{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T18:59:35Z","timestamp":1793473175138,"version":"4.5.0"},"reference-count":75,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: The most relevant psychological constructs for responding to stress in chronic lumbar pain in a positive way are active coping strategies, positive emotions, and resilience. The aim of this study was to study the coping strategies used by people affected by chronic low back pain and associated factors. Methods: We carried out a prospective longitudinal study involving people on a first visit at the Pain Unit of Josep Trueta University Hospital (Girona, Spain) presenting with chronic back pain, with a follow-up at three months. The Brief Pain Inventory (BPI), the Vanderbilt Pain Management Inventory (VPMI), and the Abridged Connor\u2013Davidson Resilience Scale (CD-RISC) were used. The correlation of variables was analyzed, and a multiple linear regression model was used. Results: A total of 129 people with a mean age of 62.5 years participated (58.1% women). The mean severity of pain was moderate with mild improvement at the follow-up (6.42 to 6.17 points). The use of active coping strategies declined during the study (21.28 to 15.6 points), and a significant increase in passive strategies (23.6 to 30.21 points) and in catastrophizing (13.98 to 14.56 points) was observed. The total resilience scores were slightly better at baseline than at follow-up (27.50 to 26.67 points). The intensity of the back pain had a direct and significant relationship with passive strategies and an inverse relationship with active strategies and resilience. Conclusions: The coping strategies for dealing with chronic back pain observed in the study participants are not fully effective. The intensity of pain is significantly associated with the use of passive strategies and female sex.<\/jats:p>","DOI":"10.3390\/jcm15020516","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T12:56:55Z","timestamp":1767877015000},"page":"516","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Longitudinal Study of Coping Strategies and Differences by Sex in Patients with Chronic Low Back Pain"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4369-7948","authenticated-orcid":false,"given":"Xavier","family":"Pericot-Mozo","sequence":"first","affiliation":[{"name":"Department of Nursing, University of Girona, 17003 Girona, Spain"},{"name":"Health and Health Care Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3893-4231","authenticated-orcid":false,"given":"Gloria","family":"Reig-Garcia","sequence":"additional","affiliation":[{"name":"Department of Nursing, University of Girona, 17003 Girona, Spain"},{"name":"Health and Health Care Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3186-0412","authenticated-orcid":false,"given":"Afra","family":"Masi\u00e0-Plana","sequence":"additional","affiliation":[{"name":"Department of Nursing, University of Girona, 17003 Girona, Spain"},{"name":"Health and Health Care Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8152-0937","authenticated-orcid":false,"given":"Miquel","family":"Sitjar-Su\u00f1er","sequence":"additional","affiliation":[{"name":"Department of Nursing, University of Girona, 17003 Girona, Spain"},{"name":"Health and Health Care Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2400-7082","authenticated-orcid":false,"given":"Carme","family":"Bertran-Noguer","sequence":"additional","affiliation":[{"name":"Department of Nursing, University of Girona, 17003 Girona, Spain"},{"name":"Health and Health Care Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2322-2437","authenticated-orcid":false,"given":"Josefina","family":"Pati\u00f1o-Maso","sequence":"additional","affiliation":[{"name":"Department of Nursing, University of Girona, 17003 Girona, Spain"},{"name":"Health Psychology Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7928-9112","authenticated-orcid":false,"given":"Rosa","family":"Su\u00f1er-Soler","sequence":"additional","affiliation":[{"name":"Department of Nursing, University of Girona, 17003 Girona, Spain"},{"name":"Health and Health Care Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Yang, N., Di, J., Wang, W., and Feng, H. (2025). Global burden of low back pain from 1990 to 2021: A comprehensive analysis of risk factors and trends using the Global Burden of Disease Study 2021. BMC Public Health, 25.","DOI":"10.1186\/s12889-025-23178-1"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"3553","DOI":"10.1111\/jan.14877","article-title":"Design and preliminarily validation of a tool to assess the impact of chronic non-cancer pain on people\u2019s daily life in Spanish-language: PAIN_Integral Scale\u00a9","volume":"77","author":"Gil","year":"2021","journal-title":"J. Adv. Nurs."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1016\/j.jpain.2016.06.003","article-title":"Disrupted Self-Perception in People with Chronic Low Back Pain. Further Evaluation of the Fremantle Back Awareness Questionnaire","volume":"17","author":"Wand","year":"2016","journal-title":"J. Pain"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"20040","DOI":"10.1038\/s41598-022-24703-7","article-title":"Chronic low back pain and its impact on physical function, mental health, and health-related quality of life: A cross-sectional study in Singapore","volume":"12","author":"Ge","year":"2022","journal-title":"Sci. Rep."