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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/4120

Title: Development of and recovery from short- and long-term low back pain in occupational settings: A prospective cohort study
Authors: GHELDOF, Els
VINCK, Jan
Vlaeyen, Johan
Hidding, Alita
Crombez, Geert
Issue Date: 2007
Publisher: W B SAUNDERS CO LTD
Citation: EUROPEAN JOURNAL OF PAIN, 11(8). p. 841-854
Abstract: Using the data of the EuroBack Unit prospective cohort study, this paper investigated the role of work-related physical factors and psychological variables in predicting the development of and recovery from short-term and long-term LBP. At baseline, 1294 predominantly male industrial workers from 10 companies in Belgium and the Netherlands filled in questionnaires. At follow-up, data from 812 employees were available. Odds ratios (ORs) were calculated using simple and multiple logistic regression analyses. For those workers reporting 0 days LBP in the year prior to baseline, negative affectivity (OR 1.06, 95% CI 1.0 1-1. 11) was a risk factor for the development of short-term LBP (=1-30 days total of LBP in the year prior to follow-up). For those who reported 1-30 days total of LBP in the year prior to baseline, only high fear of (re)injury due to movement (OR 1.07, 95% CI 1.02-1.12) increased the risk for failure to recovery from short-term LBP. For the development of long-term LBP (=more than 30 days total of LBP in the year prior to follow-up), a significant increased risk was observed among workers with high pain severity (OR 1. 19, 95% CI 1.0 1-1.40) and with pain referred to the ankles or feet (OR 2.92, 95% CI 1.09-7.83). The risk was reduced by social support of co-workers (OR 0.73, 95% Cl 0.59-0.92) and by manual handling of materials (OR 0.63, 95% Cl 0.46-0.85). For those who reported more than 30 days total of LBP in the year prior to baseline, high pain severity (OR 1. 18, 95% CI 1.04-1.34) increased the risk for failure to recovery from long-term LBP. Results are compared to the baseline study (GHELDOF et al., 2005) and discussed in relation with prospective studies. (c) 2007 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Ltd. All rights reserved.
Notes: Hasselt Univ, Dept Hlth Psychol, B-3590 Diepenbeek, Belgium. Massstricht Univ, Dept Med Clin & Expt Psychol, NL-6200 MD Maastricht, Netherlands. Atrium Med Ctr, Dept Educ & Res, NL-6401 CX Heerlen, Netherlands. Univ Ghent, Fac Psychol & Educ Sci, B-9000 Ghent, Belgium.GHELDOF, ELM, Hasselt Univ, Dept Hlth Psychol, Gebouw D, B-3590 Diepenbeek, Belgium.geert.crombez@ugent.be
URI: http://hdl.handle.net/1942/4120
DOI: 10.1016/j.ejpain.2006.12.012
ISI #: 000249980900003
ISSN: 1090-3801
Category: A1
Type: Journal Contribution
Validation: ecoom, 2008
Appears in Collections: Research publications

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