Yolanda Pedrero-Martin1,2, Deborah Falla3, Javier Martinez-Calderon1,4, Bernard X W Liew5, Marco Scutari6, Alejandro Luque-Suarez7,8. 1. Department of Physiotherapy, Faculty of Health Sciences, Universidad de Malaga, Malaga, Spain. 2. Universidad Gimbernat, Cantabria, Spain. 3. Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK. 4. Instituto de La Investigacion Biomedica de Malaga, Malaga, Spain. 5. School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Essex, UK. 6. Istituto Dalle Molle di Studi Sull'Intelligenza Artificiale (IDSIA), Manno, Switzerland. 7. Department of Physiotherapy, Faculty of Health Sciences, Universidad de Malaga, Malaga, Spain. aluques@uma.es. 8. Instituto de La Investigacion Biomedica de Malaga, Malaga, Spain. aluques@uma.es.
Abstract
PURPOSE: To evaluate whether a set of pre-accident demographic, accident-related, post-accident treatment and psychosocial factors assessed in people with acute/subacute whiplash-associated disorders (WAD) mediate the association between pain intensity and: (1) pain interference and (2) expectations of recovery, using Bayesian networks (BNs) analyses. This study also explored the potential mediating pathways (if any) between different psychosocial factors. METHODS: This was a cross-sectional study conducted on a sample of 173 participants with acute/subacute WAD. Pain intensity, pain interference, pessimism, expectations of recovery, pain catastrophizing, and self-efficacy beliefs were assessed. BN analyses were conducted to analyse the mediating effects of psychological factors on the association between pain intensity and pain-related outcomes. RESULTS: The results revealed that self-efficacy beliefs partially mediated the association between pain intensity and pain interference. Kinesiophobia partially mediated the association between self-efficacy and pain catastrophizing. Psychological factors did not mediate the association between pain intensity and expectations of recovery. CONCLUSION: These results indicate that individuals with acute/subacute WAD may present with lesser pain interference associated with a determined pain intensity value when they show greater self-efficacy beliefs. As the cross-sectional nature of this study limits firm conclusions on the causal impact, researchers are encouraged to investigate the role that patient's self-efficacy beliefs play in the transition to chronic WAD via longitudinal study designs.
PURPOSE: To evaluate whether a set of pre-accident demographic, accident-related, post-accident treatment and psychosocial factors assessed in people with acute/subacute whiplash-associated disorders (WAD) mediate the association between pain intensity and: (1) pain interference and (2) expectations of recovery, using Bayesian networks (BNs) analyses. This study also explored the potential mediating pathways (if any) between different psychosocial factors. METHODS: This was a cross-sectional study conducted on a sample of 173 participants with acute/subacute WAD. Pain intensity, pain interference, pessimism, expectations of recovery, pain catastrophizing, and self-efficacy beliefs were assessed. BN analyses were conducted to analyse the mediating effects of psychological factors on the association between pain intensity and pain-related outcomes. RESULTS: The results revealed that self-efficacy beliefs partially mediated the association between pain intensity and pain interference. Kinesiophobia partially mediated the association between self-efficacy and pain catastrophizing. Psychological factors did not mediate the association between pain intensity and expectations of recovery. CONCLUSION: These results indicate that individuals with acute/subacute WAD may present with lesser pain interference associated with a determined pain intensity value when they show greater self-efficacy beliefs. As the cross-sectional nature of this study limits firm conclusions on the causal impact, researchers are encouraged to investigate the role that patient's self-efficacy beliefs play in the transition to chronic WAD via longitudinal study designs.
Authors: Steven J Kamper; Christopher G Maher; Luciola da C Menezes Costa; James H McAuley; Julia M Hush; Michele Sterling Journal: Pain Date: 2011-11-03 Impact factor: 6.961
Authors: Ernesto Anarte-Lazo; Carlos Bernal-Utrera; Mario Lopez-Amor; Eugenia Porras-Valencia; Francisco Javier Ruy-Diaz-Rojas; Deborah Falla; Cleofas Rodriguez-Blanco Journal: BMJ Open Date: 2022-09-22 Impact factor: 3.006