New psychosocial flags system for multidisciplinary treatment of chronic low back pain

DOI
  • Matsudaira Ko
    Tailor Made Back pain Clinic (TMBC) as-T Medical design Inc. Department of Pain Medicine, Fukushima Medical University School of Medicine Pain Management Center, Hoshi General Hospital
  • Kasahara Satoshi
    Department of Anesthesiology and Pain Relief Center, The University of Tokyo Hospital
  • Sakai Mie
    Pain Center, Nagoya City University Hospital
  • Inoue Shinsuke
    Department of Pain Medicine, Aichi Medical School
  • Tetsunaga Tomoko
    Locomotive Pain Center, Okayama University Hospital
  • Takahashi Noriyo
    Multidisciplinary Pain Cener, Senriyama Hospital
  • Takatsuki Kozue
    Department of Pain Medicine, Fukushima Medical University School of Medicine
  • Nihei Kenji
    Pain Management Center, Hoshi General Hospital
  • Yabuki Shoji
    Department of Pain Medicine, Fukushima Medical University School of Medicine Pain Management Center, Hoshi General Hospital
  • Takahashi Naoto
    Department of Pain Medicine, Fukushima Medical University School of Medicine Pain Management Center, Hoshi General Hospital

Bibliographic Information

Other Title
  • 慢性腰痛に対する集学的治療のための新心理社会的フラッグシステム

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Abstract

<p>Psychosocial factors are often involved in chronic non-specific low back pain patients, in which case an accurate assessment of these factors and a corresponding cognitive-behavioral approach are required. Multidisciplinary treatment based on a biopsychosocial model is essential in the treatment of chronic pain such as musculoskeletal pain. Multidisciplinary treatment for chronic low back pain is rated 1 (strong) A (high) in Clinical Practice Guidelines for the Management of Chronic Pain in Japan. We introduced an original psychosocial flags system for Japanese workers that was developed by members of the Ministry of Health, Labour and Welfare's Policy Research Project on chronic pain. The "psychosocial flags framework" originated in the U.K. for the multidisciplinary treatment of musculoskeletal pain, which was recommended in the neck and back pain guidelines in Europe. We focused on the yellow flags (i.e., psychosocial factors used to screen for cognitive-behavioral therapy) that will be an appropriate operational system for motivated therapists.</p>

Journal

  • Journal of Spine Research

    Journal of Spine Research 14 (6), 858-868, 2023-06-20

    The Japanese Society for Spine Surgery and Related Research

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