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A further investigation of the importance of pain cognition and behaviour in pain rehabilitation: longitudinal data suggest disability and fear of movement are most important
Uppsala University, Uppsala, Sweden.
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala University, Uppsala, Sweden.ORCID-id: 0000-0002-4537-030X
2010 (Engelska)Ingår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 24, nr 5, s. 422-430Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Tailored treatments are topical in pain rehabilitation. One key issue for correlational studies is the identification of factors having a potential causal impact on essential treatment outcomes.

Objective: To study associations between pain beliefs and disability with regard to the amount and time-frame of available data.

Design: A prospective, correlational design.

Subjects and setting: Ninety-two patients consulting physical therapists in primary care for persistent musculoskeletal pain.

Main measures: The Pain Disability Index, the Self-Efficacy Scale and the Tampa Scale of Kinesiophobia.

Results: Functional self-efficacy and fear of movement/(re) injury explained variance in pain-related disability pretreatment (adj R(2) = 0.41). Self-efficacy was the most salient predictor. Adding data from immediately post treatment decreased explained variance (adj R(2) = 0.25). Functional self-efficacy and fear of movement/ (re)injury lost their significant contribution in favour of pain-related disability at baseline. Change scores in functional self-efficacy and fear of movement/(re) injury accounted for a modest share of explained variance in change scores of disability (adj R(2) = 0.11). Fear of movement/(re) injury but not functional self-efficacy was related to a reliable change in pain-related disability.

Conclusions: Longitudinal data suggest that pretreatment levels of pain-related disability and changes in fear of movement/(re) injury are most important to immediate treatment outcomes and individual reliable change. Disability and elevated fear of movement/(re) injury should therefore be addressed in tailored pain treatments. A "

Ort, förlag, år, upplaga, sidor
2010. Vol. 24, nr 5, s. 422-430
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
URN: urn:nbn:se:mdh:diva-8159DOI: 10.1177/0269215509353264ISI: 000277279300004PubMedID: 20442254Scopus ID: 2-s2.0-77951942424OAI: oai:DiVA.org:mdh-8159DiVA, id: diva2:293516
Tillgänglig från: 2010-02-11 Skapad: 2010-02-11 Senast uppdaterad: 2017-12-12

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