ANXIETY, FEARS AND FEAR-AVOIDANCE BELIEFS AND THERAPEUTIC OUTCOME AFTER LUMBAR MICRODISCECTOMY

被引：0

作者：

Pantelinac, Slobodan P. ^{[1
,2
]}

Simic-Panic, Dusica S. ^{[1
,2
]}

V. Devecerski, Gordana ^{[1
,2
]}

Todorovic, Snezana T. Tomasevic ^{[1
,2
]}

机构：

[1] Univ Novi Sad, Fac Med, Novi Sad, Serbia

[2] Clin Ctr Vojvodina, Med Rehabil Dept, Hajduk Veljkova 1-7, Novi Sad 21000, Serbia

来源：

ACTA CLINICA CROATICA | 2024年 / 63卷 / 01期

关键词：

Low back pain; Lumbar microdiscectomy; Anxiety; Fears; Fear-avoidance beliefs; Disability; LOW-BACK-PAIN; QUALITY-OF-LIFE; CURRENT STATE; DISABILITY; DEPRESSION; SURGERY;

D O I：

10.20471/acc.2024.63.01.15

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Microdiscectomy is one of the surgical methods for the treatment of herniated intervertebral disc in patients with low back pain. The aim of the research was to evaluate the presence of psychological and cognitive-behavioral factors, including anxiety, fears and fear-avoidance beliefs of physical activity and work and their correlation with the pain and functional disability in patients after lumbar microdiscectomy and subsequent physical therapy. The research was performed on 198 patients (95 men and 103 women), mean age 50.20 +/- 10.26 years. The following questionnaires were used in the study: Spielberger Anxiety Inventory-State and Trait; Fear-Avoidance Beliefs Questionnaire (Physical activity and Work); for intensity of pain, visual analog scale and Oswestry Low Back Pain Disability Questionnaire. These assessments were carried out after microdiscectomy, as follows: just before rehabilitation treatment, and 1, 3 and 6 months after microdiscectomy. The pain and functional disability had significant correlations with the following factors: anxiety-state (p<0.01), anxiety-trait (p<0.01), fear/avoidance beliefs- physical activity (p<0.01) and fear/avoidance beliefs- work (p<0.01). The pain and functional disability in patients after lumbar microdiscectomy showed significant correlation with anxiety, fears and fear-avoidance beliefs. The mentioned psychological and cognitive-behavioral factors can predict the degree of functional recovery and indicate additional therapy after lumbar microdiscectomy.

引用

页码：123 / 133

页数：11

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