scholarly journals Relationship between pain intensity, pain catastrophizing, and self-efficacy in patients with frozen shoulder: a cross-sectional study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Junya Hirata ◽  
Minori Tomiyama ◽  
Yasuhiro Koike ◽  
Manabu Yoshimura ◽  
Keiko Inoue
Keyword(s):  
Pain Intensity ◽  
Self Efficacy ◽  
Psychological Factors ◽  
Rating Scale ◽  
Pain Catastrophizing ◽  
Explanatory Power ◽  
Frozen Shoulder ◽  
Estimation Method ◽  
Information Criterion ◽  
The Impact

Abstract Background Pain catastrophizing and self-efficacy are useful for predicting pain; these are associated with pain intensity and facilitate evaluation of psychological factors. However, it remains unclear whether the effects are direct or indirect in patients with frozen shoulder; the impact on each variable has also not been clarified. Thus, this study aimed to examine the structural relationship between pain catastrophizing, self-efficacy, and pain intensity in patients with frozen shoulder. Methods Participants who were diagnosed with frozen shoulder between January 2016 and March 2017 were recruited from a single orthopedic clinic. Patients aged 18 years or older, who had been symptomatic for < 1 year and reported localized pain in one shoulder, experienced night pain, and had restricted active and passive shoulder motions were included. Pain intensity (Numerical Rating Scale (NRS)), pain catastrophizing (Pain Catastrophizing Scale (PCS)), and self-efficacy (Pain Self-Efficacy Questionnaire (PSEQ)) were measured at the first examination, and the relationship was examined using the Bayesian estimation method. The model was modified repeatedly based on the posterior prediction p value, deviance information criterion (DIC), and Bayesian information criterion (BIC); the model with the highest explanatory power was adopted as the final model. Results Ninety-three patients diagnosed with frozen shoulder were included in this study. On path analysis, the model in which pain intensity affected psychological factors had the most explanation. The convergence index potential scale reduction was below 1.1, and the convergence of the estimate was confirmed. The posterior prediction p value was 0.25, DIC = 1328.705, and BIC = 1356.872; the validity of the fit of the model was confirmed. The path coefficients from the NRS to the PSEQ, from the NRS to the PCS, and from the PSEQ to the PCS scores were − 0.232 (95% confidence interval (CI), − 0.406 to − 0.033), 0.259 (95% CI, 0.083–0.419), and − 0.504 (95% CI, − 0.646 to − 0.334), respectively; these values were statistically significant (p < 0.05). Conclusion Our results show that pain intensity increases the risk of chronic pain including pain catastrophizing and self-efficacy and that pain catastrophizing increases by decreasing self-efficacy in patients with frozen shoulder.

scholarly journals Relationship Between Pain Intensity, Pain Catastrophizing, Self-efficacy in Patients With a Frozen Shoulder

2021 ◽  
Author(s):  
Junya Hirata ◽  
Minori Tomiyama ◽  
Yasuhiro Koike ◽  
Manabu Yoshimura ◽  
Keiko Inoue
Keyword(s):  
Pain Intensity ◽  
Self Efficacy ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Catastrophizing ◽  
Frozen Shoulder ◽  
Estimation Method ◽  
P Value ◽  
Hypothesis Model ◽  
The Relationship

Abstract Background: The evaluation of pain catastrophizing and self-efficacy is useful for predicting pain and is also associated with shoulder pain. The purposes of our study were to examine the relationship between pain catastrophizing, self-efficacy, and pain intensity in patients with a frozen shoulder.Methods: Ninety-three patients who were diagnosed with frozen shoulder were included in this study. Pain intensity (Numerical Rating Scale: NRS), pain catastrophizing (Pain Catastrophizing Scale: PCS), and self-efficacy (Pain Self-Efficacy Questionnaire: PSEQ) were measured at the first examination, and the relationship was examined using Bayesian estimation method. We developed a hypothesis model in which self-efficacy affects pain catastrophizing and pain catastrophizing affects pain intensity.Results: The path coefficients from the PSEQ score to the PCS score and from the PCS score to the NRS score were significant. The convergence of the hypothesized model was confirmed and validated (posterior prediction p-value 0.35). Conclusion: Our results suggest that self-efficacy affects pain catastrophizing, and pain catastrophizing affects pain intensity.

scholarly journals Pain-related beliefs are associated with arm function in persons with frozen shoulder

