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Differences in physical and psychological health in patients with chronic low back pain: a national survey in general Spanish population.

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Title: Differences in physical and psychological health in patients with chronic low back pain: a national survey in general Spanish population.
Authors: Dueñas, María (AUTHOR), Moral-Munoz, Jose A. (AUTHOR), Palomo-Osuna, Jenifer (AUTHOR), Salazar, Alejandro (AUTHOR), De Sola, Helena (AUTHOR), Failde, Inmaculada (AUTHOR)
Source: Quality of Life Research. Nov2020, Vol. 29 Issue 11, p2935-2947. 13p. 5 Charts, 2 Graphs.
Subjects: Lumbar pain, Cluster analysis (Statistics), Pain catastrophizing, Job stress, Social support, Older women
Geographic Terms: Spain
Abstract: Purpose: To estimate the prevalence of diagnosed and undiagnosed chronic low back pain (CLBP-D and CLBP-UD, respectively) in the general adult population in Spain and to compare the characteristics of these two groups with subjects without CLBP symptoms (No-CLBP). To establish CLBP-D patient sub-groups according to their self-perceived health status, mental health, level of pain and the impact of their pain on daily activities. Methods: Data were obtained from the National Health Survey of Spain 2017 with a sample of 23,089 adults. Three groups were defined: CLBP-D, CLBP-UD and No-CLBP. In the CLBP-D group, a cluster analysis was performed to identify sub-groups. A multinomial regression model was constructed to determine the factors associated with each of the sub-groups identified. Results: The prevalence of CLBP-D was 22% (95% CI 21.5–22.5) and that of CLBP-UD was 1.4% (95% CI 1.2–1.5). CLBP-D was more common in middle-aged females with a low educational level. They have a worse perceived health status, report more comorbidities, have worse mental health and more limitations in comparison with the populations without CLBP and with CLBP-UD. Three sub-groups of CLBP-D subjects were identified. Women and older subjects with a lower educational level, more occupational stress, less social support and with more physical limitations were the most likely subjects to be included in the group worst-affected. Conclusions: There is a high prevalence of CLBP among the adult population in Spain. Occupational stress and a lack of social support are common factors among subjects' worst-affected of CLBP-D and identifying the subjects with these risks is therefore a recommended strategy for improving the healthcare provided to CLBP patients. [ABSTRACT FROM AUTHOR]
Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Differences in physical and psychological health in patients with chronic low back pain: a national survey in general Spanish population.
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  Data: <searchLink fieldCode="AR" term="%22Dueñas%2C+María%22">Dueñas, María</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moral-Munoz%2C+Jose+A%2E%22">Moral-Munoz, Jose A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Palomo-Osuna%2C+Jenifer%22">Palomo-Osuna, Jenifer</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Salazar%2C+Alejandro%22">Salazar, Alejandro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22De+Sola%2C+Helena%22">De Sola, Helena</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Failde%2C+Inmaculada%22">Failde, Inmaculada</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Quality+of+Life+Research%22">Quality of Life Research</searchLink>. Nov2020, Vol. 29 Issue 11, p2935-2947. 13p. 5 Charts, 2 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Lumbar+pain%22">Lumbar pain</searchLink><br /><searchLink fieldCode="DE" term="%22Cluster+analysis+%28Statistics%29%22">Cluster analysis (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+catastrophizing%22">Pain catastrophizing</searchLink><br /><searchLink fieldCode="DE" term="%22Job+stress%22">Job stress</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Older+women%22">Older women</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Spain%22">Spain</searchLink>
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  Data: Purpose: To estimate the prevalence of diagnosed and undiagnosed chronic low back pain (CLBP-D and CLBP-UD, respectively) in the general adult population in Spain and to compare the characteristics of these two groups with subjects without CLBP symptoms (No-CLBP). To establish CLBP-D patient sub-groups according to their self-perceived health status, mental health, level of pain and the impact of their pain on daily activities. Methods: Data were obtained from the National Health Survey of Spain 2017 with a sample of 23,089 adults. Three groups were defined: CLBP-D, CLBP-UD and No-CLBP. In the CLBP-D group, a cluster analysis was performed to identify sub-groups. A multinomial regression model was constructed to determine the factors associated with each of the sub-groups identified. Results: The prevalence of CLBP-D was 22% (95% CI 21.5–22.5) and that of CLBP-UD was 1.4% (95% CI 1.2–1.5). CLBP-D was more common in middle-aged females with a low educational level. They have a worse perceived health status, report more comorbidities, have worse mental health and more limitations in comparison with the populations without CLBP and with CLBP-UD. Three sub-groups of CLBP-D subjects were identified. Women and older subjects with a lower educational level, more occupational stress, less social support and with more physical limitations were the most likely subjects to be included in the group worst-affected. Conclusions: There is a high prevalence of CLBP among the adult population in Spain. Occupational stress and a lack of social support are common factors among subjects' worst-affected of CLBP-D and identifying the subjects with these risks is therefore a recommended strategy for improving the healthcare provided to CLBP patients. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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