Journal of orthopaedic case reports · 2026
Spinoxiety: Anxiety-Driven Symptom Amplification and Communication Needs in Patients with Spine-Related Pain.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Dave Bharatkumar R, Dave Rushangi, Agrawal Sandesh Subhash, Adodariya Yogenkumar, Krishnan Ajay, Dave Mirant Bharat
Аннотация
INTRODUCTION: Anxiety, catastrophic interpretation, and fear-based illness beliefs can amplify pain and disability in patients with spine-related symptoms, particularly when imaging findings, online information, or previous medical opinions are interpreted as evidence of serious damage. We proposed Spinoxiety as a non-diagnostic clinical communication framework describing anxiety-driven amplification of spine-related symptoms. We evaluated its potential clinical utility in adults presenting with neck and/or back pain.
MATERIALS AND METHODS: In this prospective observational study, 200 adults with spine-related pain were categorized as Type 1 Spinoxiety (predominantly self-amplified anxiety through internet-based interpretation, self-diagnosis, cognitive hypervigilance, and catastrophic thinking) or Type 2 Spinoxiety (predominantly externally reinforced anxiety arising from doctors, relatives, friends, or social sources). Anxiety (generalized anxiety disorder-7), pain catastrophizing (PCS), pain intensity (Visual Analog Scale), and functional disability (Oswestry disability index/neck disability index) were assessed at baseline and after 6 weeks of routine clinical care and communication.
RESULTS: All clinical and psychological outcomes improved significantly at 6 weeks. However, patients with Type 1 Spinoxiety demonstrated significantly higher residual anxiety and PCS than those with Type 2 Spinoxiety, despite broadly comparable improvements in pain intensity and functional disability. Type 2 patients exhibited greater psychological recovery during follow-up.
CONCLUSION: Spinoxiety may provide a practical clinical communication framework for identifying the dominant source of fear, tailoring patient and family communication, and improving expectation-setting in routine spine care. Further multicenter studies and formal psychometric validation are required before Spinoxiety can be considered an established psychological construct.
MATERIALS AND METHODS: In this prospective observational study, 200 adults with spine-related pain were categorized as Type 1 Spinoxiety (predominantly self-amplified anxiety through internet-based interpretation, self-diagnosis, cognitive hypervigilance, and catastrophic thinking) or Type 2 Spinoxiety (predominantly externally reinforced anxiety arising from doctors, relatives, friends, or social sources). Anxiety (generalized anxiety disorder-7), pain catastrophizing (PCS), pain intensity (Visual Analog Scale), and functional disability (Oswestry disability index/neck disability index) were assessed at baseline and after 6 weeks of routine clinical care and communication.
RESULTS: All clinical and psychological outcomes improved significantly at 6 weeks. However, patients with Type 1 Spinoxiety demonstrated significantly higher residual anxiety and PCS than those with Type 2 Spinoxiety, despite broadly comparable improvements in pain intensity and functional disability. Type 2 patients exhibited greater psychological recovery during follow-up.
CONCLUSION: Spinoxiety may provide a practical clinical communication framework for identifying the dominant source of fear, tailoring patient and family communication, and improving expectation-setting in routine spine care. Further multicenter studies and formal psychometric validation are required before Spinoxiety can be considered an established psychological construct.