The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.
Differential predictors of the long-term levels of pain intensity, work disability, healthcare use, and medication use in a sample of workers' compensation claimants
Abstract
The fear avoidance model of pain (FAM) conceptualizes pain catastrophizing as the cognitive antecedent of pain-related fear, and pain-related fear as the emotional antecedent of depression and disability. The FAM is essentially one of mediation whereby pain-related fear becomes the process by which depression or disability ensue. However, emerging literature suggests that pain catastrophizing, pain-related fear, and depression might be at least partially distinct in their prediction of different pain-related outcomes. The primary purpose of the present study was to evaluate whether psychological factors in the FAM (pain catastrophizing, pain-related fear, and depression) differentially predict long-term pain-related outcomes. Toward this objective, we conducted a prospective study using a cohort of 202 individuals with subacute work-related musculoskeletal injuries. Participants completed a 7-week physical therapy program with a functional rehabilitation orientation. Posttreatment measures of fear of movement, pain catastrophizing, depression, and pain self-efficacy were used to predict the persistence of pain symptoms, healthcare use, medication use, and return-to-work at one-year follow-up. Results from hierarchical linear and logistic regression analyses revealed that pain catastrophizing and fear of movement act as differential predictors of long-term pain-related outcomes. Specifically, we found unique relationships between pain catastrophizing and long-term pain intensity, and fear of movement and long-term work disability. After controlling for pain intensity and FAM variables, pain self-efficacy was shown to be a unique predictor of medication use. Implications for the FAM and the clinical management of musculoskeletal pain conditions are discussed. Unique relationships were found between pain catastrophizing and long-term pain intensity, between fear of movement and long-term work disability, and between pain self-efficacy and medication use at one-year follow-up.
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In the citing paper
“Further, studies show changes in functional connectivity in chronic pain patients.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [384]
In the citing paper
“A growing number of neuroimaging studies have suggested that variability in catastrophizing is associated with individual differences in the functional brain response to a variety of stimuli, as well as potential alterations in brain morphology 359, 384, 387, 389–395.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [384]
In the citing paper
“many of the psychosocial factors and, more specifically, pain- specific cognitive and affective processes, have strong associations with functional brain responses to pain.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [384]
In the citing paper
“studies of the brain’s default mode network and other resting state networks suggest long-lasting functional brain changes related to the presence of chronic pain 379, 384–387.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [384]
Citations
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Cited by
Sorted by citations
Fear-Avoidance Model of Chronic Pain: The Next Generation
Crombez, G., Eccleston, C., Van Damme, S., Vlaeyen, J. W. S., & Karoly, P. (2012) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e3182385392 · Cited by 960
The role of psychosocial processes in the development and maintenance of chronic pain
Edwards, R. R., Dworkin, R. H., Sullivan, M. D., Turk, D. C., & Wasan, A. D. (2016) · The Journal of Pain · doi:10.1016/j.jpain.2016.01.001 · Cited by 954
Self-citationEvaluating psychosocial contributions to chronic pain outcomes
Meints, S. M., & Edwards, R. R. (2018) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2018.01.017 · Cited by 719
Rethinking the fear avoidance model: toward a multidimensional framework of pain-related disability
Wideman, T. H., Asmundson, G. G. J., Smeets, R. J. E. M., Zautra, A. J., Simmonds, M. J., Sullivan, M. J. L., Haythornthwaite, J. A., & Edwards, R. R. (2013) · Pain · doi:10.1016/j.pain.2013.06.005 · Cited by 210
Self-citationMartínez-Calderón, J., Meeus, M., Struyf, F., Morales‐Asencio, J. M., Gijón-Noguerón, G., & Luque-Suárez, A. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-020703 · Cited by 172
Metadata
- Authors
- Wideman, T. H., & Sullivan, M. J. L.
- Affiliations
- McGill University (CA)
- Venue
- Pain
- Published
- 2011-02
- Volume
- 152
- Issue
- 2
- Pages
- 376-383
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2108495176
- Cited by
- 102
- References
- 39
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 1 · 2022: 4 · 2021: 8 · 2020: 8 · 2019: 5 · 2018: 8 · 2017: 11 · 2016: 9 · 2015: 6 · 2014: 11 · 2013: 16 · 2012: 6
- FWCI
- 5.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes for Health Research
- Fonds de la Recherche en Santé du Québec (FRSQ)
- Institut de Recherche Robert-Sauvé en Santé et en Securité du Travail (IRSST)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- pain catastrophizing, kinesiophobia, fear of pain, depression, pain self-efficacy, work-related musculoskeletal disorders, return to work, work disability, pain intensity, health care utilization, medication use, physiotherapy, functional rehabilitation
- MeSH terms
- Adolescent, Adult, Aged, Canada, Depression, Fear, Female, Forecasting, Humans, Male, Middle Aged, Musculoskeletal Diseases, Pain, Prospective Studies, Workers' Compensation, Cohort Studies, Young Adult, Catastrophization
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