Abstract

Psychosocial Flag Signs in Patients with Compensable Occupational Lumbar Spine Injuries

Highlights

  • Factors such as attitudes, negative beliefs, depressive mood state, anxiety disorder and certain social factors can interact with pain behaviour and are cumulatively referred to as psychosocial factors [1]

  • An increased number of flag signs is associated with an increased report of disability, pain, anxiety, depression and a less favorable work status

  • Negative beliefs, depressive mood state, anxiety disorder and certain social factors can interact with pain behaviour and are cumulatively referred to as psychosocial factors [1]

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Summary

Introduction

Negative beliefs, depressive mood state, anxiety disorder and certain social factors can interact with pain behaviour and are cumulatively referred to as psychosocial factors [1]. The value of psychosocial flags in predicting prolonged disability has been recognized for two decades [2,3,4,5,6,7]. The other significant factor that has established a link with prolonged disability is the work situation [3,4,8]. Yellow flags reflect psychosocial factors such as fears of pain or injury, preference for passive treatment, having negative pain beliefs and distressed affect [5]. Black flags refer to the nature of the work, insurance and compensation system under which workplace injuries are managed. While black flags are caused by the actual workplace conditions, blue flags are the individual perceptions about work

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