Development and validation of a questionnaire categorizing behavioral strategies in patients with chronic low back pain

[en] Objective The identification of helpful or unhelpful behavioral strategies for coping with pain would assist in optimizing the management of patients with chronic low back pain (CLBP). The objective was to develop and validate a questionnaire for categorizing behavioral strategies in patients with nonspecific CLBP. Methods (1) Development of a preliminary questionnaire based on a qualitative study in 25 patients with CLBP; (2) Item reduction and questionnaire validation by a multicenter international prospective study in patients with CLBP, with multiple correspondence analysis to identify behavioral profiles, whose characteristics and internal and external validities were assessed; 12-month study of treatments in 58 patients; (3) Evaluation of reproducibility in 30 patients. Results (1) The preliminary questionnaire had 87 items in eight pain-coping domains. (2) Three behavioral profiles were identified: effective coping, emotional distress, and kinesiophobia. The questionnaire was reduced to 21 items in seven domains. Cronbach's α indicated moderate internal consistency (0.47–0.66). External validity versus anxiety, depression, and coping strategies was good. As expected, functional restoration program was used more often by patients with kinesiophobia than by those with effective coping (50% vs. 25%, P < 0.05). (3) Reproducibility was good (κ = 0.70). Conclusion This new, simple questionnaire allows the identification of three behavioral profiles, thus guiding the development of personalized management programs for NCLBP. © 2017 Société française de rhumatologie

Disciplines :

Orthopedics, rehabilitation & sports medicine

Author, co-author :

Bailly, F.; Service de rhumatologie, hôpital Pitié-Salpêtrière, AP–HP, Paris, France, Institut Pierre-Louis d’épidémiologie et de santé publique, Sorbonne universités, UPMC Université Paris 06, Paris, France

Foltz, V.; Service de rhumatologie, hôpital Pitié-Salpêtrière, AP–HP, Paris, France, Institut Pierre-Louis d’épidémiologie et de santé publique, Sorbonne universités, UPMC Université Paris 06, Paris, France

Rozenberg, S.; Service de rhumatologie, hôpital Pitié-Salpêtrière, AP–HP, Paris, France, Institut Pierre-Louis d’épidémiologie et de santé publique, Sorbonne universités, UPMC Université Paris 06, Paris, France

Norberg, M.; Service MPR, CHU vaudois, Lausanne, Switzerland

Glemarec, J.; Centre hospitalier de Nantes, Nantes, France

Pouplin, S.; Centre hospitalier Charles-Nicolle, Rouen, France

Banneville, B.; Service de rhumatologie, hôpital Pitié-Salpêtrière, AP–HP, Paris, France

Demoulin, Christophe ; Université de Liège - ULiège > Département des sciences de la motricité > Kinésithérapie spécifique et réadaptation motrice

Gaud-Listrat, V.; Service de rhumatologie B, hôpital Cochin, AP–HP, Paris, France

Fautrel, B.; Service de rhumatologie, hôpital Pitié-Salpêtrière, AP–HP, Paris, France, Institut Pierre-Louis d’épidémiologie et de santé publique, Sorbonne universités, UPMC Université Paris 06, Paris, France

Gossec, L.; Service de rhumatologie, hôpital Pitié-Salpêtrière, AP–HP, Paris, France, Institut Pierre-Louis d’épidémiologie et de santé publique, Sorbonne universités, UPMC Université Paris 06, Paris, France

Language :

English

Title :

Development and validation of a questionnaire categorizing behavioral strategies in patients with chronic low back pain

Publication date :

2017

Journal title :

Joint Bone Spine

ISSN :

1297-319X

eISSN :

1778-7254

Publisher :

Elsevier Masson SAS

Volume :

Issue :

Pages :

725-731

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 07 November 2019

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