The accuracy of pain drawing in identifying psychological distress in low back pain-systematic review and meta-analysis of diagnostic studies

Lucia Bertozzi, Anna Rosso, Antonio Romeo, Jorge Hugo Villafañe, Andrew A. Guccione, Paolo Pillastrini, Carla Vanti

Research output: Contribution to journalArticlepeer-review

Abstract

[Purpose] The aim of this systematic review and meta-analysis was to estimate the accuracy of qualitative pain drawings (PDs) in identifying psychological distress in subacute and chronic low back pain (LBP) patients. [Subjects and Methods] Data were obtained from searches of PubMed, EBSCO, Scopus, PsycINFO and ISI Web of Science from their inception to July 2014. Quality assessments of bias and applicability were conducted using the Quality of Diagnostic Accuracy Studies-2 (QUADAS-2). [Results] The summary estimates were: sensitivity=0.45 (95% CI 0.34, 0.61), specificity=0.66 (95% CI 0.53, 0.82), positive likelihood ratio=1.23 (95% CI 0.93, 1.62), negative likelihood ratio=0.84 (95% CI 0.70, 1.01), and diagnostic odds ratio=1.46 (95% CI 0.79, 2.68). The area under the curve was 78% (CI, 57 to 99%). [Conclusion] The results of this systematic review do not show broad and unqualified support for the accuracy of PDs in detecting psychological distress in subacute and chronic LBP.

Original languageEnglish
Pages (from-to)3319-3324
Number of pages6
JournalJournal of Physical Therapy Science
Volume27
Issue number10
DOIs
Publication statusPublished - Oct 30 2015

Keywords

  • Low back pain
  • Pain drawing
  • Stress psychological

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation

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