Fibromyalgia & musculoskeletal pain

General and Pain‐Associated Psychological Distress Phenotypes Among Patients With Low Back Pain in the Military Health System

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

These phenotypes provide opportunities for clinicians and researchers to develop novel LBP treatment pathways tailored to patients with different profiles of psychological distress.

Study context

Population
Individuals with low back pain (LBP) in the Military Health System, from two completed trials of nonpharmacological treatment
Participants
510 individuals2 completed trials
Exposure
Psychological distress phenotypes identified by latent class analysis
Outcome
Rates of general and pain-related psychological distress in individuals with LBP in the Military Health System (MHS)
Methodological detailscohort from two completed trials, latent class analysis
  • Cohort from two completed trials
  • Latent class analysis

Main finding

As reported in the abstract

Psychological phenotypes (percentage of the sample)

Observational data: associations, not effects.

Further findings

PROMIS pain interference, physical function, sleep disturbance, depression and anxiety across phenotypes

Highly distressed phenotypes reported higher pain interference, sleep disturbance, depression and anxiety than other phenotypes
Low distress phenotype had significantly lower pain interference and higher physical function than all other phenotypes

Original publication

General and Pain‐Associated Psychological Distress Phenotypes Among Patients With Low Back Pain in the Military Health System. Arthritis Care Res (Hoboken). Published 3 April 2024. doi:10.1002/acr.25315

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