Interventions focusing on psychosocial risk factors for patients with non-chronic low back pain in primary care--a systematic review.
Identifieur interne : 001298 ( Main/Exploration ); précédent : 001297; suivant : 001299Interventions focusing on psychosocial risk factors for patients with non-chronic low back pain in primary care--a systematic review.
Auteurs : Aline Ramond-Roquin [France] ; Céline Bouton ; Anne-Sophie Gobin-Tempereau ; Guillaume Airagnes ; Isabelle Richard ; Yves Roquelaure [France] ; Jean-François HuezSource :
- Family practice [ 1460-2229 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- prévention et contrôle : Stress psychologique.
- psychologie : Lombalgie.
- thérapie : Lombalgie.
- Facteurs de risque, Humains, Qualité de vie, Soins de santé primaires.
English descriptors
- KwdEn :
- MESH :
- prevention & control : Stress, Psychological.
- psychology : Low Back Pain.
- therapy : Low Back Pain.
- Humans, Outcome Assessment, Health Care, Primary Health Care, Quality of Life, Risk Factors.
Abstract
BACKGROUND
Low back pain (LBP) is a problem that is frequently encountered in primary care, and current guidelines encourage care providers to take into account psychosocial risk factors in order to avoid transition from acute to chronic LBP.
OBJECTIVE
To review the effectiveness of interventions focusing on psychosocial risk factors for patients with non-chronic LBP in primary care.
METHODS
A systematic search was undertaken for controlled trials focusing on psychosocial factors in adult patients with non-chronic, non-specific LBP in primary care by exploring Medline, Embase, PsycInfo, Francis, Web of Sciences and The Cochrane Library. The methodological quality of the studies included was assessed before analysing their findings.
RESULTS
Thirteen studies were selected, seven being considered as having a low risk of bias. Information strategies were assessed by eight trials, with high-quality evidence of no effectiveness for pain, function, work issues and health care use, low-quality evidence of no effectiveness for self-rated overall improvement, satisfaction and pain beliefs and lack of evidence in terms of quality of life. Cognitive behavioural therapy was assessed by three trials, with very low-quality evidence of moderate effectiveness for pain, function, quality of life, work issues and health care use. There was lack of evidence concerning the effectiveness of individual and group education intervention or work coordination.
CONCLUSION
Among the wide range of psychosocial risk factors, research has focused mainly on pain beliefs and coping skills, with disappointing results. Extended theoretical models integrating several psychosocial factors and multicomponent interventions are probably required to meet the challenge of LBP.
DOI: 10.1093/fampra/cmu008
PubMed: 24632524
Affiliations:
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wicri:level="1"><nlm:affiliation>Department of General Practice and Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM, Angers and Aline.ramond@univ-angers.fr.</nlm:affiliation><country wicri:rule="url">France</country><wicri:regionArea>Department of General Practice and Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM</wicri:regionArea><wicri:noRegion>PRES L'UNAM</wicri:noRegion><wicri:noRegion>PRES L'UNAM</wicri:noRegion></affiliation></author><author><name sortKey="Bouton, Celine" sort="Bouton, Celine" uniqKey="Bouton C" first="Céline" last="Bouton">Céline Bouton</name><affiliation><nlm:affiliation>Department of General Practice and Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM, Angers and.</nlm:affiliation><wicri:noCountry code="subField">Angers and</wicri:noCountry></affiliation></author><author><name sortKey="Gobin Tempereau, Anne Sophie" sort="Gobin Tempereau, Anne Sophie" uniqKey="Gobin Tempereau A" first="Anne-Sophie" last="Gobin-Tempereau">Anne-Sophie Gobin-Tempereau</name><affiliation><nlm:affiliation>Department of General Practice and.</nlm:affiliation><wicri:noCountry code="no comma">Department of General Practice and.</wicri:noCountry><wicri:noCountry code="no comma">Department of General Practice and.</wicri:noCountry></affiliation></author><author><name sortKey="Airagnes, Guillaume" sort="Airagnes, Guillaume" uniqKey="Airagnes G" first="Guillaume" last="Airagnes">Guillaume Airagnes</name><affiliation><nlm:affiliation>Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM, Angers and.</nlm:affiliation><wicri:noCountry code="subField">Angers and</wicri:noCountry></affiliation></author><author><name sortKey="Richard, Isabelle" sort="Richard, Isabelle" uniqKey="Richard I" first="Isabelle" last="Richard">Isabelle Richard</name><affiliation><nlm:affiliation>Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM, Angers and Regional Center for Rehabilitation of Angers and.