Trait Sensitivity, Anxiety and Personality are predictive of Central Sensitisation Symptoms in Patients with Chronic Low Back Pain

Clark, Jacqui R, Nijs, Jo, Yeowell, Gillian ORCID: https://orcid.org/0000-0003-3872-9799, Holmes, Paul and Goodwin, Peter C (2019) Trait Sensitivity, Anxiety and Personality are predictive of Central Sensitisation Symptoms in Patients with Chronic Low Back Pain. Pain practice : the official journal of World Institute of Pain, 19 (8). pp. 800-810. ISSN 1530-7085

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Abstract

BACKGROUND:Sensitivity-related trait characteristics involving physical and emotional sensitivities and high trait anxiety personality types have been observed in individuals with non-specific chronic low back pain (NSCLBP). High trait sensitivity to sensory stimulation combined with interpretation biases based on personality type may contribute to the development of central sensitisation (CS) symptoms. To date there is limited research that has considered both sensitivity levels and personality type in NSCLBP with CS. The purpose of this study was to investigate 1) relationships between trait sensory profiles, trait anxiety and CS symptoms, and 2) the predictive capacity of sensory profiles, trait anxiety and personality types on CS symptoms, in people with NSCLBP. METHODS:This was a cross-sectional observational study using four self-report measures on adults (N = 165, mean age = 45 +-12 SD) from physiotherapy clinics in England, Ireland and New Zealand. Inclusion: NSCLBP > 6 months, aged 18-64, predominant CS pain presentation, no other pathology. Parametric and non-parametric correlation statistics and regression analyses were used. RESULTS:Positive correlations were found between central sensitisation inventory (CSI) scores and sensory hyper-sensitivity profiles and trait anxiety. CSI score increases could be predicted by: Sensory Sensitive, Low Registration profiles, trait anxiety scores and extreme defensive high anxious personality type. CONCLUSIONS:Trait sensory hyper- and/or hypo-sensitivity and high trait-anxiety related personality type characteristics predicts the extent of CS symptoms in people with NSCLBP. Further investigation is required to establish causality between these characteristics and CS symptoms. This article is protected by copyright. All rights reserved.