title: Biobehavioral pain profile in individuals with chronic spine pain.
abstract: Pain in the spine is the most frequently described pain problem in primary care, afflicting at least 54 million Americans. When spinal pain becomes chronic, the prognosis for recovery is poor, often leading to disability and reduced quality of life. Clinical treatment is inadequate, often focusing on physical pathology alone. To improve treatment outcomes for chronic pain as recommended by current guidelines, the Biobehavioral Pain Profile (BPP), which includes six pain response subscales, was developed to guide cognitive behavioral therapy (CBT). The purpose of this study was to describe the BPP in 100 individuals with chronic spine pain and examine the associations between the BPP and important clinical outcomes, including chronic pain, disability, and quality of life. Participants reported a high level of pain, a low quality of life, and a high level of disability despite receiving treatment with opioids. Scores on BPP subscales including evaluating loss of control, past and current experience, physiologic responsivity, and thoughts of disease progression were elevated, indicating a need for CBT. Five of the six BPP subscales had a significant association with quality of life, chronic pain, and disability with the thought of disease progression being a strong factor for most of the clinical outcome variables. By identifying BPP, clinicians can provide appropriate treatments to improve individuals' quality of life and prevent further disability. Further study using the BPP to guide CBT is needed.
authors.affiliation: School of Nursing, State University of New York, University at Buffalo, Buffalo, New York.
authors.forename: Deborah
authors.initials: D
authors.lastname: Matteliano
authors.affiliation: School of Nursing, State University of New York, University at Buffalo, Buffalo, New York.
authors.forename: Yvonne Krall
authors.initials: YK
authors.lastname: Scherer
authors.affiliation: School of Nursing, State University of New York, University at Buffalo, Buffalo, New York. Electronic address: yc73@buffalo.edu.
authors.forename: Yu-Ping
authors.initials: YP
authors.lastname: Chang
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000701:Analgesics, Opioid / Q000627:therapeutic use*; D001416:Back Pain / Q000188:drug therapy / Q000451:nursing / Q000523:psychology; D059350:Chronic Pain / Q000188:drug therapy / Q000451:nursing / Q000523:psychology; D015928:Cognitive Behavioral Therapy / Q000379:methods; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000379:methods / Q000451:nursing*; D010147:Pain Measurement / Q000379:methods / Q000451:nursing; D013131:Spine; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000701:Analgesics, Opioid