Psychosocial Aspects of Disabling Musculoskeletal Pain
Abstract
Psychosocial factors are important determinants of pain intensity and disability in patients with disabling musculoskeletal pain. The psychosocial aspects of disabling musculoskeletal pain include cognitive (e.g., beliefs, expectations, and coping style), affective (e.g., depression, pain anxiety, heightened concern about illness, and anger), behavioral (e.g., avoidance), social (e.g., secondary gain), and cultural factors. The effectiveness of cognitive behavioral therapy and other treatments that address the psychosocial aspects of disabling musculoskeletal pain has been confirmed in numerous high-quality studies.
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Health anxiety is associated with increased pain perception and functional impairment.
“Health anxiety is associated with increased pain perception and functional impairment [28, 35, 36].”
From What are the Implications of Excessive Internet Searches for Medical Information by Orthopaedic Patients? (2019) · cites this paper as [36]
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BackgroundSelf-citationHageman, M., Briet, J. P., Oosterhoff, T., Bot, A. G., Ring, D., & Vranceanu, A.-M. (2014) · Journal of hand and microsurgery · doi:10.1007/s12593-014-0140-8 · Cited by 29 · see citing works
“[1–5] More adaptive patients report less pain and disability irrespective of the diagnosis or impairment.”
BackgroundSelf-citationPain-related psychological issues in hand therapy
Hamasaki, T., Pelletier, R., Bourbonnais, D., Harris, P., & Choinière, M. (2018) · Journal of Hand Therapy · doi:10.1016/j.jht.2017.12.009 · Cited by 28 · see citing works
The influence of dominant limb involvement on DASH and QuickDASH
Kachooei, A., Moradi, A., Janssen, S., & Ring, D. (2015) · HAND · doi:10.1007/s11552-014-9734-7 · Cited by 28 · see citing works
“Given the growing evidence that psychological factors are the key determinants of symptom intensity and magnitude of disability [15, 19], it may be that involvement of the dominant limb is less important than one’s ability to adapt to symptoms and impairment.”
BackgroundSelf-citationPredictors of scar pain after open carpal tunnel release.
Kim, J. K., & Kim, Y. (2011) · Journal of Hand Surgery-American Volume · doi:10.1016/j.jhsa.2011.03.036 · Cited by 28 · see citing works
Evidence-based medicine: disproportionate pain and disability.
Ring, D., Barth, R., & Barsky, A. (2010) · Journal of Hand Surgery-American Volume · doi:10.1016/j.jhsa.2010.06.007 · Cited by 28
Self-citationPsychological Factors and Personality Traits Associated With Patients in Chronic Foot and Ankle Pain
Shivarathre, D., Howard, N., Krishna, S., Cowan, C., & Platt, S. (2014) · Foot & ankle international · doi:10.1177/1071100714550648 · Cited by 27 · see citing works
“Pain is a complex physical and psychological phenomenon.(33) The general tendency to conceptualize musculoskeletal pain as a biophysical process is an oversimplification without due consideration to the actual perception and experience of symptoms, and hence this traditional concept is now largely replaced by the biop…”
BackgroundInfluentialGalanakos, S., Bot, A. G., Zoubos, A., & Soucacos, P. (2013) · Journal of reconstructive microsurgery · doi:10.1055/s-0033-1361838 · Cited by 27 · see citing works
Lim, A. C., Manching, J., & Penserga, E. (2012) · International Journal of Rheumatic Diseases · doi:10.1111/j.1756-185x.2012.01757.x · Cited by 27
Internet Self-Diagnosis in Hand Surgery
Hageman, M. G. J. S., Anderson, J., Blok, R., Bossen, J. K. J., & Ring, D. (2015) · HAND · doi:10.1007/s11552-014-9707-x · Cited by 26 · see citing works
“There are also Internet sites with programs that attempt to guess the patients diagnosis based on their symptoms [12, 17].”
BackgroundSelf-citationPeople with musculoskeletal shoulder pain demonstrate no signs of altered pain processing.
Haik, M. N., Evans, K., Smith, A., Henriquez, L., & Bisset, L. (2019) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2018.11.008 · Cited by 26 · see citing works
Ring, D., & Bozic, K. (2016) · Clinical Orthopaedics and Related Research · doi:10.1007/s11999-015-4648-4 · Cited by 26
“With more routine use of PROMs, surgeons will want to pay more attention to the factors that have the strongest influence on these scores: Stress, distress, and ineffective coping strategies [4].”
BackgroundSelf-citationMisperception of Disease Onset in People with Gradual-Onset Disease of the Upper Extremity.
Lemmers, M., Versluijs, Y., Kortlever, J., Gonzalez, A. I., & Ring, D. (2020) · Journal of Bone and Joint Surgery. American volume · doi:10.2106/jbjs.20.00420 · Cited by 25 · see citing works
Self-citationVariation in Offer of Operative Treatment to Patients With Trapeziometacarpal Osteoarthritis.
Ottenhoff, J. S. E., Teunis, T., Janssen, S., van der Molen, A. B. M., & Ring, D. (2019) · Journal of Hand Surgery-American Volume · doi:10.1016/j.jhsa.2019.10.017 · Cited by 25 · see citing works
Self-citationDeterminants of Disability After Fingertip Injuries
Bot, A. G. J., Bossen, J. K. J., Mudgal, C. S., Jupiter, J. B., & Ring, D. (2014) · Psychosomatics · doi:10.1016/j.psym.2013.08.005 · Cited by 24 · see citing works
Self-citationInfluence of Depressive Symptoms on the Clinical Outcomes of Total Ankle Arthroplasty.
Kim, T. Y., Lee, H. W., & Jeong, B. (2020) · Journal of Foot and Ankle Surgery · doi:10.1053/j.jfas.2019.07.001 · Cited by 24 · see citing works
Brinkman, N., Thomas, J. E., Teunis, T., Ring, D., Gwilym, S., & Jayakumar, P. (2024) · Journal of Orthopaedic Trauma · doi:10.1097/bot.0000000000002868 · Cited by 24 · see citing works
Self-citationResources for Patient Mental Health and Well-being after Orthopaedic Trauma
Obey, M. R., & Miller, A. N. (2022) · Journal of Orthopaedics and Trauma · doi:10.1097/bot.0000000000002445 · Cited by 23 · see citing works
Helmerhorst, G., Zwiers, R., Ring, D., & Kloen, P. (2017) · Journal of Bone and Joint Surgery. American volume · doi:10.2106/jbjs.17.00149 · Cited by 23 · see citing works
“, acetaminophen and nonsteroidal anti-inflammatory drugs [NSAIDs]), (2) opioids for mild to moderate pain (e.”
BackgroundSelf-citationRopponen, A., Svedberg, P., Kalso, E., Koskenvuo, M., Silventoinen, K., & Kaprio, J. (2013) · Pain · doi:10.1016/j.pain.2013.05.029 · Cited by 23 · see citing works
“Anxiety may be a predictor of pain, whereas depression is claimed to be linked with the natural course of pain [30,45] and potentially to be a consequence of pain [15,43].”
BackgroundComplex distal radius fractures.
Kennedy, S., & Hanel, D. (2013) · The Orthopedic cllinics of North America · doi:10.1016/j.ocl.2012.08.008 · Cited by 23
Makarawung, D., Becker, S., Bekkers, S., & Ring, D. (2013) · HAND · doi:10.1007/s11552-013-9529-2 · Cited by 22 · see citing works
“Disability associated with common upper extremity diseases correlates most strongly with mood and coping strategies [2, 3, 18].”
BackgroundSelf-citationMecanismos de ação e efeitos da fisioterapia no tratamento da dor
Gosling, A. P. (2012) · Revista Dor · doi:10.1590/s1806-00132012000100012 · Cited by 22 · see citing works
Wilkens, S. C., Meghpara, M. M., Ring, D., Coert, J. H., Jupiter, J. B., & Chen, N. C. (2019) · JBJS Reviews · doi:10.2106/jbjs.rvw.18.00020 · Cited by 26 · see citing works
Self-citationFeltri, P., Monteleone, A., Audigé, L., Marbach, F., Filardo, G., & Candrian, C. (2023) · International Orthopaedics · doi:10.1007/s00264-023-05952-1 · Cited by 21 · see citing works
“In this light, there is a growing interest on the influence of psychological factors on patient experience of pain and disability as documented by patient-reported outcomes (PROMs) [8–10].”
Bot, A. G., Souer, J., van Dijk, C. V., & Ring, D. (2012) · HAND · doi:10.1007/s11552-012-9447-8 · Cited by 21 · see citing works
“, compensation) account for more of the variation in arm-specific disability than physical impairment [2, 3, 8, 9, 17, 18].”
BackgroundSelf-citationSleep Disturbance and Upper-Extremity Disability.
Peters, R. M., Menendez, M. E., Mellema, J. J., Ring, D., & Vranceanu, A.-M. (2016) · The Archives of Bone & Joint Surgery · doi:10.22038/abjs.2016.5247 · Cited by 20 · see citing works
“, self-efficacy, depression, kinesiophobia, and pain catastrophizing) (1-6,18), the role of sleep disturbance in upper extremity disability is less certain.”
BackgroundSelf-citationVranceanu, A.-M., Bakhshaie, J., Reichman, M., & Ring, D. (2021) · Journal of clinical psychology in medical settings · doi:10.1007/s10880-021-09827-8 · Cited by 19 · see citing works
Self-citation
- Authors
- Vranceanu, A.-M., Barsky, A., & Ring, D.
- Affiliations
- Massachusetts General Hospital (US)
- Brigham and Women's Hospital (US)
- Venue
- The Journal of Bone and Joint Surgery-American Volume
- Published
- 2009-08
- Volume
- 91
- Issue
- 8
- Pages
- 2014-2018
- ISSN
- 0021-9355 (ISSN-L)
- OpenAlex
- W2102506369
- Cited by
- 304
- References
- 0
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 14 · 2023: 14 · 2022: 22 · 2021: 16 · 2020: 18 · 2019: 23 · 2018: 20 · 2017: 20 · 2016: 19 · 2015: 19 · 2014: 25 · 2013: 25 · 2012: 21
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Bone and Joint Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
- Health Sciences › Medicine › Surgery › Cervical and Thoracic Myelopathy
- Keywords
- psychosocial aspects, lumbar fusion, nonunion, bone morphogenetic proteins, rhBMP-2, rhBMP-7, OP-1, growth factors, fusion rate
- MeSH terms
- Animals, Diagnostic Imaging, Humans, Lumbar Vertebrae, Spinal Fusion, Bone Transplantation, Bone Morphogenetic Proteins
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