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Influence of Fear-Avoidance Beliefs on Disability in Patients With Subacromial Shoulder Pain in Primary Care: A Secondary Analysis.
- Source :
-
Physical Therapy . Dec2014, Vol. 94 Issue 12, p1775-1784. 10p. 1 Diagram, 4 Charts. - Publication Year :
- 2014
-
Abstract
- Background. Little information exists about the role of fear-avoidance beliefs and catastrophizing in subacromial pain syndrome. Objective. The purpose of this study was to investigate the associations among pain, catastrophizing, fear, and disability and the contribution of fear-avoidance beliefs to disability at baseline and at 3-month follow-up. Design. A cross-sectional and longitudinal analysis was conducted. Methods. Baseline demographic and clinical data, including fear-avoidance beliefs and catastrophizing, of 90 patients were assessed for this analysis. Disability was measured with the Shoulder Pain and Disability Index at baseline and at 3-month follow-up. First, bivariate and partial correlations were calculated among pain, fearavoidance beliefs, catastrophizing, and disability, based on the fear-avoidance model. Second, the contribution of fear-avoidance beliefs to disability at baseline and at 3-month follow-up was examined with hierarchical regression analyses. Results. Correlations between clinical variables and disability were largely in line with the fear-avoidance model. Regression analyses identified a significant contribution of fear-avoidance beliefs to baseline disability but not to disability at 3 months. Limitations. Patients with subacromial pain syndrome were studied; therefore, the results should be transferred with caution to other diagnoses. A modified version of the Fear-Avoidance Beliefs Questionnaire was used, which was not validated for this patient group. Conclusions. Fear-avoidance beliefs contribute significantly to baseline disability but not to disability change scores after 3-month follow-up. Duration of complaints and baseline disability were the main factors influencing disability change scores. Although the results help to improve understanding of the role of fear-avoidance beliefs, further studies are needed to fully understand the influence of psychological and clinical factors on the development of disability in patients with subacromial shoulder pain. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SHOULDER injuries
*SHOULDER disorders
*CLINICAL trials
*CONFIDENCE intervals
*STATISTICAL correlation
*FEAR
*LIFE skills
*LONGITUDINAL method
*PHYSICAL diagnosis
*PROBABILITY theory
*REGRESSION analysis
*SCALE analysis (Psychology)
*SHOULDER pain
*STATISTICAL hypothesis testing
*STATISTICS
*STATISTICAL power analysis
*DATA analysis
*SECONDARY analysis
*PAIN measurement
*VISUAL analog scale
*CROSS-sectional method
*DATA analysis software
*DESCRIPTIVE statistics
*PSYCHOLOGY
RESEARCH evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 00319023
- Volume :
- 94
- Issue :
- 12
- Database :
- Academic Search Index
- Journal :
- Physical Therapy
- Publication Type :
- Academic Journal
- Accession number :
- 99778914
- Full Text :
- https://doi.org/10.2522/ptj.20130587