Is the relationship between fear-avoidance cognitions and quality of life mediated by depressive symptoms?

被引：1

作者：

Roch, S. ^{[1
]}

Foellmer, J. ^{[1
]}

Hampel, P. ^{[1
]}

机构：

[1] Europa Univ Flensburg, Inst Gesundheits Ernahrungs & Sportwissensch, Campus 1, D-24943 Flensburg, Germany

来源：

SCHMERZ | 2017年 / 31卷 / 02期

关键词：

Depressive symptoms; Fear-avoidance model (FAM); Mediation analysis; Chronic low back pain; Quality of life; CHRONIC BACK-PAIN; REHABILITATION; MANAGEMENT;

D O I：

10.1007/s00482-016-0174-x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Background. Chronic low back pain is often accompanied by fear-avoidance cognitions, increased depressive symptoms and decreased quality of life. Objective. Is the relationship between fear-avoidance cognitions and quality of life mediated by depressive symptoms? Methods. Mediation analyses were conducted to predict the long-term quality of life with depressive symptoms as mediator using longitudinal data from 131 patients. Results. Fear-avoidance cognitions prior to rehabilitation predicted the physical quality of life 24 months after rehabilitation, which was mediated by the degree of depressive symptoms 6 months after rehabilitation. The other assumed models could not be tested due to non-significant correlations between the model variables. Conclusion. To improve the physical quality of life, depressive symptoms should be included into the treatment of chronic low back pain.

引用

页码：102 / 107

页数：6

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