title: Illness and treatment perceptions of patients with chronic low back pain: characteristics and relation to individual, disease and interaction variables.
abstract: The significance of various cognitive and psychosocial factors in the development, progression and persistence of chronic low back pain (CLBP) is well demonstrated. However, only a few studies have addressed CLBP patients' cognitive representations or beliefs about their disease and its treatment. The present study aimed to: (1) describe the illness and treatment beliefs of patients with CLBP, e.g., expected timeline, controllability or treatment related concerns; and (2) explore the relation of these illness and treatment beliefs to individual-, disease- and interaction-related variables. We conducted a cross-sectional survey with N = 201 patients at four inpatient rehabilitation centers. The characteristics of illness and treatment perceptions were analyzed using descriptive statistics. Multiple regression analysis was used to test the associations with disease-related, individual-related and interaction-related variables. The results demonstrated large inter-individual variability in the illness and treatment perceptions among patients with CLBP and pointed to several associations with disease-related variables, patients' personal characteristics and interaction experiences. The variables most strongly related to individuals' perceptions were those reflecting disease severity and individual disease experience. Further research is needed on CLBP patients' illness and treatment perceptions, and these personal disease experiences should be considered when designing new treatment approaches.
authors.affiliation: Institute for Quality Management and Social Medicine, Medical Center - University of Freiburg, Engelbergerstraße 21, 79106, Freiburg, Germany, katja.heyduck@uniklinik-freiburg.de.
authors.forename: Katja
authors.initials: K
authors.lastname: Heyduck
authors.forename: Cornelia
authors.initials: C
authors.lastname: Meffert
authors.forename: Manuela
authors.initials: M
authors.lastname: Glattacker
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D059350:Chronic Pain / Q000523:psychology* / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000523:psychology* / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D055815:Young Adult
references.citation: Pain. 2008 May;136(1-2):177-87
references.pmid: 18313853
references.citation: Med Care. 2005 Dec;43(12):1203-7
references.pmid: 16299431
references.citation: J Psychosom Res. 1999 Dec;47(6):491-5
references.pmid: 10661596
references.citation: J Psychosom Res. 2009 Jul;67(1):17-23
references.pmid: 19539814
references.citation: J Health Psychol. 2013 Jan;18(1):139-52
references.pmid: 22322986
references.citation: J Pain. 2004 May;5(4):195-211
references.pmid: 15162342
references.citation: Eur Spine J. 2006 Jan;15(1):55-65
references.pmid: 15856341
references.citation: Psychosom Med. 2002 Jul-Aug;64(4):580-6
references.pmid: 12140347
references.citation: Psychol Rep. 1990 Dec;67(3 Pt 2):1091-100
references.pmid: 2084735
references.citation: Psychol Health. 2012;27(1):13-29
references.pmid: 21678174
references.citation: J Clin Psychol Med Settings. 2013 Sep;20(3):263-74
references.pmid: 23108509
references.citation: Clin Rehabil. 2005 Jan;19(1):87-96
references.pmid: 15704513
references.citation: Pain. 2010 Mar;148(3):398-406
references.pmid: 20022697
references.citation: J Hum Hypertens. 2004 Sep;18(9):607-13
references.pmid: 15029218
references.citation: BMJ. 2006 Jun 17;332(7555):1430-4
references.pmid: 16777886
references.citation: Psychol Health. 2010 Apr;25(4):507-17
references.pmid: 20204931
references.citation: World Health Organ Tech Rep Ser. 2003;919:i-x, 1-218, back cover
references.pmid: 14679827
references.citation: Gen Hosp Psychiatry. 2005 Sep-Oct;27(5):313-8
references.pmid: 16168790
references.citation: Rehabilitation (Stuttg). 2009 Dec;48(6):345-53
references.pmid: 20069518
references.citation: Br J Health Psychol. 2008 May;13(Pt 2):189-93
references.pmid: 18492318
references.citation: BMJ. 2008 Jul 07;337:a171
references.pmid: 18614473
references.citation: J Clin Psychol Med Settings. 2010 Dec;17(4):349-56
references.pmid: 21086026
references.citation: BMC Fam Pract. 2004 Nov 16;5:26
references.pmid: 15546482
references.citation: Ann Rheum Dis. 2009 Mar;68(3):305-9
references.pmid: 19213747
references.citation: J Gen Intern Med. 2000 Jul;15(7):509-13
references.pmid: 10940139
references.citation: Psychol Health. 2010 Jun;25(5):601-15
references.pmid: 20204936
references.citation: Psychol Health. 2008;23(1):5-9
references.pmid: 25159903
references.citation: CMAJ. 2012 Aug 7;184(11):E613-24
references.pmid: 22586331
references.citation: Psychol Health. 2009 Dec;24(10):1125-37
references.pmid: 20204983
references.citation: J Psychosom Res. 1999 Dec;47(6):555-67
references.pmid: 10661603
references.citation: J Rehabil Med. 2013 Mar;45(3):268-76
references.pmid: 23450424
references.citation: J Psychosom Res. 2006 Dec;61(6):757-67
references.pmid: 17141663
references.citation: Curr Opin Psychiatry. 2007 Mar;20(2):163-7
references.pmid: 17278916
references.citation: Spine (Phila Pa 1976). 2007 Aug 15;32(18):2005-11
references.pmid: 17700449
references.citation: Patient Educ Couns. 2012 Mar;86(3):378-89
references.pmid: 21719235
references.citation: Br J Health Psychol. 2009 Nov;14(Pt 4):735-49
references.pmid: 19187575
references.citation: Rehabilitation (Stuttg). 2011 Aug;50(4):232-43
references.pmid: 21647853
references.citation: J Clin Psychol Med Settings. 2012 Jun;19(2):147-64
references.pmid: 22108797
references.citation: BMC Musculoskelet Disord. 2011 Oct 05;12:218
references.pmid: 21974867