Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Thursday, March 12, 2026
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:


For best results switch to Advanced Search.
Article Detail
 Return to Search Results
ID 28655
  Title Cognitive patterns and psychological distress as predictors of disability related to chronic neck and low back pain: A cross-sectional study
URL https://pubmed.ncbi.nlm.nih.gov/41190972/
Journal J Manipulative Physiol Ther. 2025 Jan-Jun;48(1-5):385-394
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes

Objective: The purpose of this study was to assess the association of disability with cognitive patterns (pain catastrophizing and kinesiophobia) and psychological distress (anxiety and depressive symptoms) in individuals with chronic neck (CNP) and low back pain (CLBP).

Methods: This cross-sectional study included 150 individuals with CNP (n = 75) and CLBP (n = 75) who answered a personal assessment form, the Neck Disability Index, the Oswestry Disability Index, the Pain Catastrophizing Scale, the Tampa Scale of Kinesiophobia, the Beck Anxiety Inventory, the Beck Depression Inventory-II, and the visual analog scale (pain intensity). A multiple linear regression analysis was used to assess whether the independent variables were predictors of disability (P < .05).

Results: In individuals with CNP, pain catastrophizing (β = 0.5), kinesiophobia (β = 0.2), and anxiety symptoms (β = 0.3) served as predictors of disability (R² = 0.79; Adjusted R² = 0.78; F (3.71) = 90.6; P < .001). In individuals with CLBP, pain catastrophizing (β = 0.4) and pain intensity (β = 0.4) were predictors of disability (R² = 0.51; Adjusted R² = 0.50; F (2.72) = 34.4; P < .001).

Conclusion: Disability related to CNP and CLBP had different predictors, except for pain catastrophizing, which was associated with both. These findings suggest that cognitive patterns (ie, pain catastrophizing and kinesiophobia) and psychological distress (ie, anxiety symptoms) should be considered during CNP and CLBP rehabilitation and further investigated by health professionals.

Author keywords: Anxiety; Back Pain; Catastrophization; Chronic Pain; Depression; Kinesiophobia; Neck Pain. 

This abstract is reproduced with the permission of the publisher; full text is available by subscription. Click on the above link and select a publisher from PubMed's LinkOut feature.

 
   Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an "asterisk*", also called a wildcard or truncation.  Example: "chiropract*" retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips

:)