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Computational psychological study of the Brief Scale for Psychiatric Problems in Orthopaedic Patients (BS-POP) for patients with chronic low back pain: verification of responsiveness

  • Original Article
  • Published:
Journal of Orthopaedic Science

Abstract

Background

We developed the Brief Scale for Psychiatric Problems in Orthopaedic Patients (BS-POP, physician and patient versions) and have previously shown that the BS-POP is reliable and has construct validity, criterion validity, and reproducibility. The present study aimed to proactively verify the responsiveness of the BS-POP with regard to chronic low back pain (LBP) patients.

Methods

The study subjects included 193 chronic LBP patients (81 males, 112 females; mean age 62 years) who had suffered from persistent LBP for ≥3 months. During the first test (before the treatment), the BS-POP, the Minnesota Multiphasic Personality Inventory (MMPI), the Profile of Mood States (POMS), the 36-item Short-form Health Survey version 2 (SF-36 v2), and the Roland–Morris Disability Questionnaire (RDQ) were conducted. The BS-POP, POMS, SF-36 v2, and RDQ for the third test were conducted (4–6 weeks after treatment) on all patients who had participated in the first test to determine the responsiveness of the BS-POP. The responsiveness of the BS-POP was investigated statistically.

Results

The total crude BS-POP scores were significantly lower for both physician and patient versions in the third test than in the first test. Moreover, the crude RDQ scores and SF-36 v2 items, physical functioning (PF), bodily pain (BP), MH, VT, and GH, and POMS items, tension–anxiety (T–A), D, F, and confusion (C) improved significantly, confirming responsiveness to treatment.

Discussion

The present findings indicate that the BS-POP possesses sufficient responsiveness from a computational psychology perspective. The BS-POP constitutes a tool enabling orthopaedists to easily identify psychiatric problems in orthopaedic patients.

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Acknowledgments

The authors would like to thank the many individuals who participated in the present study and the physicians who provided valuable advice. This study was supported by Research Aid from the Japanese Orthopaedic Association. This research is the Japanese Orthopaedic Association Subsidized Science Project Research 2007-1.

Conflict of interest

The authors declare that they have no conflict of interest regarding the present manuscript.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima, 960-1295, Japan

    Katshuhiro Yoshida, Miho Sekiguchi, Koji Otani, Shin-ichi Kikuchi & Shin-ichi Konno

  2. Department of Psychiatry, Fukushima Medical University School of Medicine, Fukushima, Japan

    Hirobumi Mashiko, Harumi Shioda & Shin-ichi Niwa

  3. Department of Social Psychology, Kansai University, Osaka, Japan

    Takafumi Wakita

  4. Institute for Health Outcomes and Process Evaluation Research (iHope International), Kyoto, Japan

    Takafumi Wakita

Authors
  1. Katshuhiro Yoshida
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  2. Miho Sekiguchi
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  9. Shin-ichi Konno
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Correspondence to Katshuhiro Yoshida.

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Yoshida, K., Sekiguchi, M., Otani, K. et al. Computational psychological study of the Brief Scale for Psychiatric Problems in Orthopaedic Patients (BS-POP) for patients with chronic low back pain: verification of responsiveness. J Orthop Sci 20, 469–474 (2015). https://doi.org/10.1007/s00776-015-0694-8

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  • DOI: https://doi.org/10.1007/s00776-015-0694-8

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