Cited by 255Musculoskeletal pain and rehabilitationPain Management and Placebo EffectPain Management and Treatment

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Prediction of pain in patients with chronic low back pain: Effects of inaccurate prediction and pain-related anxiety

McCracken, Lance M., Gross, Richard T., Sorg, P.J., Edmands, Theresa A.·1993·Behaviour Research and Therapy

DOI 10.1016/0005-7967(93)90117-d

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Abstract

This study investigated predictions of pain intensity, reports of pain and anxiety, frequency of pain-related anxiety symptoms, and range of motion, in 43 patients exposed to pain during a physical examination. All patients had primary complaints of low back pain. The pain stimuli used for this study included back and/or leg pain produced by repeatedly raising the extended leg of the patient to the point of pain tolerance. Generally, findings demonstrated that (a) predictions of pain were a function of discrepancies between previous predictions and experiences of pain, (b) patients reporting greater pain-related anxiety showed a tendency to overpredict new pain events, but corrected their predictions readily, (c) patients reporting less pain-related anxiety displayed a persistent tendency to underpredict pain, and (d) higher predictions of pain, independent of pain reports, related to less range of motion during a procedure that involved painful movement. Discussion focuses on differences between these results and those of previous studies and the implications of inaccurate prediction for continued pain and disability.

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Authors: McCracken, L. M., Gross, R. T., Sorg, P. J., & Edmands, T. A.
Affiliations: West Virginia University (US)
Corresponding author: McCracken, Lance M.
ORCID: McCracken, Lance M.
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 1993-09
Volume: 31
Issue: 7
Pages: 647-652
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/0005-7967(93)90117-d
OpenAlex: W1995992378
Cited by: 254
References: 15
Citations by year: 2025: 3 · 2022: 2 · 2021: 4 · 2020: 12 · 2019: 4 · 2018: 8 · 2017: 5 · 2016: 4 · 2015: 7 · 2014: 5 · 2013: 12 · 2012: 9
FWCI: 3.99
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Behaviour Research and Therapy (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: chronic low back pain, pain prediction, pain-related anxiety, range of motion, pain tolerance, disability
MeSH terms: Adult, Anxiety, Avoidance Learning, Female, Humans, Male, Middle Aged, Pain Measurement, Patient Care Team, Sick Role, Range of Motion, Articular, Low Back Pain, Pain Threshold

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Prediction of pain in patients with chronic low back pain: Effects of inaccurate prediction and pain-related anxiety

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