2020 ◽  
Vol 12 (6) ◽  
pp. 432-440
Author(s):  
L De Baets ◽  
T Matheve ◽  
J Traxler ◽  
JWS Vlaeyen ◽  
A Timmermans
Keyword(s):  
Pain Intensity ◽  
Self Efficacy ◽  
Glenohumeral Joint ◽  
Pain Catastrophizing ◽  
Frozen Shoulder ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Negative Effect ◽  
Explained Variance ◽  
Arm Function

Background Frozen shoulder is a painful glenohumeral joint condition. Pain-related beliefs are recognized drivers of function in musculoskeletal conditions. This cross-sectional study investigates associations between pain-related beliefs and arm function in frozen shoulder. Methods Pain intensity, arm function (Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH)), pain catastrophizing (Pain Catastrophizing Scale (PCS)), pain-related fear (Tampa Scale for Kinesiophobia (TSK-11)) and pain self-efficacy (Pain Self-Efficacy Questionnaire (PSEQ)) were administered in 85 persons with frozen shoulder. Correlation analyses assessed associations between pain-related beliefs and arm function. Regression analysis calculated the explained variance in arm function by pain-related beliefs. Results Pain-related fear, pain catastrophizing and pain self-efficacy were significantly associated with arm function (r = 0.51; r = 0.45 and r = −0.69, all p < .0001, respectively). Thirty-one percent of variance in arm function was explained by control variables, with pain intensity being the only significant one. After adding TSK-11, PCS and PSEQ scores to the model, 26% extra variance in arm function was explained, with significant contributions of pain intensity, pain-related fear and pain self-efficacy (R2 = 0.57). Conclusions Attention should be paid towards the negative effect of pain-related fear on outcomes in frozen shoulder and towards building one’s pain self-efficacy given its protective value in pain management.

scholarly journals Unpredictable pain timings lead to greater pain when people are highly intolerant of uncertainty

2017 ◽  
Vol 17 (1) ◽  
pp. 367-372 ◽  
Author(s):  
Clémence Bélanger ◽  
Bernard Blais Morin ◽  
Andréanne Brousseau ◽  
Nicolas Gagné ◽  
Anne Tremblay ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Pain Perception ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Catastrophizing ◽  
Intolerance Of Uncertainty ◽  
Time Frame ◽  
Added Value ◽  
Subjective Pain ◽  
The Impact

AbstractBackground and purposeMany psychological factors are known to influence pain perception. Among them, intolerance of uncertainty (IU) may play a key modulating role in situations where uncertainty prevails, especially uncertainty regarding the timing of painful events. The objective of this study was to explore the impact of individual differences in IUon pain perception during predictable and unpredictable stimulation timings. We hypothesized that people with high IU, as opposed to those with low IU, would perceive more pain when the timing of painful stimulations cannot be predicted, as compared to when they can.MethodsTwenty (20) healthy adults, aged between 18 and 35 years old, were recruited. Painful sensations were provoked using transcutaneous electrical stimulations of the right sural nerve. By measuring IU (Intolerance of Uncertainty Scale) and subjective pain (verbal numerical rating scale), it was possible to test the relationship between IU and pain perception, by simulating predictable and unpredictable painful experiences. This was done through cued shock interval (CSI) blocks, with either variable timing or fixed timings (long or short time frame). Self-administered questionnaires were also used to measure pain hypervigilance, pain catastrophizing, state anxiety, and trait anxiety.ResultsPearson correlations confirmed the presence of an association (r = 0.63) between IU and the change in pain intensity provoked by unpredictable stimulation timings. Importantly, this association was significant only for stimulations provided at long CSIs, indicating that higher IU scores predicted higher pain intensity scores when stimulation timings became unpredictable, and when the cued delay was long. No association was found between pain scores and other psychological variables.ConclusionsOur results show that IU moderately correlates to the change in pain intensity provoked by unpredictable stimulation timings. High IU scores were associated with a worsening of the subjective pain experience, especially during long delays in an unpredictable situation. These observations suggest that IU could be considered as a psychological variable that is able to influence pain perception in certain situations.ImplicationsAssessing and addressing IU could be an added value in pain-related therapy, especially in chronic pain.

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.

scholarly journals Domain Specific Self-Efficacy Mediates the Impact of Pain Catastrophizing on Pain and Disability in Overweight and Obese Osteoarthritis Patients

2008 ◽  
Vol 9 (10) ◽  
pp. 912-919 ◽  
Author(s):  
Rebecca A. Shelby ◽  
Tamara J. Somers ◽  
Francis J. Keefe ◽  
Jennifer J. Pells ◽  
Kim E. Dixon ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Pain Catastrophizing ◽  
Domain Specific ◽  
The Impact

The association between psychological factors and pain exacerbations in hip osteoarthritis

Rheumatology ◽  
2020 ◽  
Author(s):  
Kai Fu ◽  
Ben Metcalf ◽  
Kim L Bennell ◽  
Yuqing Zhang ◽  
Leticia A Deveza ◽  
...  
Keyword(s):  
Negative Affect ◽  
Self Efficacy ◽  
Psychological Factors ◽  
Odds Ratio ◽  
Pain Catastrophizing ◽  
Hip Pain ◽  
Positive And Negative Affect ◽  
Minimal Important Change ◽  
Pain Catastrophizing Scale ◽  
Stress Scale

Abstract Objectives To evaluate the association between psychological factors and pain exacerbations in people with hip OA. Methods Eligible participants with symptomatic hip OA were instructed to complete online questionnaires every 10 days over a 90-day follow-up period. In addition, they were required to complete the questionnaire whenever they perceived they were experiencing a hip pain exacerbation. Hip pain exacerbation was defined as an increase of 2 points in pain intensity compared with baseline on an 11-point numeric rating scale (0–10). The Depression, Anxiety and Stress Scale–21 Items, Positive and Negative Affect Schedule, Pain Catastrophizing Scale and Pain Self-Efficacy Questionnaire were used to evaluate psychological factors. The associations of these with risk of hip pain exacerbation were examined by conditional logistic regression. Results Of 252 participants recruited, 131 (52.0%) contributed both case and control period data and were included in the analysis. A significant association was found between Pain Catastrophizing Scale overall score (1 point increase) with hip pain exacerbations (odds ratio: 1.07, 95% CI: 1.04, 1.11). An increase of a minimal important change (5.5 points) of Pain Self-Efficacy Questionnaire score was associated with a lower odds of pain exacerbations (odds ratio: 0.74, 95% CI: 0.65, 0.85). No significant associations were found between Depression, Anxiety and Stress Scale–21 Items or Positive and Negative Affect Schedule scores with hip pain exacerbations. Conclusion Both pain catastrophizing and pain self-efficacy beliefs were associated with pain exacerbations in people with hip OA, but other psychological factors including depression, anxiety and stress or positive and negative affects, were not associated with pain exacerbations.

scholarly journals Early Changes in Pain Acceptance Predict Pain Outcomes in Interdisciplinary Treatment for Chronic Pain

2019 ◽  
Vol 8 (9) ◽  
pp. 1373 ◽  
Author(s):  
Probst ◽  
Jank ◽  
Dreyer ◽  
Seel ◽  
Wagner ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Intensity ◽  
Pain Perception ◽  
Rating Scale ◽  
Post Treatment ◽  
Interdisciplinary Treatment ◽  
Binary Logistic Regression Analysis ◽  
Pain Acceptance ◽  
Pain Outcomes ◽  
The Impact

Studies have shown that pain acceptance is associated with a better pain outcome. The current study explored whether changes in pain acceptance in the very early treatment phase of an interdisciplinary cognitive-behavioral therapy (CBT)-based treatment program for chronic pain predict pain outcomes. A total of 69 patients with chronic, non-malignant pain (at least 6 months) were treated in a day-clinic for four-weeks. Pain acceptance was measured with the Chronic Pain Acceptance Questionnaire (CPAQ), pain outcomes included pain intensity (Numeric Rating Scale, NRS) as well as affective and sensory pain perception (Pain Perception Scale, SES-A and SES-S). Regression analyses controlling for the pre-treatment values of the pain outcomes, age, and gender were performed. Early changes in pain acceptance predicted pain intensity at post-treatment measured with the NRS (B = −0.04 (SE = 0.02); T = −2.28; p = 0.026), affective pain perception at post-treatment assessed with the SES-A (B = −0.26 (SE = 0.10); T = −2.79; p = 0.007), and sensory pain perception at post-treatment measured with the SES-S (B = -0.19 (SE = 0.08); T = -2.44; p = 0.017) . Yet, a binary logistic regression analysis revealed that early changes in pain acceptance did not predict clinically relevant pre-post changes in pain intensity (at least 2 points on the NRS). Early changes in pain acceptance were associated with pain outcomes, however, the impact was beneath the threshold defined as clinically relevant.

