Social and psychological factors influenced the course of arm, neck and shoulder complaints
Abstract Objective To investigate the clinical course and prognostic factors of complaints of arm, neck, and shoulder. Study Design and Setting A prospective cohort study in physical therapy practice. Participating physiotherapists recruited new consulters with musculoskeletal complaints of the neck...
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| Veröffentlicht in: | Journal of clinical epidemiology 2007-08, Vol.60 (8), p.839-848 |
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| creator | Karels, C.H Bierma-Zeinstra, S.M.A Burdorf, A Verhagen, A.P Nauta, A.P Koes, B.W |
| description | Abstract Objective To investigate the clinical course and prognostic factors of complaints of arm, neck, and shoulder. Study Design and Setting A prospective cohort study in physical therapy practice. Participating physiotherapists recruited new consulters with musculoskeletal complaints of the neck and/or upper extremities. Participants filled in questionnaires at baseline, 3 months, and 6 months. The main outcome measure was the persistence of complaints over 6-month follow-up. Possible predictors like social and psychological factors, physical factors, and complaint specific factors were tested in univariate and multivariate logistic regression analyses for repeated measurements. Results Of the 624 participants at baseline 543 (87%) returned at least one follow-up questionnaire. At 6-month follow-up, 40% had persisting pain and discomfort. Somatization, kinesiophobia, catastrophizing, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months in the total population. In those with paid work (77%), catastrophizing, low decision authority at work, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months. Conclusion 40% of the participants had persisting pain and discomfort after 6 months and mainly social and psychological factors played a role in this course. |
| doi_str_mv | 10.1016/j.jclinepi.2006.11.012 |
| format | Article |
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Study Design and Setting A prospective cohort study in physical therapy practice. Participating physiotherapists recruited new consulters with musculoskeletal complaints of the neck and/or upper extremities. Participants filled in questionnaires at baseline, 3 months, and 6 months. The main outcome measure was the persistence of complaints over 6-month follow-up. Possible predictors like social and psychological factors, physical factors, and complaint specific factors were tested in univariate and multivariate logistic regression analyses for repeated measurements. Results Of the 624 participants at baseline 543 (87%) returned at least one follow-up questionnaire. At 6-month follow-up, 40% had persisting pain and discomfort. Somatization, kinesiophobia, catastrophizing, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months in the total population. In those with paid work (77%), catastrophizing, low decision authority at work, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months. Conclusion 40% of the participants had persisting pain and discomfort after 6 months and mainly social and psychological factors played a role in this course.</description><identifier>ISSN: 0895-4356</identifier><identifier>EISSN: 1878-5921</identifier><identifier>DOI: 10.1016/j.jclinepi.2006.11.012</identifier><identifier>PMID: 17606181</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Arm ; Arm Injuries - psychology ; Arm Injuries - therapy ; Biological and medical sciences ; Complaints ; Epidemiology ; Ergonomics ; Exercise ; Extremities ; Female ; Follow-Up Studies ; General aspects ; Humans ; Internal Medicine ; Logistic Models ; Male ; Medical sciences ; Methodology ; Middle Aged ; Miscellaneous ; Multivariate Analysis ; Musculoskeletal complaints ; Musculoskeletal Diseases - psychology ; Musculoskeletal Diseases - therapy ; Neck ; Neck Pain - psychology ; Neck Pain - therapy ; Netherlands ; Pain ; Pain Measurement ; Physical therapists ; Physical therapy ; Physical Therapy Modalities ; Prognosis ; Prognostic factors ; Prospective Studies ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Shoulder ; Shoulder Pain - psychology ; Shoulder Pain - therapy ; Somatoform Disorders - psychology ; Somatoform Disorders - therapy ; Stress, Psychological ; Studies ; Task Performance and Analysis ; Treatment Outcome ; Upper extremity</subject><ispartof>Journal of clinical epidemiology, 2007-08, Vol.60 (8), p.839-848</ispartof><rights>Elsevier Inc.