TY - JOUR
T1 - Quality of Well-Being Scale and Chronic Low Back Pain
AU - Smith, Michael T.
AU - Carmody, Timothy P.
AU - Smith, Michelle Sun
N1 - Funding Information:
This research was funded by Health Services Research and Development grant #91-075. Special acknowledgments to Kulbir Thind, who conducted the medical exams, Raymond L. Richmond, who administered the Quality of Well-Being Scale, and Mary O’Driscoll, who scored the videotapes for the Behavioral Observation Method. This article is based on a poster presented at the annual meeting of the Society for Behavioral Medicine in San Francisco, 1997.
PY - 2000
Y1 - 2000
N2 - Outcome measures that assess quality of life for use in health policy decisions need to be investigated in chronic pain patients. In the present study, the validity of the Quality of Well-Being Scale (QWB) was evaluated on 67 adult chronic low back pain (CLBP) patients who were enrolled in a 12-week multidisciplinary pain treatment program. Participants completed the QWB, a battery of pain measures, a behavioral observation task, and a medical exam. The findings indicated that CLBP patients have a low level of functioning or quality of life (M = .567, SD = .08) compared with persons with life-threatening diseases. The QWB score was significantly correlated with observational measures of pain behavior and pain-related coping strategies. Multivariate analysis indicated that interference in daily activities, distorted ambulation, affective distress, pain duration, and guarding were the most significant predictors of quality of well-being (multiple R = .84, p < .0001). Patients with medically incongruent physical signs had significantly lower QWB scores than patients with congruent signs. Overall, the data supported the validity of the QWB in a sample of CLBP patients.
AB - Outcome measures that assess quality of life for use in health policy decisions need to be investigated in chronic pain patients. In the present study, the validity of the Quality of Well-Being Scale (QWB) was evaluated on 67 adult chronic low back pain (CLBP) patients who were enrolled in a 12-week multidisciplinary pain treatment program. Participants completed the QWB, a battery of pain measures, a behavioral observation task, and a medical exam. The findings indicated that CLBP patients have a low level of functioning or quality of life (M = .567, SD = .08) compared with persons with life-threatening diseases. The QWB score was significantly correlated with observational measures of pain behavior and pain-related coping strategies. Multivariate analysis indicated that interference in daily activities, distorted ambulation, affective distress, pain duration, and guarding were the most significant predictors of quality of well-being (multiple R = .84, p < .0001). Patients with medically incongruent physical signs had significantly lower QWB scores than patients with congruent signs. Overall, the data supported the validity of the QWB in a sample of CLBP patients.
KW - Chronic low back pain
KW - Pain assessment
KW - Quality of Well-Being Scale
KW - Quality of life
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U2 - 10.1023/A:1009512813102
DO - 10.1023/A:1009512813102
M3 - Article
AN - SCOPUS:1842552055
SN - 1068-9583
VL - 7
SP - 175
EP - 184
JO - Journal of Clinical Psychology in Medical Settings
JF - Journal of Clinical Psychology in Medical Settings
IS - 3
ER -