Collaborative Mentorship Network for Chronic Pain and Addiction

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Early Identification and Management of Psychological Risk Factors ("Yellow flags") in Patients with Low Back Pain: A Reappraisal 

08-10-2021 09:49

From the paper's Abstract
Originally the term “yellow flags” was used to describe psychosocial prognostic factors for the development of disability following the onset of musculoskeletal pain. The identification of yellow flags through early screening was expected to prompt
the application of intervention guidelines to achieve secondary prevention. In recent conceptualizations of yellow flags, it has been suggested that their range of applicability should be confined primarily to psychological risk factors to differentiate them from other risk factors, such as social and environmental variables. This article addresses 2 specific questions that arise from this development: (1) Can yellow flags influence outcomes in people with acute or subacute low back pain? and (2) Can yellow flags be targeted in interventions to produce better outcomes? Consistent evidence has been found to support the role of various psychological factors in
prognosis, although questions remain about which factors are the most important, both individually and in combination, and how they affect outcomes.
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Uploaded - 08-10-2021

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