scholarly journals Pain catastrophising in a population of patients with migraine

2020 ◽  
Author(s):  
A. Alvarez-Astorga ◽  
D. García-Azorín ◽  
M. Hernández ◽  
H. de la Red ◽  
E. Sotelo ◽  
...  
Keyword(s):  
Pain Catastrophising

scholarly journals Cross-cultural adaptation, reliability and validity of the Fremantle Knee Awareness Questionnaire in Italian subjects with painful knee osteoarthritis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Marco Monticone ◽  
Cristiano Sconza ◽  
Igor Portoghese ◽  
Tomohiko Nishigami ◽  
Benedict M. Wand ◽  
...  
Keyword(s):  
Construct Validity ◽  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Internal Consistency ◽  
Structural Validity ◽  
Retest Reliability ◽  
Knee Oa ◽  
Pain Catastrophising ◽  
Test Retest Reliability ◽  
Painful Knee

Abstract Background and aim Growing attention is being given to utilising physical function measures to better understand and manage knee osteoarthritis (OA). The Fremantle Knee Awareness Questionnaire (FreKAQ), a self-reported measure of body-perception specific to the knee, has never been validated in Italian patients. The aims of this study were to culturally adapt and validate the Italian version of the FreKAQ (FreKAQ-I), to allow for its use with Italian-speaking patients with painful knee OA. Methods The FreKAQ-I was developed by means of forward–backward translation, a final review by an expert committee and a test of the pre-final version to evaluate its comprehensibility. The psychometric testing included: internal structural validity by Rasch analysis; construct validity by assessing hypotheses of FreKAQ correlations with the knee injury and osteoarthritis outcome score (KOOS), a pain intensity numerical rating scale (PI-NRS), the pain catastrophising scale (PCS), and the Hospital anxiety and depression score (HADS) (Pearson’s correlations); known-group validity by evaluating the ability of FreKAQ scores to discriminate between two groups of participants with different clinical profiles (Mann–Whitney U test); reliability by internal consistency (Cronbach’s alpha) and test–retest reliability (intraclass correlation coefficient, ICC2.1); and measurement error by calculating the minimum detectable change (MDC). Results It took one month to develop a consensus-based version of the FreKAQ-I. The questionnaire was administered to 102 subjects with painful knee OA and was well accepted. Internal structural validity confirmed the substantial unidimensionality of the FreKAQ-I: variance explained was 53.3%, the unexplained variance in the first contrast showed an eigenvalue of 1.8, and no local dependence was detected. Construct validity was good as all of the hypotheses were met; correlations: KOOS (rho = 0.38–0.51), PI-NRS (rho = 0.35–0.37), PCS (rho = 0.47) and HADS (Anxiety rho = 0.36; Depression rho = 0.43). Regarding known-groups validity, FreKAQ scores were significantly different between groups of participants demonstrating high and low levels of pain intensity, pain catastrophising, anxiety, depression and the four KOOS subscales (p ≤ 0.004). Internal consistency was acceptable (α = 0.74) and test–retest reliability was excellent (ICC = 0.92, CI 0.87–0.94). The MDC95 was 5.22 scale points. Conclusion The FreKAQ-I is unidimensional, reliable and valid in Italian patients with painful knee OA. Its use is recommended for clinical and research purposes.

scholarly journals The association between pain diagram area, fear-avoidance beliefs, and pain catastrophising

2014 ◽  
Vol 22 (1) ◽  
Author(s):  
Bruce F Walker ◽  
Christine D Losco ◽  
Anthony Armson ◽  
Amanda Meyer ◽  
Norman J Stomski
Keyword(s):  
Pain Intensity ◽  
Psychosocial Factors ◽  
Scale Score ◽  
Short Form ◽  
Spinal Pain ◽  
Fear Avoidance ◽  
Fear Avoidance Beliefs ◽  
Pain Catastrophising ◽  
Increased Risk ◽  
Sf 36

Abstract Background The development of clinical practice guidelines for managing spinal pain have been informed by a biopsychosocial framework which acknowledges that pain arises from a combination of psychosocial and biomechanical factors. There is an extensive body of evidence that has associated various psychosocial factors with an increased risk of experiencing persistent pain. Clinicians require instruments that are brief, easy to administer and score, and capable of validly identifying psychosocial factors. The pain diagram is potentially such an instrument. The aim of our study was to examine the association between pain diagram area and psychosocial factors. Methods 183 adults, aged 20–85, with spinal pain were recruited. We administered a demographic checklist; pain diagram; 11-point Numerical Rating Scale assessing pain intensity; Pain Catastrophising Scale (PCS); MOS 36 Item Short Form Health Survey (SF-36); and the Fear Avoidance Beliefs Questionnaire (FABQ). Open source software, GIMP, was used to calculate the total pixilation area on each pain diagram. Linear regression was used to examine the relationship between pain diagram area and the following variables: age; gender; pain intensity; PCS total score; FABQ-Work scale score; FABQ-Activity scale score; and SF-36 Mental Health scale score. Results There were no significant associations between pain diagram area and any of the clinical variables. Conclusion Our findings showed that that pain diagram area was not a valid measure to identify psychosocial factors. Several limitations constrained our results and further studies are warranted to establish if pain diagram area can be used assess psychosocial factors.

scholarly journals Factors associating with disability of non-specific low back pain in different subgroups: A hierarchical linear regression analysis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Takahiro Miki ◽  
Daisuke Higuchi ◽  
Tsuneo Takebayashi ◽  
Mina Samukawa
Keyword(s):  
Regression Analysis ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Psychosocial Factors ◽  
Self Efficacy ◽  
Explanatory Power ◽  
Low Back ◽  
Acute Group ◽  
Pain Catastrophising

AbstractThis study aimed to explore factors associating with disability, which means physical impairment affecting a person’s mobility, capacity, stamina, or agility, of non-specific low back pain (NSLBP) of the acute and non-acute groups. Two hundred thirty-five patients with NSLBP of less than 8 weeks’ duration as acute groups (n = 124) and more than 8 weeks’ duration as non-acute group (n = 111) were recruited. It was collected data on pain intensity, disability and psychosocial factors, including pain catastrophising, fear of movement and pain self-efficacy. Disability was measured Roland Morris Disability Questionnaire. A hierarchical multiple regression analysis was performed to analyse factors associating with disability of the acute and non-acute groups. The Result was that explanatory power increased with each additional variable of the order of demographic characteristics, pain intensity and psychosocial factors for both groups. Pain intensity, pain catastrophising and pain self-efficacy had significant explanatory power, with pain self-efficacy having the most significant association on the acute group. Only pain self-efficacy having the most significant association on disability of the non-acute group. In conclusion, the factors associating with disability differed depending on the duration of the disease, and pain self-efficacy might be one of the factors associating with disability of patients with NSLBP.

Correlation between muscle strength, fatigue resistance, work ability and upper limb dysfunction in a sample of workers at a university hospital

2020 ◽  
Author(s):  
Marisa Fonseca ◽  
Thaís Marques Fifolato ◽  
Heloísa Correa Bueno Bueno Nardim ◽  
Ester Rodrigues do Carmo Lopes ◽  
Karen A Kawano Suzuki ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Fatigue Resistance ◽  
Upper Limb ◽  
Work Ability ◽  
Psychosocial Functioning ◽  
University Hospital ◽  
Ability To Work ◽  
Hand Grip ◽  
Pain Catastrophising ◽  
Upper Limb Dysfunction

Abstract IntroductionThe upper extremity is related to the functional ability to perform activities of daily living, self-care and work. Complaints in the upper limbs negatively affect these skills, therefore, it is necessary to obtain information about work demands.ObjectiveTo correlate upper limb muscle strength with fatigue resistance, work ability and dysfunction in a sample of workers from a university hospital.MethodsShoulder and elbow strength were assessed by Biodex System 4™, hand grip by JAMAR™, fatigue resistance by Functional Impairment test Hand/Neck/Shoulder/Arm (FIT-HaNSA), the ability to work by the Work Ability Index and upper limb dysfunction by QUICK-DASH-Br. The Brazilian version of the Pain Catastrophising Scale (B-PCS) was applied in order to analyse the catastrophic profile of the sample. The correlations were analysed by Spearman's Correlation Coefficient (rho)(p < 0.05).Results27 workers presented with chronic pain of low intensity, were classified as active and underwent predominantly dynamic work. Muscle strength of abduction (0.49), adduction (0.40), internal rotation (0.44), elbow flexion (0.38) and hand grip (0.68) had a direct correlation with FIT-HaNSA. Only hand grip (-0.52) showed an inverse correlation with upper limb dysfunction. Muscle strength was not correlated with work ability or pain catastrophising.ConclusionThe results suggested that increasing muscle strength may improve fatigue resistance. Also, improving hand grip strength could decrease upper limb dysfunction. In contrast to previous findings, muscle strength was not related to the ability to work or to pain catastrophising, because these factors are not only influenced by physical function, but also by psychosocial functioning.

scholarly journals A félelem és elkerülési hiedelmek krónikus fájdalomban. A FABQ kérdőív magyar változatának fordítása és validálása

2017 ◽  
Vol 158 (24) ◽  
pp. 949-955 ◽  
Author(s):  
Eszter Simoncsics ◽  
Adrienne Stauder
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Depression Scale ◽  
Low Back ◽  
Emotional States ◽  
Fear Avoidance Beliefs ◽  
Somatic Pain ◽  
Pain Catastrophising ◽  
Disability Questionnaire ◽  
Zung Depression Scale

Abstract: Introduction: Chronic low back pain is one of the top reasons for seeking medical advice. In the background of the dysfunction besides the somatic pain dysfunctional thinking, negative emotional states, or interpersonal problems can be identified as well. One of the most important factors making the rehabilitation difficult is the fear and avoidance of physical activity. Aim: The aim of the study was to adapt and validate the Fear Avoidance Beliefs Questionnaire (FABQ-H) in Hungarian. Methods: The FABQ (16 items) was translated into Hungarian and filled in by 90 patients suffering from low back pain for at least three months. For cross validation the FABQ-H results of 43 patients were compared with pain intensity the Oswestry Low Back Pain Questionnaire (ODI), the Roland–Morris Disability Questionnaire (RDQ), the Zung Depression Scale (Zung) and the Pain Catastrophising Scale (PCS). Results: The internal consistency of the FABQ-H was good: the Cronbach’s alpha was 0.8. Correlation analysis revealed that the FABQ showed significant correlation only with the Pain Catastrophising Scale (r = 0.373, p = 0.014). Conclusion: Our results confirm that the FABQ-H is a valid questionnaire that can be well implemented. Orv Hetil. 2017; 158(24): 949–955.

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