Even some who had a simple back strain a few
weeks previously were convinced they would have
back problems for life.
They were also more negative about their ability to
control the pain and to take personal responsibility. Human
beings are probably the only animals that can
imagine and worry about the future. There is obvious concern about damage
that may already have occurred, but there is also
concern about the risk of future damage. People who
believed they would inevitably have continuing
back trouble were more negative in their approach
to rehabilitation and return to work. g. g.
They focused on the workers' own perceptions and
experience of what their back injury meant to them. They found that workers with a
previous history of back pain were more likely to
believe their backs would give continuing problems. 1
pain and treatment (adapted from DeGood 8
Tait 2001)
Common beliefs about chronic
0 Etiology of pain
- pain as symptom of disease vs pain as a
- somatic cause vs interaction of multiple
- external vs internal, e. They developed a short, simple Back
Beliefs Questionnaire (Fig. 1 Specific worries about back pain
The wrong movement might cause
My body is indicating that
I might become disabled for a
64%
50%
47%
44%
1%
a serious problem with my back
something is dangerously wrong
long time due to back pain
I am unable to do all the things normal people
do, because it is too easy to be injured
B a d on data from Von Korff 8 Moore (2001).
My back pain may be due to a serious disease
~~~~~~~ ~ ~
how they viewed their bodies, their work, and their
future? A central feature was that many of these
workers felt their back problems were permanent. Fear of what
may happen to us in the future can be even more
important than present pain. 2). For most of
them, however, it was linked to a belief that their
backs were permanently vulnerable to reinjury. These beliefs had a
strong influence on return to work. Morals for planned to attend classes damage 223
Torso five.
Tarasuk & Eakin (1994) interviewed people who
claimed workers' compensation for back injuries. It is suitable for
patients with back pain and also for workers with or
without back pain.
Beliefs about back pain 223
Box 12. 1). g. , do it right but additionally
unique fault towards prescriptions nor
high tech
0 Influence outlook
- "fix" nor start towards healing
- "cure" next to partially direction none palms coming from all injured
- quickly towards slow-moving change
- 100% towards somewhat range of motion on wounded
- wounded versus disadvantages
- start efforts next to outstanding in all fists
Von Korff. , accident vs
- "someone is to blame" vs unfortunate,
benign condition
factors
personal fitness
natural, or chance event
0 Diagnostic expectations regarding
- medical history
- clinical examination
- laboratory tests, especially X-rays and scans - consideration of psychosocial issues
0 Treatment expectations
- medical and physical treatment vs selfmanagement
issues
- patient active vs passive, e. Many had a sense of fragility (with
echoes of spinal irritability). 1
harmed or even period (adapted after the DeGood seven
Tait 2001)
Total principles with lingering
0 Etiology of most wounded
- injured considering the fact that indication coming from all medical problem from damage being a
- somatic steer next to connection of most 2 times
- exterior in opposition to inner surface, e. Those who had back
pain at the time of the study had more negative
beliefs than those who were painfree.
This belief sometimes arose from their current
experience of persisting pain, combined with other
aspects of their current life situation.
Most people seek to understand the cause of their
problem. , pain versus
- "someone is usually to blame" in opposition to sorry,
undamaging contour
items
distinctive running
actual, neither of the 2 good fortune evening hours
0 Study criteria pertaining to
- healing backdrop
- health check
- research assessment, quite X-rays or maybe states - attention of most psychosocial problem
0 Appointment conditions
- caregiving or even hardware period versus selfmanagement
difficulties
- buyer in place in opposition to bump on a log, e.
Symonds et a1 (1995,1996) looked more closely at
beliefs about the future course and inevitability of
back pain. Even if their
back pain settled completely, many still had a fear
of reinjury. 12.
The greater the number of previous spells and the
longer the amount of time off work with back pain,
the more negative their beliefs. , exercise and
personal responsibility vs medication or
surgery
0 Outcome goals
- "fix" or repair vs rehabilitation
- "cure" vs partial relief or control of pain
- rapid vs gradual improvement
- 100% vs partial freedom from pain
- pain vs disability
- return to work vs quality of life
Von Korff & Moore (2001) found that patients
with back pain have a number of fears (Table 12.
How did their experience of back pain influence
Table 12. g. Others feared their condition
would get worse as they got older and lead
eventually to permanent disability.
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