PMID- 28756302
OWN - NLM
STAT- MEDLINE
DCOM- 20190321
LR  - 20220318
IS  - 1878-1632 (Electronic)
IS  - 1529-9430 (Linking)
VI  - 18
IP  - 8
DP  - 2018 Aug
TI  - Both positive and negative beliefs are important in patients with spine pain: 
      findings from the Occupational and Industrial Orthopaedic Center registry.
PG  - 1463-1474
LID - S1529-9430(17)30487-4 [pii]
LID - 10.1016/j.spinee.2017.07.166 [doi]
AB  - BACKGROUND CONTEXT: Negative beliefs are known to influence treatment outcome in 
      patients with spine pain (SP). The impact of positive beliefs is less clear. 
      PURPOSE: We aimed to assess the influence of positive and negative beliefs on 
      baseline and treatment responses in patients with SP. STUDY DESIGN/SETTING: A 
      retrospective cross-sectional and longitudinal analysis of prospectively 
      collected data of outpatient physical therapy patients with SP was carried out. 
      Questionnaires administered before and during treatment included the STarT Back 
      distress scale (negative beliefs), and expectation and self-efficacy questions 
      (positive beliefs). PATIENT SAMPLE: Patients with SP with a baseline assessment 
      and follow-up assessment comprised the study sample. OUTCOME MEASURE: Perceived 
      disability was measured using the Oswestry Disability Index (ODI) or the Neck 
      Disability Index (NDI). A clinical meaningful change (minimum clinically 
      important difference [MCID]) was defined as decrease in ODI or NDI of >/=30%. 
      METHODS: We used the Akaike Information Criterion from the first imputed dataset 
      of the prediction model to select predictor variables. Prediction models were 
      fitted to the outcome variables. RESULTS: In the cross-sectional analysis, 1,695 
      low back pain (LBP) episodes and 487 neck pain (NP) episodes were analyzed. STarT 
      Back Screening Tool (SBST)-distress was positively associated with perceived 
      disability in both LBP (beta 2.31, 95% confidence interval [CI] 1.75-2.88) and NP 
      (beta 2.57, 95% CI 1.47-3.67). Lower self-efficacy was negatively associated with 
      more perceived disability for LBP (beta 0.50, 95% CI 0.29-0.72) but not for NP, 
      whereas less positive expectations was associated with more perceived disability 
      in NP (beta 0.57, 95% CI 0.02-1.12) but not in LBP. In the longitudinal analysis, 
      607 LBP episodes (36%) and 176 (36%) NP episodes were included. SBST-distress did 
      not predict treatment outcome in spine patients. In LBP, patients with a lower 
      positive expectation were less likely to experience an MCID in perceived 
      disability (odds ratio [OR] per point increase 0.89, 95% CI 0.83-0.96), and there 
      was a similar trend in NP (OR per point increase 0.90, 95% CI 0.79-1.03). In 
      patients with LBP, lower self-efficacy at baseline was associated with a higher 
      likelihood that an MCID was achieved (OR per point increase 1.09, 95% CI 
      1.01-1.19). In NP, self-efficacy was not included in the final model. 
      CONCLUSIONS: Our study demonstrates that both negative and positive beliefs are 
      associated with perceptions of disability. However, in this study, only positive 
      beliefs were associated with treatment outcome.
CI  - Copyright (c) 2017 Elsevier Inc. All rights reserved.
FAU - Wertli, Maria M
AU  - Wertli MM
AD  - Department of General Internal Medicine, Bern University Hospital, University of 
      Bern, Freiburgstrasse 8, CH-3010 Bern, Switzerland; Horten Centre for Patient 
      Oriented Research and Knowledge Transfer, Zurich University, Pestalozzistrasse 
      24, 8032 Zurich, Switzerland. Electronic address: Maria.Wertli@insel.ch.
FAU - Held, Ulrike
AU  - Held U
AD  - Horten Centre for Patient Oriented Research and Knowledge Transfer, Zurich 
      University, Pestalozzistrasse 24, 8032 Zurich, Switzerland.
FAU - Lis, Angela
AU  - Lis A
AD  - NYU Hospital for Joint Diseases, Occupational and Industrial Orthopaedic Center 
      (OIOC), New York University, 63 Downing St, New York, NY 10014, USA; Department 
      of Physical Therapy, Seton Hall University, 400 South Orange Ave, South Orange, 
      NJ 07079, USA.
FAU - Campello, Marco
AU  - Campello M
AD  - NYU Hospital for Joint Diseases, Occupational and Industrial Orthopaedic Center 
      (OIOC), New York University, 63 Downing St, New York, NY 10014, USA.
FAU - Weiser, Sherri
AU  - Weiser S
AD  - NYU Hospital for Joint Diseases, Occupational and Industrial Orthopaedic Center 
      (OIOC), New York University, 63 Downing St, New York, NY 10014, USA.
LA  - eng
PT  - Journal Article
DEP - 20170726
PL  - United States
TA  - Spine J
JT  - The spine journal : official journal of the North American Spine Society
JID - 101130732
SB  - IM
MH  - Adult
MH  - Back Pain/*psychology
MH  - *Culture
MH  - Disability Evaluation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Perception
MH  - Registries
MH  - Self Report
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Low back pain
OT  - Neck pain
OT  - Negative beliefs
OT  - Outcome expectation
OT  - Positive beliefs
OT  - STarT Back Tool
OT  - Self-efficacy
OT  - Spine pain
EDAT- 2017/08/02 06:00
MHDA- 2019/03/22 06:00
CRDT- 2017/07/31 06:00
PHST- 2017/04/25 00:00 [received]
PHST- 2017/06/23 00:00 [revised]
PHST- 2017/07/17 00:00 [accepted]
PHST- 2017/08/02 06:00 [pubmed]
PHST- 2019/03/22 06:00 [medline]
PHST- 2017/07/31 06:00 [entrez]
AID - S1529-9430(17)30487-4 [pii]
AID - 10.1016/j.spinee.2017.07.166 [doi]
PST - ppublish
SO  - Spine J. 2018 Aug;18(8):1463-1474. doi: 10.1016/j.spinee.2017.07.166. Epub 2017 
      Jul 26.