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O’Neill A, O’Sullivan K, O’Sullivan P, Purtill H, O’Keeffe M. Examining what factors mediate treatment effect in chronic low back pain: A mediation analysis of a Cognitive Functional Therapy clinical trial. Eur J Pain 2020; 24:1765-1774. [DOI: 10.1002/ejp.1624] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Accepted: 06/15/2020] [Indexed: 12/22/2022]
Affiliation(s)
- Aoife O’Neill
- School of Allied Health University of Limerick Limerick Ireland
- Aging Research Centre Health Research InstituteUniversity of Limerick Limerick Ireland
| | - Kieran O’Sullivan
- School of Allied Health University of Limerick Limerick Ireland
- Aging Research Centre Health Research InstituteUniversity of Limerick Limerick Ireland
| | - Peter O’Sullivan
- School of Physiotherapy and Exercise Science Curtin University Perth WA Australia
- Bodylogic PhysiotherapyPrivate Practice Perth WA Australia
| | - Helen Purtill
- Aging Research Centre Health Research InstituteUniversity of Limerick Limerick Ireland
- Department of Mathematics and Statistics University of Limerick Limerick Ireland
| | - Mary O’Keeffe
- School of Allied Health University of Limerick Limerick Ireland
- Aging Research Centre Health Research InstituteUniversity of Limerick Limerick Ireland
- Sydney School of Public Health University of Sydney Sydney NSW Australia
- Institute for Musculoskeletal Health Sydney NSW Australia
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Lee H, Mansell G, McAuley JH, Kamper SJ, Hübscher M, Moseley GL, Wolfenden L, Hodder RK, Williams CM. Causal mechanisms in the clinical course and treatment of back pain. Best Pract Res Clin Rheumatol 2017; 30:1074-1083. [PMID: 29103550 DOI: 10.1016/j.berh.2017.04.001] [Citation(s) in RCA: 50] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2017] [Accepted: 03/27/2017] [Indexed: 11/24/2022]
Abstract
In recent years, there has been increasing interest in studying causal mechanisms in the development and treatment of back pain. The aim of this article is to provide an overview of our current understanding of causal mechanisms in the field. In the first section, we introduce key concepts and terminology. In the second section, we provide a brief synopsis of systematic reviews of mechanism studies relevant to the clinical course and treatment of back pain. In the third section, we reflect on the findings of our review to explain how understanding causal mechanisms can inform clinical practice and the implementation of best practice. In the final sections, we introduce contemporary methodological advances, highlight the key assumptions of these methods, and discuss future directions to advance the quality of mechanism-related studies in the back pain field.
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Affiliation(s)
- H Lee
- School of Medicine and Public Health, University of Newcastle, Hunter Medical Research Institute, NSW, Australia; Neuroscience Research Australia (NeuRA), Sydney, NSW, Australia; Prince of Wales Clinical School, University of New South Wales, Sydney, NSW, Australia; Centre for Pain, Health and Lifestyle, Australia.
| | - G Mansell
- Research Institute for Primary Care & Health Sciences, Keele University, Keele, Staffordshire ST5 5BG, UK
| | - J H McAuley
- Neuroscience Research Australia (NeuRA), Sydney, NSW, Australia; Prince of Wales Clinical School, University of New South Wales, Sydney, NSW, Australia
| | - S J Kamper
- Centre for Pain, Health and Lifestyle, Australia; The George Institute for Global Health, University of Sydney, Sydney, NSW, Australia
| | - M Hübscher
- Neuroscience Research Australia (NeuRA), Sydney, NSW, Australia
| | - G L Moseley
- Sansom Institute for Health Research, University of South Australia, Adelaide, SA, Australia
| | - L Wolfenden
- School of Medicine and Public Health, University of Newcastle, Hunter Medical Research Institute, NSW, Australia; Hunter New England Population Health, Hunter New England Local Health District, NSW, Australia
| | - R K Hodder
- School of Medicine and Public Health, University of Newcastle, Hunter Medical Research Institute, NSW, Australia; Hunter New England Population Health, Hunter New England Local Health District, NSW, Australia
| | - C M Williams
- School of Medicine and Public Health, University of Newcastle, Hunter Medical Research Institute, NSW, Australia; Centre for Pain, Health and Lifestyle, Australia; The George Institute for Global Health, University of Sydney, Sydney, NSW, Australia
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Further verification by bootstrapped mediation analyses that pain catastrophizing modulates pain report but not spinal nociception: a reply to Lee, Hübscher, and McAuley. Pain 2015; 156:2635-2636. [PMID: 26580682 DOI: 10.1097/j.pain.0000000000000345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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