Citation

Söderlund A, Sandborgh M, Johansson AC. Physiother. Theory Pract. 2017; 33(5): 376-385.

Affiliation

Department of Physiotherapy, School of Health , Care and Social Welfare, Mälardalen University , Västerås , Sweden.

Copyright

(Copyright © 2017, Informa - Taylor and Francis Group)

DOI

10.1080/09593985.2017.1307890

PMID

28398100

Abstract

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.

Language: en

Keywords

Ability to decrease pain; Whiplash-Associated Disorders; catastrophizing; control over pain; self-efficacy