Biopsychosocial Predictors of Pain, Disability, Health Care Consumption, and Sick Leave in First-Episode and Long-Term Back Pain: A Longitudinal Study in the General Population

摘要: Long-term outcome in back pain is related mainly to cognitive factors such as pain-related beliefs and expectations. Most research has been performed on patient samples. This study aimed at investigating changes over time reported pain, intensity, disability, health care consumption, sick leave well biopsychosocial a 12-month period. A second aim was identify predictors of leave. As parts large sample from general population (n = 1,024), two groups—one with first-episode (n = 77) one long-term (n = 302)—responded twice self-administered questionnaire. Among participants reporting both assessments, were analyzed predictive models tested. Generally, the results demonstrated overall stability self-reports time. However, decreased groups, while catastrophizing expectations increased group. Pain intensity disability predicted regression including four initially levels disability. The significance early later stages condition pointed out. this based are line previous