</nlm:affiliation><wicri:noCountry code="subField">Angers and Regional Center for Rehabilitation of Angers and</wicri:noCountry></affiliation></author><author><name sortKey="Roquelaure, Yves" sort="Roquelaure, Yves" uniqKey="Roquelaure Y" first="Yves" last="Roquelaure">Yves Roquelaure</name><affiliation wicri:level="3"><nlm:affiliation>Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM, Angers and Department of Occupational Health, University Hospital of Angers, Angers, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM, Angers and Department of Occupational Health, University Hospital of Angers, Angers</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Angers</settlement></placeName></affiliation></author><author><name sortKey="Huez, Jean Francois" sort="Huez, Jean Francois" uniqKey="Huez J" first="Jean-François" last="Huez">Jean-François Huez</name><affiliation><nlm:affiliation>Department of General Practice and Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM, Angers and.</nlm:affiliation><wicri:noCountry code="subField">Angers and</wicri:noCountry></affiliation></author></analytic><series><title level="j">Family practice</title><idno type="eISSN">1460-2229</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans (MeSH)</term><term>Low Back Pain (psychology)</term><term>Low Back Pain (therapy)</term><term>Outcome Assessment, Health Care (MeSH)</term><term>Primary Health Care (MeSH)</term><term>Quality of Life (MeSH)</term><term>Risk Factors (MeSH)</term><term>Stress, Psychological (prevention & control)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Facteurs de risque (MeSH)</term><term>Humains (MeSH)</term><term>Lombalgie (psychologie)</term><term>Lombalgie (thérapie)</term><term>Qualité de vie (MeSH)</term><term>Soins de santé primaires (MeSH)</term><term>Stress psychologique (prévention et contrôle)</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Stress psychologique</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Lombalgie</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Low Back Pain</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Low Back Pain</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Lombalgie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Outcome Assessment, Health Care</term><term>Primary Health Care</term><term>Quality of Life</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Facteurs de risque</term><term>Humains</term><term>Qualité de vie</term><term>Soins de santé primaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Low back pain (LBP) is a problem that is frequently encountered in primary care, and current guidelines encourage care providers to take into account psychosocial risk factors in order to avoid transition from acute to chronic LBP.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To review the effectiveness of interventions focusing on psychosocial risk factors for patients with non-chronic LBP in primary care.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A systematic search was undertaken for controlled trials focusing on psychosocial factors in adult patients with non-chronic, non-specific LBP in primary care by exploring Medline, Embase, PsycInfo, Francis, Web of Sciences and The Cochrane Library. The methodological quality of the studies included was assessed before analysing their findings.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Thirteen studies were selected, seven being considered as having a low risk of bias. Information strategies were assessed by eight trials, with high-quality evidence of no effectiveness for pain, function, work issues and health care use, low-quality evidence of no effectiveness for self-rated overall improvement, satisfaction and pain beliefs and lack of evidence in terms of quality of life. Cognitive behavioural therapy was assessed by three trials, with very low-quality evidence of moderate effectiveness for pain, function, quality of life, work issues and health care use. There was lack of evidence concerning the effectiveness of individual and group education intervention or work coordination.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Among the wide range of psychosocial risk factors, research has focused mainly on pain beliefs and coping skills, with disappointing results. Extended theoretical models integrating several psychosocial factors and multicomponent interventions are probably required to meet the challenge of LBP.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24632524</PMID><DateCompleted><Year>2015</Year><Month>04</Month><Day>14</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1460-2229</ISSN><JournalIssue CitedMedium="Internet"><Volume>31</Volume><Issue>4</Issue><PubDate><Year>2014</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Family practice</Title><ISOAbbreviation>Fam Pract</ISOAbbreviation></Journal><ArticleTitle>Interventions focusing on psychosocial risk factors for patients with non-chronic low back pain in primary care--a systematic review.