Cited by 392Musculoskeletal pain and rehabilitationPediatric Pain Management TechniquesPain Management and Treatment

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Self-efficacy, fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients in primary health care

Denison, Eva, Åsenlöf, P., Lindberg, P.·2004·Pain

DOI 10.1016/j.pain.2004.07.001

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Abstract

This study examined the relations between disability, as measured by the Pain Disability Index (PDI) and self-efficacy, fear avoidance variables (kinesiophobia and catastrophizing), and pain intensity, using a prospective design. Two primary health care samples (n(1)=210; n(2)=161) of patients with subacute, chronic or recurring musculoskeletal pain completed sets of questionnaires at the beginning of a physiotherapy treatment period. Multiple hierarchial regression analyses showed that self-efficacy explained a considerably larger proportion of the variance in disability scores than the fear avoidance variables in the first sample. This finding was replicated in the second sample. Pain intensity explained a small, but significant proportion of the variance in disability scores in one sample only. Gender, age, and pain duration were not related to disability. These findings suggest that self-efficacy beliefs are more important determinants of disability than fear avoidance beliefs in primary health care patients with musculoskeletal pain. The findings also suggest that pain-related beliefs, such as self-efficacy and fear avoidance, in turn, are more important determinants of disability than pain intensity and pain duration in these patients.

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Authors: Denison, E., Åsenlöf, P., & Lindberg, P.
Affiliations: Uppsala University (SE)
Corresponding author: Denison, Eva
ORCID: Åsenlöf, P.
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2004-10
Volume: 111
Issue: 3
Pages: 245-252
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2004.07.001
OpenAlex: W2072413892
Cited by: 392
References: 45
Citations by year: 2026: 6 · 2025: 7 · 2024: 15 · 2023: 6 · 2022: 11 · 2021: 11 · 2020: 19 · 2019: 18 · 2018: 25 · 2017: 23 · 2016: 30 · 2015: 23 · 2014: 19 · 2013: 23 · 2012: 15
FWCI: 7.07
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Funders: Vårdalstiftelsen
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: self-efficacy, fear avoidance, pain intensity, disability, musculoskeletal pain, chronic pain, subacute pain, kinesiophobia, pain catastrophizing, Pain Disability Index, pain beliefs, physiotherapy, primary care
MeSH terms: Adult, Aged, Avoidance Learning, Chronic Disease, Disability Evaluation, Fear, Female, Humans, Male, Middle Aged, Musculoskeletal Diseases, Pain, Pain Measurement, Predictive Value of Tests, Primary Health Care, Regression Analysis, Self Efficacy

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Self-efficacy, fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients in primary health care

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