{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:55:35Z","timestamp":1792806935814,"version":"4.5.0"},"reference-count":44,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Non-specific chronic low back pain (CLBP) restricts participation in society\n                        and employment also due to the high psychosocial burden of this condition.\n                        Thus, there is an urgent need for rehabilitation of patients with CLBP,\n                        which must be determined by a valid diagnosis of psychosocial risk factors.\n                        The subjective prognosis of gainful employment (SPE) is considered to\n                        indicate the need for medical rehabilitation for back pain. The present\n                        study investigated the association between SPE and psychosocial risk factors\n                        among individuals with non-specific CLBP undergoing inpatient\n                        multidisciplinary orthopedic rehabilitation (MOR).<\/jats:p><jats:p>This cross-sectional observational study included 925 individuals aged 20 to\n                        65 with non-specific CLBP at admission to inpatient MOR (M=52.2 years,\n                        SD=7.2; 77.5% female; ICD-10: M51\/53\/54). Associations of the SPE total\n                        score with psychological, pain-related, and work-related measures were\n                        examined by using correlation and regression analyses. Moreover, moderated\n                        associations of the SPE categorical score were tested using one-way analyses\n                        of variance with the independent factor self-reported prognosis of\n                        employment (favorable vs. unfavorable). Additionally, the frequency\n                        distributions of scores within the clinical range for depressive symptoms,\n                        chronic stress, and subjectively assessed work ability stratified by\n                        self-reported prognosis of employment were investigated.<\/jats:p><jats:p>A less favorable self-reported prognosis of employment was predicted by\n                        higher job strain and chronic stress as well as lower pain self-efficacy and\n                        subjective physical work ability. In particular, individuals with an\n                        unfavorable self-reported prognosis of employment showed a risk pattern and\n                        were frequently in the clinical range for depressive symptoms, chronic\n                        stress, and subjective work ability.<\/jats:p><jats:p>The results supported a high need for rehabilitation for this target group,\n                        especially for patients with non-specific CLBP and unfavorable self-reported\n                        prognosis of employment. Early assessment of sociomedical criteria, in\n                        addition to pain and psychodiagnosis as well as targeted referral to\n                        needs-based interdisciplinary multimodal treatment approaches could reduce\n                        the risk of further chronification of pain and the development of mental\n                        disorders.<\/jats:p>","DOI":"10.1055\/a-2549-6350","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T22:50:58Z","timestamp":1749595858000},"page":"146-156","source":"Crossref","is-referenced-by-count":1,"title":["Health-related measures and subjective prognosis of gainful\n                    employment among patients with non-specific chronic low back pain in\n                    multidisciplinary orthopedic rehabilitation"],"prefix":"10.1055","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8429-125X","authenticated-orcid":false,"given":"Petra","family":"Hampel","sequence":"additional","affiliation":[{"name":"Dept. Health Psychology and Health Education, Europa-Universit\u00e4t\n                    Flensburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Neumann","sequence":"additional","affiliation":[{"name":"Dept. Health Psychology and Health Education, Europa-Universit\u00e4t\n                    Flensburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"299","DOI":"10.21037\/atm.2020.02.175","article-title":"Global low back pain prevalence and years lived with disability from 1990 to\n                    2017: Estimates from the Global Burden of Disease Study 2017","volume":"8","author":"A Wu","year":"2020","journal-title":"Ann Transl Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e316","DOI":"10.1016\/S2665-9913(23)00098-X","article-title":"Global, regional, and national burden of low back p ain, 1990-2020, its\n                    attributable risk factors, and projections to 2050: A systematic analysis of the\n                    Global Burden of Disease Study 2021","volume":"5","author":"GBD 2021 Low Back Pain Collaborators","year":"2023","journal-title":"Lancet Rheumatol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"2356","DOI":"10.1016\/S0140-6736(18)30480-X","article-title":"What low back pain is and why we need to pay attention","volume":"391","author":"J Hartvigsen","year":"2018","journal-title":"Lancet"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"S92","DOI":"10.1097\/j.pain.0000000000000850","article-title":"Pain has an element of blank \u2013 A biobehavioral approach to chronicity","volume":"158","author":"H Flor","year":"2017","journal-title":"Pain"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1007\/s00482-009-0821-6","article-title":"Psychosoziale Faktoren der Schmerzchronifizierung bei Patienten in der\n                    station\u00e4ren orthop\u00e4dischen Rehabilitation von chronisch unspezifischem\n                    R\u00fcckenschmerz","volume":"23","author":"L Tlach","year":"2009","journal-title":"Schmerz"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"988","DOI":"10.1097\/j.pain.0000000000000146","article-title":"How does pain lead to disability? A systematic review and meta-analysis of\n                    mediation studies in people with back and neck pain","volume":"156","author":"H Lee","year":"2015","journal-title":"Pain"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1007\/s00482-023-00701-0","article-title":"Is the relationship between depressive symptoms and work-related factors\n                    mediated by pain self-efficacy in non-specific chronic low back pain?","volume":"38","author":"P Hampel","year":"2024","journal-title":"Schmerz"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1055\/s-0034-1394449","article-title":"Concerning the impact of psychological comorbidity for chronic back pain:\n                    Frequency, reduced earning capacity pension and rehabilitation aftercare in the\n                    course of the rehabilitation cohorts 2002\u20132009","volume":"53","author":"C Schmidt","year":"2014","journal-title":"Rehabilitation"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1055\/a-1839-5048","article-title":"Patients with somatic and comorbid mental disorders have similar psychological\n                    capacity impairment profiles like patients with mental disorders","volume":"62","author":"B Muschalla","year":"2023","journal-title":"Rehabilitation"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"jrm00125","DOI":"10.2340\/16501977-2767","article-title":"Employability and intention to apply for rehabilitation in people with back\n                    pain: A cross-sectional cohort study","volume":"52","author":"D Fauser","year":"2020","journal-title":"J Rehabil Med"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1055\/a-1550-8404","article-title":"Self-reported prognosis of employability as an indicator of need for\n                    rehabilitation: A cohort study in people with back pain","volume":"61","author":"D Fauser","year":"2022","journal-title":"Rehabilitation"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1007\/s00038-003-2037-3","article-title":"Predictive validity of a brief scale to assess subjective prognosis of work\n                    capacity (SPE Scale) in a cohort of LVA insured patients with severe back pain\n                    or functional complaints relating to internal medicine","volume":"48","author":"O Mittag","year":"2003","journal-title":"Soz Praventivmed"},{"key":"ref14","first-page":"155","article-title":"Arbeitsbezogene Einstellungen und subjektive Erwerbsprognose bei Rehabilitanden\n                    mit muskuloskeletalen Erkrankungen","volume":"77","author":"M Bethge","year":"2007","journal-title":"Praxis Klin Verhaltensmed Rehab"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1055\/s-2003-40095","article-title":"A brief scale for measuring subjective prognosis of gainful employment: Findings\n                    of a study of 4279 statutory pension insurees concerning reliability (Guttman\n                    scaling) and validity of the scale","volume":"42","author":"O Mittag","year":"2003","journal-title":"Rehabilitation"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"719","DOI":"10.3233\/WOR-210987","article-title":"Work ability score as predictor of rehabilitation, disability pensions and\n                    death? A German cohort study among employees with back pain","volume":"73","author":"D Fauser","year":"2022","journal-title":"Work"},{"key":"ref17","first-page":"4","article-title":"Behavioral medicine-oriented rehabilitation: Concept, target group and\n                    effectiveness","volume":"105","author":"U Worringen","year":"2019","journal-title":"Praxis Klin Verhaltensmed Rehab"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1055\/a-1219-2661","article-title":"Influence of social status on the success of rehabilitation among patients with\n                    chronic low back pain \u2013 Results of a 2-year follow-up after inpatient\n                    multidisciplinary rehabilitation","volume":"59","author":"A K\u00f6pnick","year":"2020","journal-title":"Rehabilitation"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1186\/s40359-019-0282-3","article-title":"Psychological and work-related outcomes after inpatient multidisciplinary\n                    rehabilitation of chronic low back pain: A prospective randomized controlled\n                    trial","volume":"7","author":"P Hampel","year":"2019","journal-title":"BMC Psychol"},{"key":"ref20","volume-title":"German version of the CES-D. 2. Ed","author":"M Hautzinger","year":"2012"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1055\/s-0042-104066","article-title":"Measurement of depression and anxiety in multidisciplinary rehabilitation \u2013 A\n                    questionnaire validation of the SKID","volume":"26","author":"S Roch","year":"2016","journal-title":"Phys Med Rehab Kuror"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"306","DOI":"10.1186\/s12874-020-01156-y","article-title":"Psychometric properties of an English short version of the Trier Inventory for\n                    Chronic Stress","volume":"20","author":"K Petrowski","year":"2020","journal-title":"BMC Med Res Methodol"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1007\/s00103-013-1690-9","article-title":"Chronic stress among adults in Germany: Results of the German Health Interview\n                    and Examination Survey for Adults (DEGS1)","volume":"56","author":"U Hapke","year":"2013","journal-title":"Bundesgesundheitsbl"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1026\/0012-1924.55.2.84","article-title":"The Pain Self-Efficacy Questionnaire: A German language adaptation","volume":"55","author":"M Mangels","year":"2009","journal-title":"Diagnostica"},{"key":"ref25","volume-title":"SF-36 Health Status Questionnaire: German Version of the Short Form-36 Health\n                    Survey. 2. Ed","author":"M Morfeld","year":"2011"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"980","DOI":"10.2340\/16501977-1063","article-title":"The Work Ability Index as a screening tool to identify the need for\n                    rehabilitation: Longitudinal findings from the Second German Sociomedical Panel\n                    of Employees","volume":"44","author":"M Bethge","year":"2012","journal-title":"J Rehabil Med"},{"key":"ref28","first-page":"21","article-title":"Die patientennahe Diagnostik von Funktionseinschr\u00e4nkungen im Alltag","volume":"6","author":"T Kohlmann","year":"1994","journal-title":"psychomed"},{"key":"ref29","volume-title":"German Pain Questionnaire: Manual","author":"B Nagel","year":"2015"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1055\/s-2007-1000317","article-title":"Concept of a multidisciplinary pain clinic","volume":"27","author":"H U Gerbershagen","year":"1992","journal-title":"Anasthesiol Intensivmed Notfallmed"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/0304-3959(92)90154-4","article-title":"Grading the severity of chronic pain","volume":"50","author":"M Von Korff","year":"1992","journal-title":"Pain"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1055\/a-0674-6360","article-title":"On clinical significance in German clinical rehabilitation trials \u2013 An inventory\n                    of current practice","volume":"58","author":"J H\u00f6der","year":"2019","journal-title":"Rehabilitation"},{"key":"ref33","volume-title":"Statistical power analysis for the behavioural sciences. 2. Ed","author":"J Cohen","year":"1988"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"582","DOI":"10.1055\/s-0028-1086014","article-title":"Social inequality in medical rehabilitation","volume":"70","author":"R Deck","year":"2008","journal-title":"Gesundheitswesen"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1055\/s-2006-926781","article-title":"Vorhersage der Erwerbst\u00e4tigkeit in einer Bev\u00f6lkerungsstichprobe von 4225\n                    Versicherten der LVA \u00fcber einen Prognosezeitraum von f\u00fcnf Jahren mittels einer\n                    kurzen Skala (SPE-Skala)","volume":"68","author":"O Mittag","year":"2006","journal-title":"Gesundheitswesen"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1055\/s-0033-1341459","article-title":"Specific work-related problems: Do they matter in access to work-related medical\n                    rehabilitation?","volume":"53","author":"M Bethge","year":"2014","journal-title":"Rehabilitation"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1007\/s00482-009-0817-2","article-title":"Prevalence and predictors of pain in several body regions. Results of a\n                    representative German population survey","volume":"23","author":"W H\u00e4user","year":"2009","journal-title":"Schmerz"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"1257","DOI":"10.3233\/BMR-210221","article-title":"Long-term effects of rehabilitation and prevention of further chronification of\n                    pain among patients with non-specific low back pain","volume":"35","author":"A Neumann","year":"2022","journal-title":"J Back Musculoskelet Rehabil"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"h444","DOI":"10.1136\/bmj.h444","article-title":"Multidisciplinary biopsychosocial rehabilitation for chronic low back pain:\n                    Cochrane systematic review and meta-analysis","volume":"350","author":"S J Kamper","year":"2015","journal-title":"BMJ"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1055\/a-1827-3995","article-title":"Debora: Long-term effectiveness of an inpatient combined pain competence and\n                    depression prevention training for non-specific chronic low back pain and\n                    depressive symptoms","volume":"73","author":"P Hampel","year":"2023","journal-title":"Psychother Psychosom Med Psychol"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"jrm002XX","DOI":"10.2340\/16501977-jrm.v53.469","article-title":"Effects of behavioural medical rehabilitation under real-life conditions in\n                    Germany: A propensity-score matched analysis","volume":"53","author":"M Markus","year":"2021","journal-title":"J Rehabil Med"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"2","DOI":"10.25646\/7854","article-title":"Prevalence of back and neck pain in Germany. Results of the BURDEN 2020 burden\n                    of disease study","volume":"6","author":"E von der Lippe","year":"2021","journal-title":"J Health Monit"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1007\/s00103-020-03110-1","article-title":"Frequencies of musculoskeletal symptoms and disorders in the population-based\n                    German National Cohort (GNC)","volume":"63","author":"C O Schmidt","year":"2020","journal-title":"Bundesgesundheitsbl"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1590\/S0034-8910.2015049005874","article-title":"Prevalence of chronic low back pain: Systematic review","volume":"49","author":"R D Meucci","year":"2015","journal-title":"Rev Saude Publica"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1186\/s12871-024-02496-8","article-title":"Sex differences in pain catastrophizing and its relation to the transition from\n                    acute pain to chronic pain","volume":"24","author":"LH L Le","year":"2024","journal-title":"BMC Anesthesiol"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1007\/s00482-023-00720-x","article-title":"Emotional competence of patients with chronic pain: A self- and third-party\n                    assessment","volume":"38","author":"A J K\u00f6rner","year":"2024","journal-title":"Schmerz"}],"container-title":["Die Rehabilitation"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2549-6350.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T23:21:49Z","timestamp":1750116109000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2549-6350"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":44,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,6,10]]},"published-print":{"date-parts":[[2025,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2549-6350","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0034-3536","1439-1309"],"issn-type":[{"value":"0034-3536","type":"print"},{"value":"1439-1309","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]}}}