Pain-related fear and daily functioning in patients with osteoarthritis
There is growing evidence supporting the relationship between pain-related fear and functional disability in chronic musculoskeletal pain conditions. In osteoarthritis (OA) patients the role of pain-related fear and avoidance has received little research attention so far. The present study investiga...
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| Veröffentlicht in: | Pain (Amsterdam) 2004-07, Vol.110 (1), p.228-235 |
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| creator | Heuts, Peter H.T.G Vlaeyen, Johan W.S Roelofs, Jeffrey de Bie, Rob A Aretz, Karin van Weel, Chris van Schayck, Onno C.P |
| description | There is growing evidence supporting the relationship between pain-related fear and functional disability in chronic musculoskeletal pain conditions. In osteoarthritis (OA) patients the role of pain-related fear and avoidance has received little research attention so far. The present study investigates the degree to which pain-related fear, measured with the Tampa Scale for Kinesiophobia (TSK), influences daily functioning in OA patients. The purpose of the present paper was twofold: (1) to investigate the factor structure of the TSK in a sample of OA patients by means of confirmatory factor analysis; and (2) to investigate the role of pain-related fear in OA compared to other factors, such as radiological findings and level of pain intensity. The results show that TSK consists of two factors, called ‘activity avoidance’ and ‘somatic focus’, which is in line with other studies in low back pain and fibromyalgia. Furthermore, pain-related fear occurred to a considerable extent in this sample of osteoarthritis patients and was negatively associated with daily functioning. Level of pain and level of pain-related fear were significantly associated with functional limitations. Radiological findings were not significant predictors and when compared to pain-related fear they were not significant. These findings underscore the importance of pain-related fear in daily functioning of OA patients. Therefore, treatment strategies aiming at reduction of pain-related fear in OA patients need to be developed and investigated. |
| doi_str_mv | 10.1016/j.pain.2004.03.035 |
| format | Article |
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In osteoarthritis (OA) patients the role of pain-related fear and avoidance has received little research attention so far. The present study investigates the degree to which pain-related fear, measured with the Tampa Scale for Kinesiophobia (TSK), influences daily functioning in OA patients. The purpose of the present paper was twofold: (1) to investigate the factor structure of the TSK in a sample of OA patients by means of confirmatory factor analysis; and (2) to investigate the role of pain-related fear in OA compared to other factors, such as radiological findings and level of pain intensity. The results show that TSK consists of two factors, called ‘activity avoidance’ and ‘somatic focus’, which is in line with other studies in low back pain and fibromyalgia. Furthermore, pain-related fear occurred to a considerable extent in this sample of osteoarthritis patients and was negatively associated with daily functioning. Level of pain and level of pain-related fear were significantly associated with functional limitations. Radiological findings were not significant predictors and when compared to pain-related fear they were not significant. These findings underscore the importance of pain-related fear in daily functioning of OA patients. Therefore, treatment strategies aiming at reduction of pain-related fear in OA patients need to be developed and investigated.</description><identifier>ISSN: 0304-3959</identifier><identifier>EISSN: 1872-6623</identifier><identifier>DOI: 10.1016/j.pain.2004.03.035</identifier><identifier>PMID: 15275772</identifier><identifier>CODEN: PAINDB</identifier><language>eng</language><publisher>Amsterdam: Elsevier B.V</publisher><subject>Activities of Daily Living ; Adult ; Avoidance behaviour ; Biological and medical sciences ; Chi-Square Distribution ; Confirmatory factor analysis ; Disability ; Disability Evaluation ; Diseases of the osteoarticular system ; Fear - psychology ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Illness and personality ; Illness, stress and coping ; Level of functioning ; Male ; Medical sciences ; Middle Aged ; Osteoarthritis ; Osteoarthritis - complications ; Osteoarthritis - diagnostic imaging ; Pain - diagnostic imaging ; Pain - etiology ; Pain - psychology ; Pain Measurement - methods ; Pain-related fear ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Radiography - methods ; Regression Analysis</subject><ispartof>Pain (Amsterdam), 2004-07, Vol.110 (1), p.228-235</ispartof><rights>2004 International Association for the Study of Pain</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c382t-9daba3511c441875083bcca87e6a5903a9b7b671cb07477429336ea081fcf7183</citedby><cites>FETCH-LOGICAL-c382t-9daba3511c441875083bcca87e6a5903a9b7b671cb07477429336ea081fcf7183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15980274$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15275772$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heuts, Peter H.T.G</creatorcontrib><creatorcontrib>Vlaeyen, Johan W.S</creatorcontrib><creatorcontrib>Roelofs, Jeffrey</creatorcontrib><creatorcontrib>de Bie, Rob A</creatorcontrib><creatorcontrib>Aretz, Karin</creatorcontrib><creatorcontrib>van Weel, Chris</creatorcontrib><creatorcontrib>van Schayck, Onno C.P</creatorcontrib><title>Pain-related fear and daily functioning in patients with osteoarthritis</title><title>Pain (Amsterdam)</title><addtitle>Pain</addtitle><description>There is growing evidence supporting the relationship between pain-related fear and functional disability in chronic musculoskeletal pain conditions. In osteoarthritis (OA) patients the role of pain-related fear and avoidance has received little research attention so far. The present study investigates the degree to which pain-related fear, measured with the Tampa Scale for Kinesiophobia (TSK), influences daily functioning in OA patients. The purpose of the present paper was twofold: (1) to investigate the factor structure of the TSK in a sample of OA patients by means of confirmatory factor analysis; and (2) to investigate the role of pain-related fear in OA compared to other factors, such as radiological findings and level of pain intensity. The results show that TSK consists of two factors, called ‘activity avoidance’ and ‘somatic focus’, which is in line with other studies in low back pain and fibromyalgia. Furthermore, pain-related fear occurred to a considerable extent in this sample of osteoarthritis patients and was negatively associated with daily functioning. Level of pain and level of pain-related fear were significantly associated with functional limitations. Radiological findings were not significant predictors and when compared to pain-related fear they were not significant. These findings underscore the importance of pain-related fear in daily functioning of OA patients. Therefore, treatment strategies aiming at reduction of pain-related fear in OA patients need to be developed and investigated.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Avoidance behaviour</subject><subject>Biological and medical sciences</subject><subject>Chi-Square Distribution</subject><subject>Confirmatory factor analysis</subject><subject>Disability</subject><subject>Disability Evaluation</subject><subject>Diseases of the osteoarticular system</subject><subject>Fear - psychology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Level of functioning</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis - complications</subject><subject>Osteoarthritis - diagnostic imaging</subject><subject>Pain - diagnostic imaging</subject><subject>Pain - etiology</subject><subject>Pain - psychology</subject><subject>Pain Measurement - methods</subject><subject>Pain-related fear</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Radiography - methods</subject><subject>Regression Analysis</subject><issn>0304-3959</issn><issn>1872-6623</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFLJDEQhYMoOqv-AQ_SF731WEk6nW7wsoi6C4Ie9Byq09WaoSc9JhnFf2-GGXBPCw_q8r1H8TF2xmHOgddXi_kKnZ8LgGoOMkftsRlvtCjrWsh9NgMJVSlb1R6xXzEuAEAI0R6yI66EVlqLGbt_yhNloBET9cVAGAr0fdGjG7-KYe1tcpN3_rVwvlhhcuRTLD5deiummGjCkN6CSy6esIMBx0inu3vMXu5un2_-lA-P939vfj-UVjYilW2PHUrFua2q_KmCRnbWYqOpRtWCxLbTXa257UBXWleilbImhIYPdtC8kcfscru7CtP7mmIySxctjSN6mtbR1LVWeRgyKLagDVOMgQazCm6J4ctwMBt9ZmE2-sxGnwGZo3LpfLe-7pbU_1R2vjJwsQMwWhyHgN66-A_XNiB0lbnrLUfZxYejYKLN7iz1LpBNpp_c__74BlqCjYY</recordid><startdate>20040701</startdate><enddate>20040701</enddate><creator>Heuts, Peter H.T.G</creator><creator>Vlaeyen, Johan W.S</creator><creator>Roelofs, Jeffrey</creator><creator>de Bie, Rob A</creator><creator>Aretz, Karin</creator><creator>van Weel, Chris</creator><creator>van Schayck, Onno C.P</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040701</creationdate><title>Pain-related fear and daily functioning in patients with osteoarthritis</title><author>Heuts, Peter H.T.G ; Vlaeyen, Johan W.S ; Roelofs, Jeffrey ; de Bie, Rob A ; Aretz, Karin ; van Weel, Chris ; van Schayck, Onno C.P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c382t-9daba3511c441875083bcca87e6a5903a9b7b671cb07477429336ea081fcf7183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Avoidance behaviour</topic><topic>Biological and medical sciences</topic><topic>Chi-Square Distribution</topic><topic>Confirmatory factor analysis</topic><topic>Disability</topic><topic>Disability Evaluation</topic><topic>Diseases of the osteoarticular system</topic><topic>Fear - psychology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Illness and personality</topic><topic>Illness, stress and coping</topic><topic>Level of functioning</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis - complications</topic><topic>Osteoarthritis - diagnostic imaging</topic><topic>Pain - diagnostic imaging</topic><topic>Pain - etiology</topic><topic>Pain - psychology</topic><topic>Pain Measurement - methods</topic><topic>Pain-related fear</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Radiography - methods</topic><topic>Regression Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heuts, Peter H.T.G</creatorcontrib><creatorcontrib>Vlaeyen, Johan W.S</creatorcontrib><creatorcontrib>Roelofs, Jeffrey</creatorcontrib><creatorcontrib>de Bie, Rob A</creatorcontrib><creatorcontrib>Aretz, Karin</creatorcontrib><creatorcontrib>van Weel, Chris</creatorcontrib><creatorcontrib>van Schayck, Onno C.P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pain (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heuts, Peter H.T.G</au><au>Vlaeyen, Johan W.S</au><au>Roelofs, Jeffrey</au><au>de Bie, Rob A</au><au>Aretz, Karin</au><au>van Weel, Chris</au><au>van Schayck, Onno C.P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pain-related fear and daily functioning in patients with osteoarthritis</atitle><jtitle>Pain (Amsterdam)</jtitle><addtitle>Pain</addtitle><date>2004-07-01</date><risdate>2004</risdate><volume>110</volume><issue>1</issue><spage>228</spage><epage>235</epage><pages>228-235</pages><issn>0304-3959</issn><eissn>1872-6623</eissn><coden>PAINDB</coden><abstract>There is growing evidence supporting the relationship between pain-related fear and functional disability in chronic musculoskeletal pain conditions. In osteoarthritis (OA) patients the role of pain-related fear and avoidance has received little research attention so far. The present study investigates the degree to which pain-related fear, measured with the Tampa Scale for Kinesiophobia (TSK), influences daily functioning in OA patients. The purpose of the present paper was twofold: (1) to investigate the factor structure of the TSK in a sample of OA patients by means of confirmatory factor analysis; and (2) to investigate the role of pain-related fear in OA compared to other factors, such as radiological findings and level of pain intensity. The results show that TSK consists of two factors, called ‘activity avoidance’ and ‘somatic focus’, which is in line with other studies in low back pain and fibromyalgia. Furthermore, pain-related fear occurred to a considerable extent in this sample of osteoarthritis patients and was negatively associated with daily functioning. Level of pain and level of pain-related fear were significantly associated with functional limitations. Radiological findings were not significant predictors and when compared to pain-related fear they were not significant. These findings underscore the importance of pain-related fear in daily functioning of OA patients. Therefore, treatment strategies aiming at reduction of pain-related fear in OA patients need to be developed and investigated.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><pmid>15275772</pmid><doi>10.1016/j.pain.2004.03.035</doi><tpages>8</tpages></addata></record> |
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| subjects | Activities of Daily Living Adult Avoidance behaviour Biological and medical sciences Chi-Square Distribution Confirmatory factor analysis Disability Disability Evaluation Diseases of the osteoarticular system Fear - psychology Female Fundamental and applied biological sciences. Psychology Humans Illness and personality Illness, stress and coping Level of functioning Male Medical sciences Middle Aged Osteoarthritis Osteoarthritis - complications Osteoarthritis - diagnostic imaging Pain - diagnostic imaging Pain - etiology Pain - psychology Pain Measurement - methods Pain-related fear Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Radiography - methods Regression Analysis |
| title | Pain-related fear and daily functioning in patients with osteoarthritis |
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