Factors associated with attitudes and beliefs of elders with acute low back pain: data from the study Back Complaints in the Elders (BACE).
Luiza F Teixeira, Leani S M Pereira, Silvia L A Silva and 2 others
PMID 27683838WHAT IT FOUND
In elders with acute low back pain, higher disability, more depressive symptoms, and lower expectation of returning to activities were associated with more negative back-pain beliefs.
The study cannot show these factors caused the beliefs.
Key findings
01Disability, symptoms of depression, and expectation of return to activities were associated with attitudes and beliefs about low back pain in the final model.
02Self-efficacy for falls, functional mobility, and gait speed were not associated with attitudes and beliefs within the model.
03The final model explained 16.8% of the variation in Back Beliefs Questionnaire scores.
STILL TO COME
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What it does not show
Participants were recruited by convenience and were advised by doctors and health professionals to contact the team, so they may not represent all elders with acute low back pain. The study was cross-sectional, so it cannot show whether disability, depression, or low expectation of return caused negative beliefs, or whether negative beliefs were associated with those factors. Low back pain was self-reported, and some table values were missing because participants did not understand questions. The final model accounted for 16.8% of the variation in back-pain belief scores, so other factors were not explained by the model.
Declared interests
The supplied text does not report funding or conflicts of interest.
The easy way to misread this
Do not conclude that disability, depressive symptoms, or low expectation of return caused negative back-pain beliefs. The study was cross-sectional, so it can only show association, not cause.