scholarly journals The factors driving self-efficacy in intractable chronic pain patients: a retrospective study

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Hironori Tsuji ◽  
Tomoko Tetsunaga ◽  
Tomonori Tetsunaga ◽  
Keiichiro Nishida ◽  
Haruo Misawa ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Linear Regression ◽  
Multiple Linear Regression ◽  
Self Efficacy ◽  
Rating Scale ◽  
Pain Catastrophizing ◽  
Linear Regression Analysis ◽  
Intractable Pain ◽  
Pain Disability ◽  
Pain Duration

Abstract Background The fear-avoidance model is a theoretical paradigm for explaining acute and chronic pain. In this model, pain catastrophizing plays an important role. On the other hand, self-efficacy influences whether patients view their pain optimistically, ultimately preventing the conversion of pain into intractable pain. The aim of the present study was to evaluate the factors that influence self-efficacy in patients with chronic pain. Methods Study participants included 147 outpatients (35 men, 112 women) with intractable chronic pain who visited our hospital between September 2014 and July 2015. Their mean age was 71.0 (range 32–92) years. Pain sites were as follows: low back, 97 patients; knee, 71 patients; shoulder, 34 patients; and hip, 15 patients. All patients were assessed using the following measures: Numeric Rating Scale (NRS), Pain Catastrophizing Scale (PCS), Hospital Anxiety and Depression Scale (HADS), Pain Disability Assessment Scale (PDAS), and Pain Self-Efficacy Questionnaire (PSEQ). All participants were further divided into two groups based on median PSEQ scores (group L: PSEQ of 35 points or less, n = 74; group H: PSEQ greater than 35 points, n = 73). The factors that influenced self-efficacy in these patients were analyzed using univariate and multiple linear regression analyses. Results Significant differences were observed in gender; pain duration; and NRS, PDAS, HADS, and PCS scores between group L and group H. Multiple linear regression analysis revealed that self-efficacy was correlated with PDAS score, HADS depression score, and pain duration. Conclusions Patients with longer pain duration indicated greater self-efficacy and patients with higher pain disability and depression exhibited lower self-efficacy.

scholarly journals Associations between psychological factors and the effect of home-based physical exercise in women with chronic neck and shoulder pain

2016 ◽  
Vol 4 ◽  
pp. 205031211666893 ◽  
Author(s):  
Linn Karlsson ◽  
Björn Gerdle ◽  
Esa-Pekka Takala ◽  
Gerhard Andersson ◽  
Britt Larsson
Keyword(s):  
Physical Exercise ◽  
Pain Intensity ◽  
Self Efficacy ◽  
Psychological Factors ◽  
Exercise Intervention ◽  
Fear Avoidance ◽  
Pain Acceptance ◽  
Fear Avoidance Beliefs ◽  
Home Based ◽  
Neck And Shoulder Pain

Background: Exercise is often used in the treatment of chronic neck and shoulder muscle pain. It is likely that psychological aspects have an impact on the results of exercise-based treatments. Objectives: (1) To examine the associations between psychological factors and the effect of a home-based physical exercise intervention. (2) To examine differences in psychological factors at baseline between (a) subjects who continued in the trial and those who did not and (b) subjects who completed the intervention and those who did not. Method: A total of 57 women with chronic neck and shoulder pain were included in a home-based exercise intervention trial. Pain intensity, disability, and psychological factors (anxiety and depression symptoms, catastrophizing, fear-avoidance beliefs, self-efficacy, and pain acceptance) were measured at baseline, after 4–6 months, and after 1 year of exercise. Associations between the psychological factors and changes in pain intensity and disability were analysed, as well as differences in psychological factors at baseline between subjects who continued in and completed the intervention, and those who did not. Results: Associations between positive changes in pain intensity and disability were found for low fear-avoidance beliefs and low-pain self-efficacy at baseline. In addition, fear-avoidance beliefs at baseline were higher in the subjects who dropped out of the intervention than in those who continued. Pain acceptance at baseline was higher in the subjects who completed the intervention at the end of the trial. Conclusion: Particularly, fear-avoidance beliefs and pain self-efficacy should be taken into consideration when implementing home-based physical exercise as treatment for chronic neck pain. In addition, high pain acceptance might improve the adherence to prescribed exercise.

Sign in / Sign up

Export Citation Format

Share Document