Early screening for @entity458 has been suggested to improve @entity1 management for individuals experiencing @entity1643 . This study compared 2 approaches to psychological screening (ie, multidimensional and unidimensional) so that preliminary recommendations on which approach may be appropriate for use in clinical settings other than primary care could be provided. Specifically, this study investigated aspects of the STarT Back Screening Tool (SBT): 1) discriminant validity by evaluating its relationship with unidimensional psychological measures and 2) construct validity by evaluating how SBT risk categories compared to empirically derived subgroups using unidimensional psychological and disability measures. @entity1 (N  =  146) receiving physical therapy for @entity5752 were administered the SBT and a battery of unidimensional psychological measures at initial evaluation. Clinical measures consisted of @entity158 intensity and self-reported disability. Several SBT risk-dependent relationships (ie, SBT low  <  medium  <  high risk) were identified for unidimensional psychological measure scores, with depressive symptom scores associated with the strongest influence on SBT risk categorization. Empirically derived subgroups indicated that there was no evidence of distinctive patterns among @entity717 measures other than high or low profiles; therefore, 2 groups may provide a clearer representation of the level of @entity158 , maladaptive coping, and disability in this setting compared with 3 groups as suggested when using the SBT in primary care settings. PERSPECTIVE: This study suggests that the SBT can replace administering several unidimensional psychological measures as a first-line screening measure for @entity458 . However, clinicians need to be aware of the potential for misclassification with SBT results when compared to unidimensional measures. This study also suggests that a modified SBT risk stratification scheme based on empirically derived subgroups could potentially assist in identifying elevated levels of @entity158 , maladaptive coping, and disability in practice settings outside of primary care. @entity1 identified with elevated levels of @entity158 and maladaptive coping may be indicated for additional assessment using construct-specific questionnaires.

Subgrouping for @entity1 With XXXX : A Multidimensional Approach Incorporating Cluster Analysis and the STarT Back Screening Tool.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patient'] @entity5752 :: ('3929', 'Gene') :: ['LBP'] @entity1643 :: ('MESH:D017116', 'Disease') :: ['low back pain'] @entity458 :: ('MESH:D020018', 'Disease') :: ['psychological distress'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain-associated distress', 'pain-associated psychological distress', 'pain'] @entity717 :: ('MESH:D009069', 'Disease') :: ['psychological or disability']
@entity1643 :: (MESH:D017116,Disease) :: ['Low Back Pain']
