Psychological mediators in chronic spinal pain after fully remote digital rehabilitation: a real-world, large-sample study

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This study examines whether changes in fear avoidance beliefs, depression, and anxiety mediate pain outcomes following a fully remote digital rehabilitation program for chronic spinal pain. The analysis includes data from over 14,000 adults accessing the program through employer-sponsored health plans. Results indicate that improvements in these psychological factors significantly contributed to lower final pain scores, with fear avoidance mediation being particularly strong among patients with severe obesity.

ID
a8bc4735d4474d03
Source org
PubMed Central
Author
Dora Janela (Universidade do Porto), Xin Tong (University of Virginia), Diogo Pires (Instituto Politecnico de Setubal), Hélder Fonseca (Universidade do Porto), Fabíola Costa (DeVry College)
Published
2026-01-31
OA status
hybrid
DOI
10.1093/ptj/pzag010
PMID
Not recorded
PMCID
Not recorded
Citations
0

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BibTeX

@article{allodium:a8bc4735d4474d03,
  title = {Psychological mediators in chronic spinal pain after fully remote digital rehabilitation: a real-world, large-sample study},
  author = {Dora Janela and Xin Tong and Diogo Pires and Hélder Fonseca and Fabíola Costa},
  year = {2026},
  journal = {PubMed Central},
  doi = {10.1093/ptj/pzag010},
  url = {https://doi.org/10.1093/ptj/pzag010}
}

RIS

TY  - JOUR
TI  - Psychological mediators in chronic spinal pain after fully remote digital rehabilitation: a real-world, large-sample study
AU  - Janela, Dora
AU  - Tong, Xin
AU  - Pires, Diogo
AU  - Fonseca, Hélder
AU  - Costa, Fabíola
PY  - 2026
PB  - PubMed Central
DO  - 10.1093/ptj/pzag010
UR  - https://doi.org/10.1093/ptj/pzag010
ER  -

APA

Janela, D., Tong, X., Pires, D., Fonseca, H., & Costa, F. (2026). Psychological mediators in chronic spinal pain after fully remote digital rehabilitation: a real-world, large-sample study. PubMed Central. https://doi.org/10.1093/ptj/pzag010

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