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"CPG1","DOI":"10.2519\/jospt.2021.0304","article-title":"Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021","volume":"51","author":"George","year":"2021","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1177\/1941738119886854","article-title":"Comparing the Effectiveness of Cognitive Functional Treatment and Lumbar Stabilization Treatment on Pain and Movement Control in Patients with Low Back Pain","volume":"12","author":"Khodadad","year":"2020","journal-title":"Sports Health"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Petrucci, G., Papalia, G.F., Russo, F., Vadal\u00e0, G., Piredda, M., De Marinis, M.G., Papalia, R., and Denaro, V. (2021). Psychological Approaches for the Integrative Care of Chronic Low Back Pain: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19010060"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1425","DOI":"10.1002\/ejp.1409","article-title":"The Euro-pean epidemic: Pain prevalence and socioeconomic inequalities in pain across 19 European countries","volume":"23","author":"Todd","year":"2019","journal-title":"Eur. J. Pain"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1111\/papr.13103","article-title":"Management of chronic low back pain and the impact on patients\u2019 personal and professional lives: Results from an international patient survey","volume":"22","author":"Fullen","year":"2022","journal-title":"Pain Pract."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1590\/S0034-8910.2015049005874","article-title":"Prevalence of chronic low back pain: Systematic review","volume":"49","author":"Meucci","year":"2015","journal-title":"Rev. Saude Publica"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.1007\/s00586-025-08678-3","article-title":"Screening for depression, anxiety, and psychological distress associated with low back pain by musculoskeletal and spinal clinicians. A scoping review","volume":"34","author":"Sugrue","year":"2025","journal-title":"Eur. Spine J."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.4314\/ahs.v19i1.49","article-title":"Analysis of risk factors for depression among patients with chronic low back pain in an orthopaedic clinic of a Nigerian teaching hospital","volume":"19","author":"Omoke","year":"2019","journal-title":"Afr. Health Sci."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"942.e1","DOI":"10.1016\/j.jpain.2018.02.017","article-title":"Individual Variation in Pain Sensitivity and Conditioned Pain Modulation in Acute Low Back Pain: Effect of Stimulus Type, Sleep, and Psychological and Lifestyle Factors","volume":"19","author":"Klyne","year":"2018","journal-title":"J. Pain"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"35","DOI":"10.14718\/ACP.2016.19.1.3","article-title":"Evaluaci\u00f3n de las diferencias de g\u00e9nero en las estrategias de afrontamiento del dolor lumbar\/Assessment of gender differences in strategies in coping with low back pain","volume":"19","author":"Zavarize","year":"2016","journal-title":"Acta Colomb. Psicol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.spinee.2018.06.007","article-title":"The effect of psychosocial measures of resilience and self-efficacy in patients with neck and lower back pain","volume":"19","author":"Ahmed","year":"2019","journal-title":"Spine J."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1007\/s12160-016-9838-0","article-title":"Psychological Trauma Exposure and Pain-Related Outcomes Among People with Chronic Low Back Pain: Moderated Mediation by Thought Suppression and Social Constraints","volume":"51","author":"Pegram","year":"2017","journal-title":"Ann. Behav. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1093\/pm\/pnac156","article-title":"Examining Physical and Cognitive Function in Chronic Low Back Pain Through the Use of a Multisystem Resilience Framework","volume":"24","author":"Bartley","year":"2023","journal-title":"Pain Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1007\/s10865-019-00110-8","article-title":"Pain resilience moderates the influence of negative pain beliefs on movement-evoked pain in older adults","volume":"43","author":"Palit","year":"2020","journal-title":"J. Behav. Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1080\/09593985.2022.2029650","article-title":"Beyond the pain: A qualitative study exploring the physical therapy experience in patients with chronic low back pain","volume":"39","author":"Joyce","year":"2023","journal-title":"Physiother. Theory Pract."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.ijnurstu.2004.06.009","article-title":"Coping with chronic pain","volume":"42","author":"Dysvik","year":"2005","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1177\/10998004251345491","article-title":"Pain Resilience and Chronic Low Back Pain Outcomes: The Mediating Role of Pace of Biological Aging","volume":"27","author":"Freij","year":"2025","journal-title":"Biol. Res. Nurs."