Fear avoidance beliefs do not influence disability and quality of life in Spanish elderly subjects with low back pain.
METHODS
Correlation between previously validated questionnaires.


OBJECTIVE
To assess the association of fear avoidance beliefs (FAB) with disability and quality of life in elderly Spanish subjects.


BACKGROUND
As opposed to Anglo-Saxon and Northern European patients, in Spanish low back pain (LBP) patients of working age, the influence of FAB on disability and quality of life is sparse and much less than that of pain. The influence of FAB on LBP-related disability and quality of life in the elderly is unknown.


METHODS
A visual analogue scale (VAS), the Roland Morris Questionnaire (RMQ), the FAB-Phys questionnaire (FABQ), and the SF-12 questionnaire were used to assess LBP, disability, fear avoidance beliefs, and quality of life in 661 institutionalized elderly in Spain, 439 of whom had LBP.


RESULTS
In all subjects, FAB correlated with LBP (r = 0.477), disability (r = 0.458), the Physical Component Summary of SF-12 (PCS SF-12) (r = -0.389), and the Mental Component Summary of SF-12 (MCS SF-12) (r = -0.165). In subjects with LBP, FABs only correlated weakly with disability (r = -0.110). The stronger correlations were found between LBP and disability, both in all subjects (r = 0.803) and LBP patients (r = 0.445). Regression models including all the participants showed that the influence of FABs on physical quality of life was sparse and that FABs were not associated with either disability or mental quality of life. In elderly subjects with LBP, FABs were not associated with either disability or quality of life.


CONCLUSIONS
In Spanish institutionalized elderly subjects, FABs only have a minor influence on physical quality of life, and none on disability or mental quality of life. In elderly subjects with LBP, differences in FABs are not associated with differences in disability or quality of life. Further studies should explore the potential value of FABs in the elderly in other settings.
Kovacs
Francisco
F
Departamento Científico, Fundación Kovacs, Palma de Mallorca, Spain. kovacs@kovacs.org
Abraira
Víctor
V
Cano
Alejandra
A
Royuela
Ana
A
Gil del Real
María Teresa
MT
Gestoso
Mario
M
Mufraggi
Nicole
N
Muriel
Alfonso
A
Zamora
Javier
J
D000368:Aged; D000369:Aged, 80 and over; D001362:Avoidance Learning; D004185:Disability Evaluation; D005239:Fear; D005260:Female; D006707:Homes for the Aged / Q000706:statistics & numerical data; D006801:Humans; D017116:Low Back Pain / Q000208:ethnology / Q000523:psychology*; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data; D010147:Pain Measurement; D011788:Quality of Life; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires