TY  - JOUR
PY  - 2021//
TI  - Self-efficacy beliefs mediate the association between pain intensity and pain interference in acute/subacute whiplash-associated disorders
JO  - European spine journal
A1  - Pedrero-Martin, Yolanda
A1  - Falla, Deborah
A1  - Martinez-Calderon, Javier
A1  - Liew, Bernard X. W.
A1  - Scutari, Marco
A1  - Luque-Suarez, Alejandro
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0940-6719
UR  - http://dx.doi.org/10.1007/s00586-021-06731-5
ID  - ref1
ER  -