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Fehrmann, E., Fischer-Grote, L., Kienbacher, T., Tuechler, K., Mair, P., and Ebenbichler, G. (2022). Perceived psychosocial stressors and coping resources in chronic low back pain patients as classified by the avoidance-endurance model. Front. Rehabil. Sci., 3.","DOI":"10.3389\/fresc.2022.996945"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1093\/pm\/pnac151","article-title":"Intensity of Chronic Low Back Pain and Activity Interference: A Daily Diary Study of the Moderating Role of Cognitive Pain Coping Strategies","volume":"24","author":"Vertsberger","year":"2023","journal-title":"Pain Med."},{"key":"ref_24","first-page":"100456","article-title":"Lived Experiences of Older Adults With Chronic Low Back Pain and Implications on Their Daily Life: A Metasynthesis of Qualitative Research","volume":"7","author":"Cheung","year":"2025","journal-title":"Arch. Rehabil. Res. Clin. Transl."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1186\/s41687-021-00367-1","article-title":"Only two subscales of the Coping Strategies Questionnaire are culturally relevant for people with chronic low back pain in Nigerian Igbo populations: A cross-cultural adaptation and validation study","volume":"5","author":"Igwesi","year":"2021","journal-title":"J. Patient. Rep. Outcomes"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"e2113401","DOI":"10.1001\/jamanetworkopen.2021.13401","article-title":"Comparison of a Single-Session Pain Management Skills Intervention with a Single-Session Health Education Intervention and 8 Sessions of Cognitive Behavioral Therapy in Adults With Chronic Low Back Pain: A Randomized Clinical Trial","volume":"4","author":"Darnall","year":"2021","journal-title":"JAMA Netw. Open"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1136\/bjsports-2019-101436","article-title":"Prevention strategies to reduce future impact of low back pain: A systematic review and meta-analysis","volume":"55","author":"Maher","year":"2021","journal-title":"Br. J. Sports Med."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"h444","DOI":"10.1136\/bmj.h444","article-title":"Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis","volume":"350","author":"Kamper","year":"2025","journal-title":"BMJ"},{"key":"ref_29","first-page":"1","article-title":"Pain Education with Therapeutic Exercise in Chronic Nonspecific Low Back Pain Rehabilitation: A Critically Appraised Topic","volume":"27","author":"Jones","year":"2020","journal-title":"J. Sport Rehabil."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"3913","DOI":"10.12659\/MSM.894743","article-title":"Strategies for Coping with Chronic Lower Back Pain in Patients with Long Physiotherapy Wait Time","volume":"21","author":"Cabak","year":"2015","journal-title":"Med. Sci. Monit."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"101046","DOI":"10.1016\/j.eujim.2019.101046","article-title":"The short-term effects of neuroscience pain education on quality of life in patients with chronic low back pain: A single-blinded randomized controlled trial","volume":"33","author":"Saracoglu","year":"2020","journal-title":"Eur. J. Integr. Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.pnpbp.2018.01.017","article-title":"Evaluating psychosocial contributions to chronic pain outcomes","volume":"87","author":"Meints","year":"2018","journal-title":"Prog. Neuro-Psychopharmacol. Biol. Psychiatry"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"50","DOI":"10.4321\/S1134-80462014000100006","article-title":"Gesti\u00f3n y actuaci\u00f3n enfermera en la unidad de dolor cr\u00f3nico","volume":"21","author":"Goberna","year":"2014","journal-title":"Rev. Soc. Esp. Dolor"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/0304-3959(83)90143-4","article-title":"Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases","volume":"17","author":"Daut","year":"1983","journal-title":"Pain"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/S0025-7753(03)73601-X","article-title":"Cleeland Validaci\u00f3n espa\u00f1ola del cuestionario Brief Pain Inventory en pacientes con dolor de causa neopl\u00e1sica","volume":"120","author":"Badia","year":"2003","journal-title":"Med. Clin."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/S0885-3924(99)00064-0","article-title":"Validation of the German version of the Brief Pain Inventory","volume":"18","author":"Radbruch","year":"1999","journal-title":"J. Pain Symptom Manag."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/0304-3959(87)90006-6","article-title":"The development of a questionnaire for the assessment of active and passive coping strategies in chronic pain patients","volume":"31","author":"Brown","year":"1987","journal-title":"Pain"},{"key":"ref_38","first-page":"77","article-title":"Evaluaci\u00f3n de estrategias de afrontamiento al dolor cr\u00f3nico","volume":"11","author":"Esteve","year":"1999","journal-title":"J. Health Psychol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1016\/j.ejpain.2007.11.004","article-title":"Cognitive appraisal and coping in chronic pain patients","volume":"12","author":"Esteve","year":"2008","journal-title":"Eur. J. Pain"},{"key":"ref_40","first-page":"421","article-title":"General versus specific indices in the assessment of chronic pain