Relationship of baseline pain conceptualisation with outcomes in patients with chronic nonspecific low back painLončarić Kelečić, Iva (Avtor) Vojvodić Schuster, Snježana (Mentor) chronic pain knowledge apain science aphysiotherapy aspineknowledgepain sciencephysiotherapyspineIntroduction: Chronic nonspecific low back pain (CNSLBP) imposes a significant burden, necessitating effective physiotherapy to enhance patient outcomes. Ascertainment of the interaction between baseline pain conceptualisation and patient outcomes may aid comprehension of (re)conceptualisation and clinical decision-making. Methods: Quantitative, pre-post research was conducted in outpatient physiotherapy. Participants with CNSLBP (n=84) underwent exercise therapy and provided relevant data before and after treatment cessation; sociodemographic and clinical data, pain, disability and health-related quality of life (HRQoL) outcome, and pain conceptualisation measures. The relationship between baseline pain conceptualisation and patient outcomes in an overall and specific manner and the difference in conceptualisation concerning educational attainment were verified. The SPSS program was employed, with descriptive and inferential statistical methods utilised under conventional acceptance of statistical significance. Results: Baseline pain conceptualisation was found to be related to overall patient outcomes, thereby explaining variances in pain (r = -0.273, p = 0.012; r2 = 0.075) disability (r = -0.259, p = 0.018; r2 = 0.067), and HRQoL outcomes (r = 0.295, p = 0.007; r2 = 0.087, respectively r = 0.323, p = 0.003; r2 = 0.104) following physiotherapy. Lower baseline pain conceptualisation was associated neither with less pain or disability reduction nor less improved HRQoL outcomes following physiotherapy. The lower-educated patients showed lower pain conceptualisation (t = -2.219, p = 0.014; d = 0.55). Conclusion: In CNSLBP, baseline pain conceptualisation is related to overall pain, disability, and HRQoL outcomes following physiotherapy but does not influence the extent of improvement in these outcomes. Lower-educated patients may be at risk for poorer overall outcomes.I. Lončarić Kelečić20242025-09-12 11:05:03Doktorsko delo/naloga12177sl