</rights><rights>2007 Elsevier Inc.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c545t-e5b334e274fe9cdbf331cdf9b432e27321867ec4ff464cc718a817e6a12ae3ef3</citedby><cites>FETCH-LOGICAL-c545t-e5b334e274fe9cdbf331cdf9b432e27321867ec4ff464cc718a817e6a12ae3ef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0895435606004598$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18920600$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17606181$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karels, C.H</creatorcontrib><creatorcontrib>Bierma-Zeinstra, S.M.A</creatorcontrib><creatorcontrib>Burdorf, A</creatorcontrib><creatorcontrib>Verhagen, A.P</creatorcontrib><creatorcontrib>Nauta, A.P</creatorcontrib><creatorcontrib>Koes, B.W</creatorcontrib><title>Social and psychological factors influenced the course of arm, neck and shoulder complaints</title><title>Journal of clinical epidemiology</title><addtitle>J Clin Epidemiol</addtitle><description>Abstract Objective To investigate the clinical course and prognostic factors of complaints of arm, neck, and shoulder. Study Design and Setting A prospective cohort study in physical therapy practice. Participating physiotherapists recruited new consulters with musculoskeletal complaints of the neck and/or upper extremities. Participants filled in questionnaires at baseline, 3 months, and 6 months. The main outcome measure was the persistence of complaints over 6-month follow-up. Possible predictors like social and psychological factors, physical factors, and complaint specific factors were tested in univariate and multivariate logistic regression analyses for repeated measurements. Results Of the 624 participants at baseline 543 (87%) returned at least one follow-up questionnaire. At 6-month follow-up, 40% had persisting pain and discomfort. Somatization, kinesiophobia, catastrophizing, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months in the total population. In those with paid work (77%), catastrophizing, low decision authority at work, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months. Conclusion 40% of the participants had persisting pain and discomfort after 6 months and mainly social and psychological factors played a role in this course.</description><subject>Adult</subject><subject>Arm</subject><subject>Arm Injuries - psychology</subject><subject>Arm Injuries - therapy</subject><subject>Biological and medical sciences</subject><subject>Complaints</subject><subject>Epidemiology</subject><subject>Ergonomics</subject><subject>Exercise</subject><subject>Extremities</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methodology</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Multivariate Analysis</subject><subject>Musculoskeletal complaints</subject><subject>Musculoskeletal Diseases - psychology</subject><subject>Musculoskeletal Diseases - therapy</subject><subject>Neck</subject><subject>Neck Pain - psychology</subject><subject>Neck Pain - therapy</subject><subject>Netherlands</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Physical therapists</subject><subject>Physical therapy</subject><subject>Physical Therapy Modalities</subject><subject>Prognosis</subject><subject>Prognostic factors</subject><subject>Prospective Studies</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Shoulder</subject><subject>Shoulder Pain - psychology</subject><subject>Shoulder Pain - therapy</subject><subject>Somatoform Disorders - psychology</subject><subject>Somatoform Disorders - therapy</subject><subject>Stress, Psychological</subject><subject>Studies</subject><subject>Task Performance and Analysis</subject><subject>Treatment Outcome</subject><subject>Upper extremity</subject><issn>0895-4356</issn><issn>1878-5921</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkktr3DAQgEVpabZp_0IwlPZUOxrLluRLaQl9QSCHtKcehFYedeXYlivZhf33kbNbFnLJSSC-eX0zhFwALYACv-yKzvRuxMkVJaW8ACgolM_IBqSQed2U8JxsqGzqvGI1PyOvYuwoBUFF_ZKcgeCUg4QN-X3rjdN9psc2m-Le7Hzv_ziTfqw2sw8xc6PtFxwNttm8w8z4JUTMvM10GD5kI5q7h-C480vfYkjAMPXajXN8TV5Y3Ud8c3zPya-vX35efc-vb779uPp8nZu6qucc6y1jFZaistiYdmsZA9PaZluxMv2yEiQXaCprK14ZI0BqCQK5hlIjQ8vOyftD3in4vwvGWQ0uGux7PaJfohKUCyE5TeDbR2CXphlTbwpoqiqTtiZR_ECZ4GMMaNUU3KDDPkFqla869V--WuUrAJXkp8CLY_plO2B7CjvaTsC7I6BjUmyDHo2LJy7Vp5yufX46cJis_XMYVDTuYQUuoJlV693TvXx8lGKl1sXe4R7jaW4VS0XV7Xoq66Ws9au6keweTcC7EQ</recordid><startdate>20070801</startdate><enddate>20070801</enddate><creator>Karels, C.H</creator><creator>Bierma-Zeinstra, S.M.A</creator><creator>Burdorf, A</creator><creator>Verhagen, A.P</creator><creator>Nauta, A.P</creator><creator>Koes, B.W</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</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>3V.