Psychological Factors effect on feedback to pain and chronic low back pain treatments: confrontation or withdrawal of pain?

Back pain is one of the most common health problems. Dysfunctions and inability due to pain, make serious troubles for patient, the family and the society. If the treatments have not been effective, the damages would increase. The main goal of this study was to investigate effects of psychological factors on feedback to pain and its treatment in patients with chronic back pain. In this descriptive study, 120 patients participated with chronic back pain who underwent the surgery. According to the criteria of the study, the participants has been referred from private specialized clinic in Dezful,. The Illness Attitude (IA) Scale, Revised NEO personality inventory (NEO PI-R), Tampa Scale for Kinesiophobia (TSK-DV), and Death Anxiety Scale (DAS) applied for assessing the variables. Data were analyzed using SPSS-22 software by multiple regression analysis. Multiple regression coefficients showed that fear of death 11%, and Kinesiophobia 15% predict the response to pain and its treatment. Also, extroversion predicts 11%, openness 3%, and agreement ability 3% of response to treatment. Findings of the research showed that the feedback to treatment (such as frequency to refer different practitioners) and pain would increas when the patient with chronic pain tends to accept, and the treatments are less effective when the patient experiences avoidable behaviors.