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The way patients cope with their pain may influence its outcome.<\/jats:p><jats:p><jats:italic>Aim<\/jats:italic>: To identify coping strategies of LBP patients, and their influence on LBP evolution.<\/jats:p><jats:p><jats:italic>Methods<\/jats:italic>: Ninety nine patients were assessed just after an acute LBP episode and one year later. Assessment tools included medical and social reports, scales of anxiety, depression, quality of life, locus of control (LOC), social support and coping strategies.<\/jats:p><jats:p><jats:italic>Results<\/jats:italic>: One year after the initial episode, 67% of patients have improved and 33% had a chronic pain. A principal components analysis showed that two main dimensions might be identified inside the outcome: functional and emotional non\u2010adjustment. Functional non\u2010adjustment was predicted by male gender, reduction of activity, and history of trauma over one year. Emotional non\u2010adjustment was only predicted by trait\u2010depression. Reactions to pain were structured in four factors: distraction\u2010praying, helplessness\u2010hopelessness, cognitive restructuration and perceived control. Two of these factors predicted adjustment one year later: distraction\u2010praying had a direct effect on functional non\u2010adjustment, and helplessness\u2010hopelessness on emotional issue.<\/jats:p><jats:p><jats:italic>Conclusions<\/jats:italic>: Besides somatic factors, psychosocial predictors of LBP chronic evolution may be identified. Both aspects must be taken into account in order to prevent chronic pain. Perhaps cognitive\u2010behavior therapy may help LBP patients to cope with pain in a better way.<\/jats:p>","DOI":"10.1016\/j.ejpain.2005.01.003","type":"journal-article","created":{"date-parts":[[2005,2,11]],"date-time":"2005-02-11T04:36:33Z","timestamp":1108096593000},"page":"1-1","source":"Crossref","is-referenced-by-count":100,"title":["Psycho\u2010social factors and coping strategies as predictors of chronic evolution and quality of life in patients with low back pain: A prospective study"],"prefix":"10.1002","volume":"10","author":[{"given":"Mich\u00e8le","family":"Koleck","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Michel","family":"Mazaux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Rascle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilou","family":"Bruchon\u2010Schweitzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,1,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)01312-4"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199612150-00020"},{"key":"e_1_2_7_4_1","volume-title":"Acute low back pain problems in adults","author":"Bigos SJ","year":"1994"},{"key":"e_1_2_7_5_1","volume-title":"Psychosocial Factors in Pain: Critical Perspectives","author":"Boothby J.L.","year":"1999"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199402001-00002"},{"key":"e_1_2_7_7_1","volume-title":"L'inventaire d'anxi\u00e9t\u00e9\u2010trait et d'anxi\u00e9t\u00e9\u2010\u00e9tat. 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