Åter i arbete 2005
Projektledare Katja Boersma
Åter i arbete 2005
Projektledare Katja Boersma

Project number : 240411
Created by: Ing-Liss Bryngelsson, 2017-12-27
Last revised by: Ing-Liss Bryngelsson, 2017-12-27
Project created in: FoU Region Örebro län

CompletedCompleted

PUL-anmälan

  1. Åter i arbete 2005 Projektledare Katja Boersma, PUL-anmälan
  2. Åter i arbete 2005 Projektledare Katja Boersma, Projektbeskrivning

Titel och sammanfattning

Populärvetenskaplig sammanfattning

Studier med (sub) akuta ryggsmärta patienter visar att negativa förväntningar förutsäger smärta och funktionshinder vid ett års uppföljning. Ändå är det inte klart hur förväntningarna avser andra faktorer i utvecklingen av kronisk funktionsnedsättning, såsom smärta och rädsla.

Sammanfattning på engelska

Studies with (sub) acute back pain patients show that negative expectancies predict pain and disability at a one-year follow up. Yet, it is not clear how expectations relate to other factors in the development of chronic disability such as pain and fear. This study investigates the relationship between expectations, pain-related fear and pain and studies how these variables are related to the development of chronic pain and disability. Subjects (N = 141) with back and/or neck pain (duration <1 year) were recruited via primary care. They completed measures on pain, expectancy, pain-related fear (pain-related negative affect and fear avoidance beliefs) and function. A one-year follow up was conducted with regard to pain and function. It was found that pain, expectancy, pain-related fear and function were strongly interrelated. In the cross-sectional analyses negative expectancies were best explained by frequent pain and a belief in an underlying and serious medical problem. Prospectively, negative expectancy, negative affect and a belief that activity may result in (re) injury or increased pain, explained unique variance in both pain and function at one-year follow up. In conclusion, expectancy, negative affect and fear avoidance beliefs are interrelated constructs that have predictive value for future pain and disability. Clinically, it can be helpful to inquire about beliefs, expectancy and distress as an indication of risk as well as to guide intervention. However, the strong interrelations between the variables call for precaution in treating them as if they were separate entities existing in reality.

Projektspecifik information

Ämnesord

checked Arbetsmedicin och miljömedicin


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Studietyp

Observationsstudie

Randomiserad studie

Nej

Diagnoskod för huvuddiagnos

Z00-Z13 Kontakt med hälso- och sjukvården för undersökning och utredning

Multicenterstudie

Nej

Planerat startdatum

2005-01-01

Planerat slutdatum

2006-12-31

Studiens status

Projektet avslutat

Inklusionsstatus

 Planerat antalAntal tillfrågadeScreen-failureAntal randominserade
n=-   

Vetenskaplig sammanfattning

Studies with (sub) acute back pain patients show that negative expectancies predict pain and disability at a one-year follow up. Yet, it is not clear how expectations relate to other factors in the development of chronic disability such as pain and fear. This study investigates the relationship between expectations, pain-related fear and pain and studies how these variables are related to the development of chronic pain and disability. Subjects (N = 141) with back and/or neck pain (duration <1 year) were recruited via primary care. They completed measures on pain, expectancy, pain-related fear (pain-related negative affect and fear avoidance beliefs) and function. A one-year follow up was conducted with regard to pain and function. It was found that pain, expectancy, pain-related fear and function were strongly interrelated. In the cross-sectional analyses negative expectancies were best explained by frequent pain and a belief in an underlying and serious medical problem. Prospectively, negative expectancy, negative affect and a belief that activity may result in (re) injury or increased pain, explained unique variance in both pain and function at one-year follow up. In conclusion, expectancy, negative affect and fear avoidance beliefs are interrelated constructs that have predictive value for future pain and disability. Clinically, it can be helpful to inquire about beliefs, expectancy and distress as an indication of risk as well as to guide intervention. However, the strong interrelations between the variables call for precaution in treating them as if they were separate entities existing in reality.

Involverade parter

Arbetsplats

information Added workplaces
Landsting - Region Örebro Län - Hälso- och sjukvård - Område thorax kärl diagnostik - Arbets- och miljömedicinska kliniken workplace verified by Region Örebro län on 2018-02-27

Slutrapport

Slutrapport

Eur J Pain. 2006 Aug;10(6):551-7. Epub 2005 Sep 30.

Expectancy, fear and pain in the prediction of chronic pain and disability: a prospective analysis.

Boersma K, Linton SJ.

PMID: 16199189 DOI: 10.1016/j.ejpain.2005.08.004

Slutdatum

2006-12-31

Åter i arbete 2005
Projektledare Katja Boersma, from FoU Region Örebro län
http://www.researchweb.org/is/en/fourol/project/240411