coping","volume":"16","author":"Esteve","year":"2004","journal-title":"Psicothema"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1002\/da.10113","article-title":"Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC)","volume":"18","author":"Connor","year":"2003","journal-title":"Depress. Anxiety"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1186\/1477-7525-9-63","article-title":"Reliability and validity of the Spanish version of the 10-item Connor-Davidson Resilience Scale (10-item CD-RISC) in young adults","volume":"9","author":"Notario","year":"2011","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_43","first-page":"159","article-title":"Propiedades psicom\u00e9tricas de la versi\u00f3n espa\u00f1ola de la escala de resiliencia de 10 \u00edtems de Connor-Davidson (CD-RISC 10) en una muestra multiocupacional","volume":"48","author":"Soler","year":"2016","journal-title":"Rev. Latinoam. Psicol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"74","DOI":"10.14474\/ptrs.2019.8.2.74","article-title":"Effects of dynamic myofascial release on trunk mobility and standing balance in persons with chronic nonspecific low back pain","volume":"8","author":"Lee","year":"2019","journal-title":"Phys. Ther. Rehabil. Sci."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Quentin, C., Bagheri, R., Ugbolue, U.C., Coudeyre, E., P\u00e9lissier, C., Descatha, A., Menini, T., Bouillon-Minois, J.-B., and Dutheil, F. (2021). Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis. Int. J. Env. Res. Public Health, 18.","DOI":"10.3390\/ijerph18168430"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"2579","DOI":"10.1007\/s11136-016-1282-x","article-title":"Predictors of health-related quality of life in people with a complex chronic disease including multimorbidity: A longitudinal cohort study","volume":"25","author":"Tyack","year":"2016","journal-title":"Qual. Life Res."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Jegan, N.R., Brugger, M., Viniol, A., Strauch, K., Barth, J., Baum, E., Leonhardt, C., and Becker, A. (2017). Psychological risk and protective factors for disability in chronic low back pain\u2014A longitudinal analysis in primary care. BMC Musculoskelet. Disord., 18.","DOI":"10.1186\/s12891-017-1482-8"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"e055118","DOI":"10.1136\/bmjopen-2021-055118","article-title":"Does the risk of chronic low back pain depend on age at menarche or menopause? A population-based cross-sectional and cohort study: The Tr\u00f8ndelag Health Study","volume":"12","author":"Heuch","year":"2022","journal-title":"BMJ Open"},{"key":"ref_49","first-page":"CD009790","article-title":"Exercise therapy for chronic low back pain","volume":"9","author":"Hayden","year":"2021","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Ruiz, P.J., Ruiz, G.J., Mart\u00edn, R., and Gonz\u00e1lez, P.J. (2019). Do Health-Related Quality of Life and Pain-Coping Strategies Explain the Relationship between Older Women Participants in a Pilates-Aerobic Program and Bodily Pain? A Multiple Mediation Model. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16183249"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"108381","DOI":"10.1016\/j.ypmed.2025.108381","article-title":"Effectiveness of multidisciplinary approaches including exercise to treat non-specific chronic low back pain: A systematic review and meta-analysis across multiple regions","volume":"199","year":"2025","journal-title":"Prev. Med."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"109562","DOI":"10.1016\/j.mehy.2020.109562","article-title":"Relationship between pain intensity, disability, exercise time and computer usage time and depression in office workers with non-specific chronic low back pain","volume":"137","author":"Hong","year":"2020","journal-title":"Med. Hypotheses"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"301","DOI":"10.5606\/tftrd.2019.3248","article-title":"The relationship of illness perceptions with demographic features, pain severity, functional capacity, disability, depression, and quality of life in patients with chronic low back pain","volume":"65","author":"Akyol","year":"2019","journal-title":"Turk. J. Phys. Med. Rehabil."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"e250268","DOI":"10.1001\/jamanetworkopen.2025.0268","article-title":"Prevalence of Depression and Anxiety Among Adults With Chronic Pain: A Systematic Review and Meta-Analysis","volume":"8","author":"Aaron","year":"2025","journal-title":"JAMA Netw. Open"},{"key":"ref_55","first-page":"252","article-title":"Chronic low back pain comorbidity count and its impact on exacerbating opioid and non-opioid prescribing behavior","volume":"23","author":"Povieng","year":"2023","journal-title":"Pain Pract. Off. J. World Inst. Pain"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"jrm43450","DOI":"10.2340\/jrm.v57.43450","article-title":"Male and female workers suffering from chronic low back pain display different interrelationships between the biopsychosocial variables","volume":"57","author":"Lanhers","year":"2025","journal-title":"J. Rehabil. Med."