Retirement as a Factor of Treatment Adherence in Patients with Chronic Back Pain
https://doi.org/10.21603/sibscript-2025-27-2-181-190
EDN: akxvqx
Abstract
Back pain is a major medical and social issue. It degrades the quality of life, as well as affects the psyche, emotions, and volition, thus preventing full social integration. The disabling effect of chronic back pain becomes especially relevant during a change of social roles. The authors tested the hypothesis about the destabilizing effect of changes in social status (disability or old age retirement) on adherence and compliance to treatment in patients with chronic back pain during medical rehabilitation. The psychodiagnostic questionnaire of Psychological Factors of Attitude to Disease and Treatment covered 166 rehabilitation patients. The correlates of high adherence proved to involve a sense of self-efficacy and acceptance of responsibility for both disability and recovery. These indicators differed significantly between the working patients (n = 94) and the retirees (n = 72). The research yielded some psychocorrective measures aimed at restoring active social life. These practical recommendations could be used to shape treatment adherence in senior age patients with chronic back pain.
About the Authors
A. V. Kotelnikova
Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Anastasiya V. Kotelnikova
Moscow
Scopus Author ID: 57194742733
Competing Interests:
The authors declared no potential conflict of interests regarding the research, authorship, and / or publication of this article
A. S. Tikhonova
Moscow Centre for Research and Practice in Medical Rehabilitation,
Restorative and Sports Medicine of Moscow Healthcare Department
Russian Federation
Competing Interests:
Russian Federation
Anastasiya S. Tikhonova
Moscow
Competing Interests:
The authors declared no potential conflict of interests regarding the research, authorship, and / or publication of this article
O. S. Shalina
Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Olga S. Shalina
Moscow
Scopus Author ID: 23976374000
Competing Interests:
The authors declared no potential conflict of interests regarding the research, authorship, and / or publication of this article
A. A. Grigorieva
Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Aleksandrina A. Grigorieva
Moscow
Competing Interests:
The authors declared no potential conflict of interests regarding the research, authorship, and / or publication of this article
References
1. Adizova D. R., Junaidova A. K., Ibrokhimova D. B. Adherence in patients of different ages. Modern issues of education in the field of physical culture, life safety, and biology : Proc. II Intern. Sci.-Prac. Conf., Ekaterinburg, 14–15 Mar 2022. Ekaterinburg: UrSPU, 2022, 397–402. (In Russ.) https://elibrary.ru/kugsac
2. Baderdinova L. V., Blokhina N. V., Demin A. V., Ilnitski A. N. Older age vitality and retirement (literature review). Advances in Gerontology, 2023, 36(3): 292–301. (In Russ.) doi: 10.34922/AE.2023.36.3.002
3. Bantyeva M. N., Manoshkina E. M. Age-specific rates of population’s need for inpatient medical rehabilitation. Academy of Medicine and Sports, 2021, 2(2): 5–10. (In Russ.) doi: 10.15829/2712-7567-2021-28
4. Golovacheva V. A., Golovacheva A. V., Golubev V. L. Practical guidelines for the treatment of chronic nonspecific low back pain and comorbid chronic insomnia: Clinical observation. Meditsinskiy Sovet, 2021, (10): 164–170. (In Russ.) doi: 10.21518/2079-701X-2021-10-164-170
5. Golovacheva V. A., Golovacheva A. A., Parfenov V. A. Management of patients with subacute back pain: How to effectively prevent chronicity. Nevrologiya, Neiropsikhiatriya, Psikhosomatika, 2022, 14(4): 62–67. (In Russ.) doi: 10.14412/2074-2711-2022-4-62-67
6. Gorbunov A. L., Kurnosikov M. S., Cherkasov P. S. The influence of the level of education on the attitude to compliance with the doctor's recommendations. Remedium, 2022, 26(3): 221–224. (In Russ.) doi: 10.32687/1561-5936-2022-26-3-221-224
7. Zeer E. F., Symanyuk E. E. Personification of personality as a predictor of overcoming the crisis of loss of professional activity at the age of late maturity. Sibirskiy Psikhologicheskiy Zhurnal, 2022, (84): 111–125. (In Russ.) doi: 10.17223/17267080/84/6
8. Ikhsanova E. R., Khaibullina D. Kh., Maksimov Yu. N. Back pain in the elderly – the current state of the problem (literature review). Practical medicine, 2023, 21(1): 11–16. (In Russ.) doi: 10.32000/2072-1757-2023-1-11-16
9. Kadyrov R. V., Asriyan O. B., Kovalchuk S. A. Questionnaire of Compliance Level. Vladivostok: MSU named after adm. G. I. Nevelskoy, 2014, 74. (In Russ.) https://elibrary.ru/toyudj
10. Kalashnikova S. A. Psychological disability: An concept analysis. Special and inclusive education: Trends, problems, and prospects : Proc. All-Russian Sci.-Pract. Conf. with Intern. Participation "Relevant issues of disability studies and practice in modern education", Blagoveshchensk, 27 Oct 2022. Blagoveshchensk: BSPU, 2022, 78–84. (In Russ.) https://elibrary.ru/hadxrv
11. Kuzminova T. I., Mukhametzyanova A. Kh., Magomedkerimova L. V. Psychological methods of chronic non-specific pain treatment. Russian Neurological Journal, 2020, 25(2): 12–21. (In Russ.) doi: 10.30629/2658-7947-2020-25-2-12-21
12. Lebedeva N. V. Socio-psychological support of self-realization of older people. Herald of Vyatka State University, 2023, (2): 141–151. (In Russ.) doi: 10.25730/VSU.7606.23.030
13. Liders A. G. The crisis of old age: A hypothesis about its psychological content. Psikhologiia zrelosti i stareniia, 2000, (2): 6–11. (In Russ.)