</ArticleTitle><Pagination><MedlinePgn>379-88</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/fampra/cmu008</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Low back pain (LBP) is a problem that is frequently encountered in primary care, and current guidelines encourage care providers to take into account psychosocial risk factors in order to avoid transition from acute to chronic LBP.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To review the effectiveness of interventions focusing on psychosocial risk factors for patients with non-chronic LBP in primary care.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A systematic search was undertaken for controlled trials focusing on psychosocial factors in adult patients with non-chronic, non-specific LBP in primary care by exploring Medline, Embase, PsycInfo, Francis, Web of Sciences and The Cochrane Library. The methodological quality of the studies included was assessed before analysing their findings.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Thirteen studies were selected, seven being considered as having a low risk of bias. Information strategies were assessed by eight trials, with high-quality evidence of no effectiveness for pain, function, work issues and health care use, low-quality evidence of no effectiveness for self-rated overall improvement, satisfaction and pain beliefs and lack of evidence in terms of quality of life. Cognitive behavioural therapy was assessed by three trials, with very low-quality evidence of moderate effectiveness for pain, function, quality of life, work issues and health care use. There was lack of evidence concerning the effectiveness of individual and group education intervention or work coordination.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Among the wide range of psychosocial risk factors, research has focused mainly on pain beliefs and coping skills, with disappointing results. Extended theoretical models integrating several psychosocial factors and multicomponent interventions are probably required to meet the challenge of LBP.</AbstractText><CopyrightInformation>© The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ramond-Roquin</LastName><ForeName>Aline</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of General Practice and Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM, Angers and Aline.ramond@univ-angers.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bouton</LastName><ForeName>Céline</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of General Practice and Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM, Angers and.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gobin-Tempereau</LastName><ForeName>Anne-Sophie</ForeName><Initials>AS</Initials><AffiliationInfo><Affiliation>Department of General Practice and.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Airagnes</LastName><ForeName>Guillaume</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM, Angers and.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Richard</LastName><ForeName>Isabelle</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM, Angers and Regional Center for Rehabilitation of Angers and.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Roquelaure</LastName><ForeName>Yves</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM, Angers and Department of Occupational Health, University Hospital of Angers, Angers, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huez</LastName><ForeName>Jean-François</ForeName><Initials>JF</Initials><AffiliationInfo><Affiliation>Department of General Practice and Laboratory of Ergonomics and Epidemiology in Occupational Health, University of Angers, PRES L'UNAM, Angers and.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>03</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Fam Pract</MedlineTA><NlmUniqueID>8500875</NlmUniqueID><ISSNLinking>0263-2136</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017116" MajorTopicYN="N">Low Back Pain</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011320" MajorTopicYN="Y">Primary Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Intervention studies</Keyword><Keyword MajorTopicYN="N">low back pain</Keyword><Keyword MajorTopicYN="N">primary health care</Keyword><Keyword MajorTopicYN="N">psychology</Keyword><Keyword MajorTopicYN="N">review[publication type]</Keyword><Keyword MajorTopicYN="N">treatment outcome.</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>3</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>3</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>4</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24632524</ArticleId><ArticleId IdType="pii">cmu008</ArticleId><ArticleId 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name="France"><noRegion><name sortKey="Ramond Roquin, Aline" sort="Ramond Roquin, Aline" uniqKey="Ramond Roquin A" first="Aline" last="Ramond-Roquin">Aline Ramond-Roquin</name></noRegion><name sortKey="Roquelaure, Yves" sort="Roquelaure, Yves" uniqKey="Roquelaure Y" first="Yves" last="Roquelaure">Yves Roquelaure</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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