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"425","DOI":"10.36076\/ppj.2021.24.425","article-title":"A Comparative Systematic Review and Meta-Analysis of 3 Routes of Administration of Epidural Injections in Lumbar Disc Herniation","volume":"24","author":"Manchikanti","year":"2021","journal-title":"Pain Physician"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1136\/bjsports-2019-100780","article-title":"Cognitive Functional Therapy Compared with a Group-Based Exercise and Education Intervention for Chronic Low Back Pain: A Multicentre Randomised Controlled Trial (RCT)","volume":"54","author":"Purtill","year":"2020","journal-title":"Br. J. Sports Med."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"e067718","DOI":"10.1136\/bmj-2021-067718","article-title":"Psychological interventions for chronic, non-specific low back pain: Systematic review with network meta-analysis","volume":"376","author":"Ho","year":"2022","journal-title":"Br. Med. J."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.humov.2014.06.006","article-title":"The effect of chronic low back pain on tactile suppression during back movements","volume":"37","author":"Danneels","year":"2014","journal-title":"Hum. Mov. Sci."},{"key":"ref_61","first-page":"640","article-title":"Relationships between coping strategies and lumbar muscle activity in subjects with chronic low back pain","volume":"14","author":"Schreurs","year":"2009","journal-title":"Eur. J. Pain"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1007\/s12160-011-9270-4","article-title":"Anger Suppression and Subsequent Pain Behaviors among Chronic Low Back Pain Patients: Moderating Effects of Anger Regulation Style","volume":"42","author":"Burns","year":"2011","journal-title":"Ann. Behav. Med."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"101858","DOI":"10.1016\/j.respe.2023.101858","article-title":"Economic impact of work disability due to chronic low back pain from the patient perspective","volume":"71","author":"Ostertag","year":"2023","journal-title":"Rev. Epidemiol. Sante Publique"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1186\/s12955-015-0359-5","article-title":"The reciprocal effect of pain catastrophizing and satisfaction with participation in the multidisciplinary treatment of patients with chronic back pain","volume":"13","author":"Farin","year":"2015","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Marshall, P.W.M., Schabrun, S., and Knox, M.F. (2017). Physical activity and the mediating effect of fear, depression, anxiety, and catastrophizing on pain related disability in people with chronic low back pain. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0180788"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1111\/papr.13081","article-title":"The predictors for altered central pain modulation in individuals with nonspecific chronic low back pain: A systematic review","volume":"22","author":"Subramanian","year":"2022","journal-title":"Pain Pract."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1002\/ejp.1348","article-title":"What do you expect? Catastrophizing mediates associations between expectancies and pain-facilitatory processes","volume":"23","author":"Carriere","year":"2019","journal-title":"Eur. J. Pain"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1111\/j.1526-4637.2005.05014.x","article-title":"Intrarace differences among black and white americans presenting for chronic pain management: The influence of age, physical health, and psychosocial factors","volume":"6","author":"Baker","year":"2005","journal-title":"Pain Med."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"2434711","DOI":"10.1080\/21642850.2024.2434711","article-title":"Promoting a foundation of resilience in older adults: Pilot trial of a strengths-based positive psychology intervention for chronic low back pain","volume":"12","author":"Bartley","year":"2024","journal-title":"Health Psychol. Behav. Med."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"331","DOI":"10.2519\/jospt.2025.12794","article-title":"Individual Education for Patients With Chronic Low Back Pain: Likely a Clinically Relevant Effect for Long-term Disability Compared to Noneducational Interventions. A Systematic Review with Meta-Analysis","volume":"55","author":"Piano","year":"2025","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.enfcli.2019.08.008","article-title":"Efectividad de una intervenci\u00f3n educativa enfermera en pacientes cr\u00f3nicos complejos","volume":"30","author":"Blanco","year":"2020","journal-title":"Enferm. Clin."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1016\/j.jpain.2017.03.013","article-title":"Validation of the Pain Resilience Scale in a Chronic Pain Sample","volume":"18","author":"Ankawi","year":"2017","journal-title":"J. Pain"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"S733","DOI":"10.1016\/j.eurpsy.2017.01.1341","article-title":"Resilience, pain and quality of life in people with physical disabilities: A systematic review","volume":"41","author":"Aranguren","year":"2017","journal-title":"Eur. Psychiatry"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/j.ejpain.2008.07.002","article-title":"Sex differences in perceptions of pain coping strategy usage","volume":"13","author":"Keogh","year":"2009","journal-title":"Eur. J. Pain"},{"key":"ref_75","doi-asserted-by":"crossref","unstructured":"Marchesini, M., Fornasari, D., Natoli, S., Vegni, E., and Cuomo, A. (2025). Sex-Related Differences in Chronic Pain: A Narrative Review by a Multidisciplinary Task Force. 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