14. Luchsheva L. M. Psychological features of the elderly age. Problemy sovremennogo pedagogicheskogo obrazovaniia, 2020, (66-2): 323–326. (In Russ.) https://elibrary.ru/maexua
15. Martsinkovskaya T. D. Features of mental development in late life. Psikhologiia zrelosti i stareniia, 1999, (3): 13–17. (In Russ.)
16. Parfenov V. A., Parfenovа Е. V. A personalized approach to the management of patients with chronic nonspecific back pain. Meditsinskiy Sovet, 2022, 16(11): 48–53. (In Russ.) doi: 10.21518/2079-701X-2022-16-11-48-53
17. Rasskazova E. I., Tkhostov A. Sh. Validation of illness- and treatment-related locus of control scale and treatment-related self-efficacy scale. Vestnik YuYrGU. Seriia: Psikhologiia, 2016, 9(1): 71–83. (In Russ.) doi: 10.14529/psy160108
18. Tarasevich A. F., Kobzar I. G., Strokova E. V. Information support as a way to improve lifestyle modification adherence. Vestnik Vosstanovitel'noj Mediciny, 20(3): 67–76. (In Russ.) doi: 10.38025/2078-1962-2021-20-3-67-76
19. Unzhakov V. V., Kim Ye. S. History of pain management and theories of pain. Public Health of the Far East, 2023, (1): 20–23. (In Russ.) https://elibrary.ru/pgalwo
20. Khitrov N. A. Age aspects of dorsopathies. Consilium Medicum, 17(9): 97–102. (In Russ.) https://elibrary.ru/uqbnbd
21. Shishkova V. N. An elderly comorbid patient: Prioritizing. Consilium Medicum, 21(9): 48–53. (In Russ.) https://elibrary.ru/pnkhmu
22. Burshtein J., Zakria D., Rigel D. Retirement planning. Dermatologic clinics, 2023, 41(4): 611–617. doi: 10.1016/j.det.2023.05.006
23. Chiarotto A., Koes B. W. Nonspecific low back pain. New England Journal of Medicine, 2022, 386(18): 1732–1740. doi: 10.1056/NEJMcp2032396
24. Li R., Li Y., Kong Y., Li H., Hu D., Fu C., Wei Q. Virtual reality-based training in chronic low back pain : Systematic review and meta-analysis of randomized controlled trials. Journal of Medical Internet Research, 2024, (26). doi: 10.2196/45406
25. Madsen S. D., Stochkendahl M. J., Morsø L., Andersen M. K., Hvidt E. A. Patient perspectives on low back pain treatment in primary care: A qualitative study of hopes, expectations, and experiences. BMC Musculoskeletal Disorders, 2024, 25(1). doi: 10.1186/s12891-024-08116-3
26. Maharty D. C., Hines S. C., Brown R. B. Chronic low back pain in adults: Evaluation and management. American Family Physician, 2024, 109(3): 233–244.
27. Nikolaev N. A., Martynov A. I., Skirdenko Yu. P., Anisimov V. N., Vasilieva I. A., Vinogradov O. I. et al. Management of adherence-based treatment. Consensus document – clinical guidelines. English version. Medical News of North Caucasus, 2021, 16(2): 125–134. doi: 10.14300/mnnc.2021.16029
28. Paschali M., Lazaridou A., Sadora J., Papianou L., Garland E. L., Zgierska A. E., Edwards R. R. Mindfulness-based interventions for chronic low back pain : A systematic review and meta-analysis. The Clinical Journal of Pain, 2024, 40(2): 105–113. doi: 10.1097/AJP.0000000000001173
29. Stamm O., Dahms R., Müller-Werdan U. Virtual reality in pain therapy: A requirements analysis for older adults with chronic back pain. Journal of NeuroEngineering and Rehabilitation, 2020, 17(1). doi: 10.1186/s12984-020-00753-8
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For citations:
Kotelnikova A.V., Tikhonova A.S., Shalina O.S., Grigorieva A.A. Retirement as a Factor of Treatment Adherence in Patients with Chronic Back Pain. SibScript. 2025;27(2):181-190. (In Russ.) https://doi.org/10.21603/sibscript-2025-27-2-181-190. EDN: akxvqx
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