@article{ref1,
title="Self-efficacy beliefs mediate the association between pain intensity and pain interference in acute/subacute whiplash-associated disorders",
journal="European spine journal",
year="2021",
author="Pedrero-Martin, Yolanda and Falla, Deborah and Martinez-Calderon, Javier and Liew, Bernard X. W. and Scutari, Marco and Luque-Suarez, Alejandro",
volume="ePub",
number="ePub",
pages="ePub-ePub",
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. <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="0940-6719",
doi="10.1007/s00586-021-06731-5",
url="http://dx.doi.org/10.1007/s00586-021-06731-5"
}