~15 (2001)
  14. Robert J. Gatchel, "Psychosocial Differences Between High-Risk Acute vs. Chronic Low Back Pain Patients", Pain Practice, 8(2), pp.91~97 (2008), Wiley-Blackwell[DOI]
  15. Gheldof EL, "Pain and pain-related fear are associated with functional and social disability in an occupational setting: Evidence of mediation by pain-related fear", Eur J Pain, 10(6), pp.513~525 (2006)
  16. Gill K, "Repeatability of four clinical methods for assessment of lumbar spinal motion", Spine, 13(1), pp.50~53 (1988)
  17. Goubert L, "Comfimatory factor analysis of the Tampa Scale for Kinesiophobia: Invariant two-factor model across low back pain patients and fibromyalgia patients", Clin J Pain, 20(2), pp.103~110 (2004)
  18. Greening J, "Minor peripheral nerve injuries:An underestimated source of pain?", Man Ther, 3(4), pp.187~194 (1998)
  19. Heikkinen RL, "Depressive symptoms in late life: A 10-year follow-up", Arch Gerontol Geriatr, 38(3), pp.239~250 (2004)
  20. 주명규, "한국판 공포-회피 반응 설문지의 신뢰도와 타당도", 한국전문물리치료학회지, 16(2), pp.24~30 (2009), 한국전문물리치료학회
  21. Kang MH, "Effect of modified gait exercise using by elastic band in chronic low back pain patients", Master, pp.2013
  22. Kim DY, "Validation of the Korean version of the Oswestry disability index", Spine, 30(5), pp.E123~E127 (2005)
  23. Kim IJ, "Coping patterns in chronic low back pain relationship with locus of control and self-efficacy", Master, pp.1994
  24. 김진택, "요통 환자에서 나타나는 공포-회피 반응과 기능 수행 수준의 관계: 단면 연구", 한국전문물리치료학회지, 16(1), pp.52~60 (2009), 한국전문물리치료학회
  25. Kim KH, "A study on self-efficacy and quality of life in the elderly patients with chronic pain", J Korean Acad Fundam Nurs, 7(2), pp.332~344 (2000)
  26. Kim SY, "Comparison of the difference of weight-bearing distribution between subjects with low back pain and healthy subjects", Phys Ther Korea, 8(1), pp.1~8 (2001)
  27. Kovacs FM, "Psychometric characteristics of the Spanish version of the FAB questionnaire", Spine, 31(1), pp.104~110 (2006)
  28. Krismer M, "Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific)", Best Pract Res Clin Rheumatol, 21(1), pp.77~91 (2007)
  29. Lee HN, "A study on relationship between disability, daily activities, depression and self efficacy of patients with chronic low back pain", Master, pp.2014
  30. Paul W.M. Marshall, "The eccentric, concentric strength relationship of the hamstring muscles in chronic low back pain", Journal of Electromyography and Kinesiology, 20(1), pp.39~45 (2010), Elsevier BV[DOI]
  31. McCormack HM, "Clinical applications of visual analogue scales: A critical review", Psychol Med, 18(4), pp.1007~1019 (1988)
  32. Miller RP, "Tampa scale: A measure of kinisophobia", Clin J Pain, 7(1), pp.51~ (1991)
  33. Park YS, "The effects of exercise combined with taping therapy on the intensity of chronic back pain, daily living disability and depression in elderly women with the chronic low back pain", Master, pp.2011
  34. Pfingsten M, "Validation of the German version of the Fear-Avoidance Beliefs Questionnaire (FABQ)", Eur J Pain, 4(3), pp.259~266 (2000)
  35. Thomas E, "Predicting who develops chronic low back pain in primary care: A prospective study", BMJ, 318(7199), pp.1662~1667 (1999)
  36. Gregg A. Tkachuk, "Psychometric Properties of the Tampa Scale for Kinesiophobia-11 (TSK-11)", The Journal of Pain, 13(10), pp.970~977 (2012), Elsevier BV[DOI]
  37. Vlaeyen JW, "Fear of movement", (re)injury in chronic low back pain and its relation to behavioral performance, 1995, pp.62(3), 363~372
  38. Waddell G, "A Fear-Avoidance Beliefs Questionnaire(FABQ)and the role of fear avoidance beliefs in chronic low back pain and disability", Pain, 52(2), pp.157~168 (1993)
  39. 원종임, "요통기간에 따른 손상, 장애, 심리적 요인들의 상관성 비교", 한국전문물리치료학회지, 18(3), pp.76~84 (2011), 한국전문물리치료학회
  40. 양진향, "만성통증환자의 통증분류에 따른 통증, 우울 및 자기효능감 정도", 성인간호학회지, 16(2), pp.202~210 (2004), 성인간호학회

관련 논문AI추천

비급성기 요통환자에 있어 장애를 예측하는 요인으로서의 통증관련 두려움과 우울원종임한국전문물리치료학회 · 한국전문물리치료학회지2009 · 제16권 제3호요통기간에 따른 손상, 장애, 심리적 요인들의 상관성 비교원종임한국전문물리치료학회 · 한국전문물리치료학회지2011 · 제18권 제3호요통 환자에서 나타나는 공포-회피 반응과 기능 수행 수준의 관계: 단면 연구김선엽, 김진택, 오덕원한국전문물리치료학회 · 한국전문물리치료학회지2009 · 제16권 제1호만성 요통 환자와 요통이 없는 건강한 대상자의 척추 뼈분절의 압통 역치 수준 비교와 만성 요통 환자에 통증 수준, 기능장애 및 심리사회적 수준 간에 상관성김선엽, 유진영대한정형도수물리치료학회 · 대한정형도수물리치료학회지2023 · 제29권 제3호만성 요통 환자의 통증, 지식 및 교육 요구김성경, 김희승, 정성수대한근관절건강학회 · 근관절건강학회지2017 · 제24권 제1호만성요통 노인의 건강행위에 영향을 미치는 요인박숙희한국노인간호학회 · 노인간호학회지2015 · 제17권 제1호

이 간행물의 다른 논문 (10건)

부분적 체중부하를 통한 트레드밀 훈련이 만성요통환자의 균형능력과 기능장애, 통증에 미치는 영향김대현, 김선엽pp. 1-10통제된 한다리 스쿼트 동작시 슬개대퇴동통증후군 환자의 중간볼기근과 넙다리네갈래근에서 나타나는 근활성도와 근력 및 무릎 외반각도의 남녀 비교김기송, 윤태림pp. 11-19슬관절 전치환술 초기의 대퇴사두근 운동 방법에 따른 슬관절과 족관절의 관상면 정렬 비교: 하지 등척성 동시수축과 대퇴사두근 단독 등척성 수축정영희, 김형수pp. 20-30한국어판 플러턴 어드밴스드 균형 척도의 신뢰도와 타당도 연구김경모pp. 31-37한국어판 플러턴 어드밴스드 균형 척도의 라쉬분석김경모pp. 46-54
원문 보기