[Psychosocial factors in chronic low back pain in orthopaedic inpatient rehabilitation. An analysis using the axes of the Mainz Pain Staging System].
BACKGROUND
The aim of this study was to investigate the criterion validity of the Mainz Pain Staging System (MPSS), considering the four axes of the MPSS separately.


METHODS
Psychological and pain-related impairments were analysed depending on the stage of axis (I, II, III) for each single axis of the MPSS in a consecutive sample of 280 patients with chronic low back pain in orthopaedic inpatient rehabilitation. In addition, the distribution of frequency of clinically significant symptoms in depression, anxiety and somatisation were examined depending on the stage of axis.


RESULTS
For all axes, an increasing stage was associated with greater psychological and pain-related impairments. Particularly patients assigned to stage III on axis 1 (temporal aspects) and 2 (spatial aspects) and patients assigned to stage II on axis 3 (drug intake) and 4 (utilisation of the health care system) showed enhanced psychosocial impairments and more frequently had clinically relevant symptoms in psychological variables.


CONCLUSIONS
Findings confirm the criterion validity of the MPSS for chronic low back pain. In addition, results support the significance of psychosocial factors for the further development of chronicity.
Tlach
L
L
Zentrum für Klinische Psychologie und Rehabilitation, Universität Bremen, Grazer Str. 6, 28359 Bremen. lisa.tlach@uni-bremen.de
Hampel
P
P
D000203:Activities of Daily Living / Q000145:classification / Q000523:psychology; D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000145:classification / Q000523:psychology* / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000145:classification; D010555:Personality Inventory; D011788:Quality of Life / Q000523:psychology; D012047:Rehabilitation Centers; D012959:Socioeconomic Factors; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation