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  • Yellow Flags-Psychological Indicators

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    TomBrambo
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    Yellow flags are psychological indicators that suggest an increased risk of long-term distress, disability, and potential drug misuse related to pain. They include attitudes and beliefs like catastrophizing pain or expecting it to be abolished before returning to normal activities, as well as behaviors like avoiding activity, reduced social interaction, and increased substance use. Yellow flags also encompass affective states like depression, anxiety, and irritability, and social factors such as an overprotective partner or lack of support.

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    MDT physical therapy

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    Yellow Flags

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    Yellow flags are psychological indicators that suggest an increased risk of long-term distress, disability, and potential drug misuse related to pain. They include attitudes and beliefs like catastrophizing pain or expecting it to be abolished before returning to normal activities, as well as behaviors like avoiding activity, reduced social interaction, and increased substance use. Yellow flags also encompass affective states like depression, anxiety, and irritability, and social factors such as an overprotective partner or lack of support.

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    16 просмотров1 страница

    Yellow Flags-Psychological Indicators

    Загружено:

    TomBrambo
    Yellow flags are psychological indicators that suggest an increased risk of long-term distress, disability, and potential drug misuse related to pain. They include attitudes and beliefs like catastrophizing pain or expecting it to be abolished before returning to normal activities, as well as behaviors like avoiding activity, reduced social interaction, and increased substance use. Yellow flags also encompass affective states like depression, anxiety, and irritability, and social factors such as an overprotective partner or lack of support.

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    Yellow Flags-Psychological Indicators

    Yellow flags are psychosocial indicators suggesting an increased risk of progression to long-term distress,
    disability and potential drug misuse. They include the patient’s attitudes and beliefs, emotions, behaviours, and
    family and work place factors
    Work place Behaviours
    • belief that all pain must be abolished before • passive approach to rehabilitation
    attempting to return to work or normal activity • use of extended rest
    • expectation/fear of increased pain with • reduced activity with withdrawal from activities of daily living
    activity/work • avoidance of normal activity
    • poor work history • impaired sleep because of pain
    • unsupportive work environment • increased intake of alcohol or similar substances since the onset
    Attitudes and beliefs of pain
    • belief that pain is harmful, resulting in avoidance Affective/emotions
    and poor compliance with exercise • depression
    • catastrophising, thinking the worst • feeling useless
    • misinterpreting bodily symptoms • irritability
    • belief that pain is uncontrollable • anxiety about heightened body sensations
    • expectation of ‘techno-fix’ for pain • disinterest in social activity
    Social/family
    • overprotective partner/spouse
    • socially punitive partner/spouse
    • lack of support to talk about problems
    Reference: New Zealand acute low back pain guide: Incorporating the guide to assessing psychological yellow flags in acute low back pain. Accident Compensation Corporation (ACC)’
    Wellington ,2004. (Sourced 24/2/14) http://www.acc.co.nz/PRD_EXT_CSMP/groups/external_ip/documents/internet/wcm002131.pdf

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