Cited by 155Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationPediatric Pain Management Techniques

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Clinically Meaningful Scores on Pain Catastrophizing Before and After Multidisciplinary Rehabilitation: A Prospective Study of Individuals With Subacute Pain After Whiplash Injury

Scott, Whitney, Wideman, Timothy H., Sullivan, Michael J. L.·2014·The Clinical Journal of Pain

DOI 10.1097/ajp.0b013e31828eee6c

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Abstract

OBJECTIVES: Pain catastrophizing has emerged as a significant risk factor for problematic recovery after musculoskeletal injury. As such, there has been an increased focus on interventions that target patients' levels of catastrophizing. However, it is not presently clear how clinicians might best interpret scores on catastrophizing before and after treatment. Thus, the purpose of this study was to provide preliminary guidelines for the clinical interpretation of scores on pain catastrophizing among individuals with subacute pain after musculoskeletal injury. METHODS: A sample of 166 occupationally disabled individuals with subacute pain due to a whiplash injury participated in this study. Participants completed a 7-week standardized multidisciplinary rehabilitation program aimed at fostering functional recovery. Participants completed the Pain Catastrophizing Scale (PCS) upon program commencement and completion. One year later, participants indicated their pain severity and involvement in employment activities. Separate receiver operating characteristic curve analyses were conducted to determine absolute pretreatment and posttreatment and percent change scores on the PCS that were best associated with clinically important levels of pain and employment status at the follow-up. RESULTS: An absolute pretreatment PCS score of 24 best identified patients according to follow-up clinical outcomes. Posttreatment PCS scores of 14 and 15 best identified patients with high follow-up pain intensity ratings and those who did not return to work, respectively. PCS reductions of approximately 38% to 44% were best associated with return to work and low pain intensity ratings at follow-up. DISCUSSION: The results indicate scores on catastrophizing before and after treatment that are clinically meaningful. These results may serve as preliminary guidelines to assess the clinical significance of interventions targeting pain catastrophizing in patients with subacute pain after musculoskeletal injury.

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Additional file 1 of Interventions on cognitions and perceptions that influence work participation of employees with chronic health problems: a scoping review
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Authors: Scott, W., Wideman, T. H., & Sullivan, M. J. L.
Affiliations: McGill University (CA)
ORCID: Scott, Whitney
Wideman, Timothy H.
Sullivan, Michael J. L.
Venue: The Clinical Journal of Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2014-03
Volume: 30
Issue: 3
Pages: 183-190
ISSN: 0749-8047 (ISSN-L)
DOI: 10.1097/ajp.0b013e31828eee6c
OpenAlex: W2101385374
Cited by: 155
References: 54
Citations by year: 2026: 4 · 2025: 10 · 2024: 9 · 2023: 18 · 2022: 13 · 2021: 23 · 2020: 20 · 2019: 17 · 2018: 6 · 2017: 12 · 2016: 6 · 2015: 10 · 2014: 4
FWCI: 5.63
Type: journal article
Language: en
Open access: closed
Locations: Clinical Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Research Portal (King's College London) (submittedVersion)
Funders: Canadian Institutes of Health Research
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 › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: pain catastrophizing, Pain Catastrophizing Scale, whiplash injury, subacute pain, multidisciplinary rehabilitation, return to work, clinically meaningful change, pain intensity, musculoskeletal injuries, work disability
MeSH terms: Adult, Employment, Female, Follow-Up Studies, Humans, Pain, Pain Measurement, Prognosis, Prospective Studies, Psychological Tests, ROC Curve, Whiplash Injuries, Treatment Outcome, Catastrophization

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Clinically Meaningful Scores on Pain Catastrophizing Before and After Multidisciplinary Rehabilitation: A Prospective Study of Individuals With Subacute Pain After Whiplash Injury

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