</scope><scope>7QL</scope><scope>7QP</scope><scope>7RV</scope><scope>7T2</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20070801</creationdate><title>Social and psychological factors influenced the course of arm, neck and shoulder complaints</title><author>Karels, C.H ; Bierma-Zeinstra, S.M.A ; Burdorf, A ; Verhagen, A.P ; Nauta, A.P ; Koes, B.W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c545t-e5b334e274fe9cdbf331cdf9b432e27321867ec4ff464cc718a817e6a12ae3ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Arm</topic><topic>Arm Injuries - psychology</topic><topic>Arm Injuries - therapy</topic><topic>Biological and medical sciences</topic><topic>Complaints</topic><topic>Epidemiology</topic><topic>Ergonomics</topic><topic>Exercise</topic><topic>Extremities</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General aspects</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methodology</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Multivariate Analysis</topic><topic>Musculoskeletal complaints</topic><topic>Musculoskeletal Diseases - psychology</topic><topic>Musculoskeletal Diseases - therapy</topic><topic>Neck</topic><topic>Neck Pain - psychology</topic><topic>Neck Pain - therapy</topic><topic>Netherlands</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Physical therapists</topic><topic>Physical therapy</topic><topic>Physical Therapy Modalities</topic><topic>Prognosis</topic><topic>Prognostic factors</topic><topic>Prospective Studies</topic><topic>Public health. Hygiene</topic><topic>Public health. 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Study Design and Setting A prospective cohort study in physical therapy practice. Participating physiotherapists recruited new consulters with musculoskeletal complaints of the neck and/or upper extremities. Participants filled in questionnaires at baseline, 3 months, and 6 months. The main outcome measure was the persistence of complaints over 6-month follow-up. Possible predictors like social and psychological factors, physical factors, and complaint specific factors were tested in univariate and multivariate logistic regression analyses for repeated measurements. Results Of the 624 participants at baseline 543 (87%) returned at least one follow-up questionnaire. At 6-month follow-up, 40% had persisting pain and discomfort. Somatization, kinesiophobia, catastrophizing, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months in the total population. In those with paid work (77%), catastrophizing, low decision authority at work, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months. Conclusion 40% of the participants had persisting pain and discomfort after 6 months and mainly social and psychological factors played a role in this course.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17606181</pmid><doi>10.1016/j.jclinepi.2006.11.012</doi><tpages>10</tpages></addata></record> |
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| subjects | Adult Arm Arm Injuries - psychology Arm Injuries - therapy Biological and medical sciences Complaints Epidemiology Ergonomics Exercise Extremities Female Follow-Up Studies General aspects Humans Internal Medicine Logistic Models Male Medical sciences Methodology Middle Aged Miscellaneous Multivariate Analysis Musculoskeletal complaints Musculoskeletal Diseases - psychology Musculoskeletal Diseases - therapy Neck Neck Pain - psychology Neck Pain - therapy Netherlands Pain Pain Measurement Physical therapists Physical therapy Physical Therapy Modalities Prognosis Prognostic factors Prospective Studies Public health. Hygiene Public health. Hygiene-occupational medicine Shoulder Shoulder Pain - psychology Shoulder Pain - therapy Somatoform Disorders - psychology Somatoform Disorders - therapy Stress, Psychological Studies Task Performance and Analysis Treatment Outcome Upper extremity |
| title | Social and psychological factors influenced the course of arm, neck and shoulder complaints |
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