title: [Evaluation of the German new back school: pain-related and psychological characteristics].
abstract: BACKGROUND
  Results related to the outcome of the classical back schools are inconsistent. Accordingly, a reformulation of the program integrating psychological and social aspects was performed as a necessary step for the development of the new back school in Germany. The aim of this study was to assess the effectiveness and sustainability of the new back school in subjects with non-specific back pain in the prevention setting.
  
  
  METHODS
  In a modified waiting design, individuals were investigated with respect to demographical, pain-related and psychological characteristics 3 months before the start, at the start and at the end of the back school and as well as 12 months after completion. In addition, predictors for a successful participation were analyzed.
  
  
  RESULTS
  A total of 88 subjects with back pain initially participated in the study. In the short and long-term course, low to moderate effects were detected; however, during follow-up a reduction of pain showed high effects. Depression as assessed by the hospital anxiety and depression scale (HADS) and passive coping strategies assessed using the coping strategies questionnaire (CSQ) were identified as predictors for response to the intervention.
  
  
  CONCLUSIONS
  On the basis of the sample studied, the new back school proved to be an effective treatment for short and long-term reduction of pain-related stress and associated psychological aspects. Maladaptive, passive coping strategies and higher depression scores were associated with a higher probability of success in terms of pain reduction and functional improvement.
authors: Institut für Psychosoziale Medizin und Psychotherapie, Universitätsklinikum Jena, Friedrich-Schiller-Universität, Stoystr. 3, 07740, Jena, Deutschland, constanze.borys@googlemail.com.
authors: C
authors: C
authors: Borys
authors: S
authors: S
authors: Nodop
authors: R
authors: R
authors: Tutzschke
authors: C
authors: C
authors: Anders
authors: H C
authors: HC
authors: Scholle
authors: B
authors: B
authors: Strauß
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology; D001416:Back Pain / Q000523:psychology* / Q000534:rehabilitation*; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D004576:Electromyography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000523:psychology; D010353:Patient Education as Topic; D013001:Somatoform Disorders / Q000523:psychology* / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D055815:Young Adult