PMID- 35734508
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 1178-7090 (Print)
IS  - 1178-7090 (Electronic)
IS  - 1178-7090 (Linking)
VI  - 15
DP  - 2022
TI  - Is There a Difference in Fear-Avoidance, Beliefs, Anxiety and Depression Between 
      Post-Surgery and Non-Surgical Persistent Spinal Pain Syndrome Patients?
PG  - 1707-1717
LID - 10.2147/JPR.S348146 [doi]
AB  - INTRODUCTION: Patients with post-surgery persistent spinal pain syndrome (PSPS) 
      or non-surgical PSPS might be affected by sustained fear-avoidance beliefs (FAB), 
      anxiety and depression. In this scenario, this study aimed to describe those 
      aspects in patients with post-surgery PSPS and non-surgical PSPS. METHODS: This 
      study included patients with PSPS, and non-surgical PSPS, over 18 years, with 
      quarterly evaluations at the Chronic Pain Clinic. After evaluation, demographic 
      and clinical characteristics were obtained. The Beck Depression Inventory-II, 
      Beck Anxiety Inventory, Douleur neuropathique 4 questions, Visual Analog Pain 
      Scale, and Fear-Avoidance Beliefs Questionnaire-Brazilian Version (FABQ-Brazil) 
      were used to evaluate psychological aspects. RESULTS: Forty-six patients were 
      included, 23 patients with post-surgery PSPS and 23 with non-surgical PSPS. Both 
      groups had high scores in the physical and work domains of the FABQ, high rates 
      of absenteeism and most patients in these groups had moderate-to-severe 
      neuropathic pain and some degree of anxiety and/or depression. The groups showed 
      no statistically significant difference (p > 0.05) when comparing all 
      questionnaires. DISCUSSION: This is one of the first studies to evaluate FAB and 
      other associated psychological factors, such as anxiety and depression, in 
      patients with post-surgery PSPS in a follow-up several years after surgery and 
      compare with patients diagnosed with non-surgical PSPS. In this study, most 
      patients in both groups had high scores in the FABQ domains, not having 
      statistically relevant difference between groups. CONCLUSION: Even though there 
      was no statistically relevant difference between the PSPS patient with or without 
      surgical history in terms of the assessed outcome measures, the described scores 
      for fear-avoidance beliefs, pain, anxiety and depression were high, showing an 
      interference in the daily life activities of those patients.
CI  - (c) 2022 Alves Rodrigues et al.
FAU - Alves Rodrigues, Thiago
AU  - Alves Rodrigues T
AUID- ORCID: 0000-0003-3086-6844
AD  - Chronic Pain Clinic, University Hospital of the Federal University of Maranhao 
      (HU-UFMA), Sao Luis, Maranhao, Brazil.
FAU - de Oliveira, Eduardo Jose Silva Gomes
AU  - de Oliveira EJSG
AUID- ORCID: 0000-0003-0883-4774
AD  - Chronic Pain Clinic, University Hospital of the Federal University of Maranhao 
      (HU-UFMA), Sao Luis, Maranhao, Brazil.
FAU - Morais Costa, Beatriz
AU  - Morais Costa B
AD  - Chronic Pain Clinic, University Hospital of the Federal University of Maranhao 
      (HU-UFMA), Sao Luis, Maranhao, Brazil.
FAU - Tajra Mualem Araujo, Rayanne Luiza
AU  - Tajra Mualem Araujo RL
AUID- ORCID: 0000-0001-8248-9679
AD  - Chronic Pain Clinic, University Hospital of the Federal University of Maranhao 
      (HU-UFMA), Sao Luis, Maranhao, Brazil.
FAU - Batista Santos Garcia, Joao
AU  - Batista Santos Garcia J
AUID- ORCID: 0000-0002-3597-6471
AD  - Chronic Pain Clinic, University Hospital of the Federal University of Maranhao 
      (HU-UFMA), Sao Luis, Maranhao, Brazil.
LA  - eng
PT  - Journal Article
DEP - 20220616
PL  - New Zealand
TA  - J Pain Res
JT  - Journal of pain research
JID - 101540514
PMC - PMC9208625
OTO - NOTNLM
OT  - anxiety
OT  - back pain
OT  - depression
OT  - fear
OT  - spine surgery
COIS- The authors declare no conflicts of interest in relation to this work.
EDAT- 2022/06/24 06:00
MHDA- 2022/06/24 06:01
PMCR- 2022/06/16
CRDT- 2022/06/23 02:43
PHST- 2021/11/06 00:00 [received]
PHST- 2022/02/05 00:00 [accepted]
PHST- 2022/06/23 02:43 [entrez]
PHST- 2022/06/24 06:00 [pubmed]
PHST- 2022/06/24 06:01 [medline]
PHST- 2022/06/16 00:00 [pmc-release]
AID - 348146 [pii]
AID - 10.2147/JPR.S348146 [doi]
PST - epublish
SO  - J Pain Res. 2022 Jun 16;15:1707-1717. doi: 10.2147/JPR.S348146. eCollection 2022.