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Association between Pain Coping Strategies and Sociodemographic Characteristics of Patients with Chronic Low Back Pain

Background: Chronic low back pain is a leading cause of disability worldwide, affecting people of all ages and socioeconomic background. Pain coping is shaped by a complex interaction of psychological, cultural, and sociodemographic factors such as age, income, gender, religion, education, occupation, and social support. These factors could influence the type of coping strategies used as well as their perceived effectiveness. Hence, this study aimed to examine the association between pain coping strategies and sociodemographic characteristics among patients with chronic low back pain.

Methods: A descriptive cross-sectional study was conducted with 105 patients experiencing chronic low back pain. Participants completed two self-administered questionnaires: one collecting socio-demographic data and the other assessing coping strategies using the 14-item coping strategies questionnaire.

Findings: Participants were aged between 21 and 75 years, with a mean age of 47.17 years (SD = 12.8). 95.2% of the respondents were Christians, 70.5% had tertiary education, and 61.0% were female. Overall, 51.4% had a fair pain coping strategy. The most used coping strategies used by the respondents are praying and hoping (M=73.41, SD= 22.25), coping self-statements (M= 63.18, SD= 23.36, and increasing activity level (M=57.78, SD= 22.1). A statistically significant difference was found between religion and reinterpreting pain sensation (p= 0.04) and Ignoring pain sensations (0.03). Furthermore, a statistically significant difference was found between occupation and increasing activity (p= 0.03), education and catastrophizing (p= 0.01), education and ignoring pain sensations (p= 0.03).

Conclusions: The findings suggest that effective pain management should be tailored to cultural context and individual patient histories, including their coping mechanisms. Strengthening positive coping strategies through education and supportive programs may improve pain outcomes and general quality of life.