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Is self-efficacy and catastrophizing in pain-related disability mediated by control over pain and ability to decrease pain in whiplash-associated disorders?
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-4537-030X
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-7157-7259
2017 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 33, no 5, 376-385 p.Article in journal (Refereed) Published
Abstract [en]

Pain perception is influenced by several cognitive and behavioral factors of which some identified as mediators are important in pain management. We studied the mediating role of control over pain and ability to decrease pain in relation to functional self-efficacy, catastrophizing, and pain-related disability in patients with Whiplash-Associated Disorders, (WAD). Further, if the possible mediating impact differs over time from acute to three and 12 months after an accident, cross-sectional and prospective design was used, and 123 patients with WAD were included. Regression analyses were conducted to examine the mediating effect. The results showed that control over pain and ability to decrease pain were not mediators between self-efficacy, catastrophizing, and disability. Self-efficacy had a larger direct effect on pain-related disability compared to catastrophizing. Thus, healthcare staff should give priority to increase patients' self-efficacy, decrease catastrophic thinking, and have least focus on control over pain or ability to decrease pain.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS INC , 2017. Vol. 33, no 5, 376-385 p.
Keyword [en]
Ability to decrease pain, catastrophizing, control over pain, self-efficacy, Whiplash-Associated Disorders
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-35793DOI: 10.1080/09593985.2017.1307890ISI: 000402066300004PubMedID: 28398100OAI: oai:DiVA.org:mdh-35793DiVA: diva2:1110209
Available from: 2017-06-15 Created: 2017-06-15 Last updated: 2017-06-15Bibliographically approved

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Söderlund, AnneJohansson, Ann-Christin

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