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Well-being in CLBP
patients can be significantly improved by interventions that promotes
self-assessment of functioning and resilience, however further research is
required.
According to a recent interpretation accompanied by the scientists of Heidelberg University and German Centre of Gerontology, well-being as well as individuals with pain found be significantly associated with subjective and psychological measures.
Patients affected by nonspecific chronic low back pain (CLBP) usually report higher distress and reduced quality of life. However, CLBP patients demonstrated a remarkable heterogeneous group, and not all patients in this group reported compromised quality of life. The present study consequently reviewed this heterogeneity by distinguishing profiles of well-being and their correlates among 239 CLBP subjects. The patients were categorised into three groups as per two-step cluster analysis; cluster one (high well-being), cluster two (moderate well-being), and cluster three (continually low well-being).
The investigation involved several well-being indicators (depression, anxiety, affective distress, perceived control over life) to determine multidimensionality of subjective well-being. In-depth characterisation of the well-being profiles was assessed by pain-related measures, biographical factors, somatosensory profiles, sociodemographic indicators and psychosocial resources.
Three different well
being profiles were identified on the basis of two step cluster analysis. These
well being profiles were characterized by either generally high
well-being, moderate well-being, or consistently low well-being. The cluster three
exhibited the highest indicators of anxiety, affective distress and depression
and lower levels of noted control over life. The weak to moderate effect size
was reported between the derived well-being profiles regarding
sociodemographic, psychosocial, and biographical measures Although, larger effect sizes were noted for
differences in pain intensity and subjective, but not objective, pain
disability. Subsequently, the largest effects were found for differences in
psychosocial resources. Instead of objective measure, subjective and
psychological measures showed better association with well being, as per the
study findings.
Clinical pain advisor
Subjective and Objective Well-Being Profiles in Chronic Back Pain
Markus Wettstein et al.
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