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
2010 (English)In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 24, no 5, 422-430 p.Article in journal (Refereed) Published
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.
To study associations between pain beliefs and disability with regard to the amount and time-frame of available data.
A prospective, correlational design.
Subjects and setting
Ninety-two patients consulting physical therapists in primary care for persistent musculoskeletal pain.
The Pain Disability Index, the Self-Efficacy Scale and the Tampa Scale of Kinesiophobia.
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.
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.
Place, publisher, year, edition, pages
2010. Vol. 24, no 5, 422-430 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-136315DOI: 10.1177/0269215509353264ISI: 000277279300004OAI: oai:DiVA.org:uu-136315DiVA: diva2:377058