The pain recovery inventory of concerns and expectations: a psychosocial screening instrument to identify intervention needs among patients at elevated risk of back disability

J Occup Environ Med. 2013 Aug;55(8):885-94. doi: 10.1097/JOM.0b013e318289ee6c.

Abstract

Objective: To reduce a full psychosocial test battery to a brief screening questionnaire to triage return-to-work strategies among patients with low back pain (LBP).

Methods: Workers (N = 496) with acute, work-related LBP completed multiple psychosocial measures at intake, then a 3-month follow-up of pain, function, and work status. A sensitivity analysis was conducted to reduce the number of items while maintaining scale reliability, preserving associations with outcomes, and maintaining separation between patient subgroups.

Results: The pool of items was trimmed from 129 to 46 items, describing elements of emotional distress, pain beliefs, organizational support, and activity limitation. A confirmatory cluster analysis replicated previous findings of three risk subgroups: distressed, avoidant, and lacking employer support.

Conclusions: The reduced measure is a reliable and valid screening measure that can be used to identify early intervention needs among working adults with LBP.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Depression / diagnosis
  • Depression / etiology
  • Disabled Persons / psychology
  • Disabled Persons / statistics & numerical data*
  • Female
  • Humans
  • Low Back Pain / diagnosis*
  • Low Back Pain / epidemiology
  • Low Back Pain / psychology
  • Low Back Pain / therapy
  • Male
  • Needs Assessment
  • Pain Measurement
  • Prospective Studies
  • Psychology
  • Risk Factors
  • Surveys and Questionnaires