Article

Disability in adults with low back pain (LBP) is associated with
negative back pain beliefs (BPBs). Adult BPBs can be positively influenced with
education, resulting in reduced LBP disability.
By late adolescence, the
prevalence of LBP reaches adult levels. The relationship among LBP experience,
LBP impact, and BPBs has not been investigated in late adolescence. OBJECTIVE:
The aim of this study was to document unknown relationships among LBP experience,
LBP impact, and BPBs in 17-year-olds. Design A cross-sectional study design was
used. METHODS: Adolescents (n=1,126) in the Raine Study provided full information
on LBP, LBP impact (sought professional advice or treatment, taken medication,
missed school or work, interfered with normal activities, interfered with
physical activities), BPBs, and a number of covariates.
RESULTS: Back pain
beliefs were more positive in participants with experience of LBP (X=30.2,
SD=5.6) than in those without experience of LBP (X=28.5, SD=5.1). Individuals
with LBP without activity modification impacts had more positive BPBs than those
with activity modification impacts, even after adjustment for mental well-being
and sex. The adjusted difference in BPBs between participants with experience of
LBP but no activity modification impacts and those reporting all 3 activity
modification impacts was 2.9 points (95% confidence
interval=1.7 to 4.2).
Participants with no activity modification impacts had more positive BPBs than
those with no experience of LBP (adjusted difference=2.2 points, 95% confidence
interval=1.4 to 2.9). More positive BPBs also were associated with female sex,
lower body mass index, higher family income, better 36-Item Short-Form Health
Survey (SF-36) Mental Health scale scores, and more positive primary caregiver
beliefs. Limitations Cause and effect cannot be ascertained with the
cross-sectional design. CONCLUSION: Differences in BPBs are associated with
different levels of LBP impact at 17 years of age.
This finding provides a
potential target for intervention early during the life course.

Langue : ANGLAIS