Anxiety, fears and fear-avoidance beliefs and therapeutic outcome after lumbar microdiscectomy
Microdiscectomy is one of the surgical methods for the treatment of herniated intervertebral disc in patients with low back pain. The aim of the research was to evaluate the presence of psychological and cognitive-behavioral factors, including anxiety, fears and fear-avoidance beliefs of physical...
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2024-01-01
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| Series: | Acta Clinica Croatica |
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| Online Access: | https://hrcak.srce.hr/file/465482 |
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| author | Slobodan Pantelinac Dušica Simić-Panić Gordana Devečerski Snežana Tomašević Todorović |
| author_facet | Slobodan Pantelinac Dušica Simić-Panić Gordana Devečerski Snežana Tomašević Todorović |
| author_sort | Slobodan Pantelinac |
| collection | DOAJ |
| description | Microdiscectomy is one of the surgical methods for the treatment of herniated
intervertebral disc in patients with low back pain. The aim of the research was to evaluate the presence
of psychological and cognitive-behavioral factors, including anxiety, fears and fear-avoidance beliefs
of physical activity and work and their correlation with the pain and functional disability in patients
after lumbar microdiscectomy and subsequent physical therapy. Th e research was performed on
198 patients (95 men and 103 women), mean age 50.20±10.26 years. Th e following questionnaires
were used in the study: Spielberger Anxiety Inventory-State and Trait; Fear-Avoidance Beliefs
Questionnaire (Physical activity and Work); for intensity of pain, visual analog scale and Oswestry
Low Back Pain Disability Questionnaire. Th ese assessments were carried out after microdiscectomy,
as follows: just before rehabilitation treatment, and 1, 3 and 6 months after microdiscectomy. Th e pain
and functional disability had significant correlations with the following factors: anxiety-state (p<0.01),
anxiety-trait (p<0.01), fear/avoidance beliefs - physical activity (p<0.01) and fear/avoidance beliefs -
work (p<0.01). Th e pain and functional disability in patients after lumbar microdiscectomy showed
significant correlation with anxiety, fears and fear-avoidance beliefs. The mentioned psychological
and cognitive-behavioral factors can predict the degree of functional recovery and indicate additional
therapy after lumbar microdiscectomy. |
| format | Article |
| id | doaj-art-1cfa52f298504313bf1f49da66eac26c |
| institution | OA Journals |
| issn | 0353-9466 1333-9451 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj-art-1cfa52f298504313bf1f49da66eac26c2025-08-20T02:28:31ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512024-01-0163.112313310.20471/acc.2024.63.01.15Anxiety, fears and fear-avoidance beliefs and therapeutic outcome after lumbar microdiscectomySlobodan Pantelinac0Dušica Simić-Panić1Gordana Devečerski2Snežana Tomašević Todorović3University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; Clinical Center of Vojvodina, Medical Rehabilitation Department, Novi Sad, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; Clinical Center of Vojvodina, Medical Rehabilitation Department, Novi Sad, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; Clinical Center of Vojvodina, Medical Rehabilitation Department, Novi Sad, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, Serbia; Clinical Center of Vojvodina, Medical Rehabilitation Department, Novi Sad, SerbiaMicrodiscectomy is one of the surgical methods for the treatment of herniated intervertebral disc in patients with low back pain. The aim of the research was to evaluate the presence of psychological and cognitive-behavioral factors, including anxiety, fears and fear-avoidance beliefs of physical activity and work and their correlation with the pain and functional disability in patients after lumbar microdiscectomy and subsequent physical therapy. Th e research was performed on 198 patients (95 men and 103 women), mean age 50.20±10.26 years. Th e following questionnaires were used in the study: Spielberger Anxiety Inventory-State and Trait; Fear-Avoidance Beliefs Questionnaire (Physical activity and Work); for intensity of pain, visual analog scale and Oswestry Low Back Pain Disability Questionnaire. Th ese assessments were carried out after microdiscectomy, as follows: just before rehabilitation treatment, and 1, 3 and 6 months after microdiscectomy. Th e pain and functional disability had significant correlations with the following factors: anxiety-state (p<0.01), anxiety-trait (p<0.01), fear/avoidance beliefs - physical activity (p<0.01) and fear/avoidance beliefs - work (p<0.01). Th e pain and functional disability in patients after lumbar microdiscectomy showed significant correlation with anxiety, fears and fear-avoidance beliefs. The mentioned psychological and cognitive-behavioral factors can predict the degree of functional recovery and indicate additional therapy after lumbar microdiscectomy.https://hrcak.srce.hr/file/465482Low back painLumbar microdiscectomyAnxietyFearsFear-avoidance beliefsDisability |
| spellingShingle | Slobodan Pantelinac Dušica Simić-Panić Gordana Devečerski Snežana Tomašević Todorović Anxiety, fears and fear-avoidance beliefs and therapeutic outcome after lumbar microdiscectomy Acta Clinica Croatica Low back pain Lumbar microdiscectomy Anxiety Fears Fear-avoidance beliefs Disability |
| title | Anxiety, fears and fear-avoidance beliefs and therapeutic outcome after lumbar microdiscectomy |
| title_full | Anxiety, fears and fear-avoidance beliefs and therapeutic outcome after lumbar microdiscectomy |
| title_fullStr | Anxiety, fears and fear-avoidance beliefs and therapeutic outcome after lumbar microdiscectomy |
| title_full_unstemmed | Anxiety, fears and fear-avoidance beliefs and therapeutic outcome after lumbar microdiscectomy |
| title_short | Anxiety, fears and fear-avoidance beliefs and therapeutic outcome after lumbar microdiscectomy |
| title_sort | anxiety fears and fear avoidance beliefs and therapeutic outcome after lumbar microdiscectomy |
| topic | Low back pain Lumbar microdiscectomy Anxiety Fears Fear-avoidance beliefs Disability |
| url | https://hrcak.srce.hr/file/465482 |
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