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dc.contributor.authorAngst, Felix-
dc.contributor.authorLehmann, Susanne-
dc.contributor.authorSandor, Peter S.-
dc.contributor.authorBenz, Thomas-
dc.date.accessioned2023-03-02T16:57:59Z-
dc.date.available2023-03-02T16:57:59Z-
dc.date.issued2022-08-
dc.identifier.issn1090-3801de_CH
dc.identifier.issn1532-2149de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/27189-
dc.description.abstractBackground: Quantitative data on longitudinal associations between catastrophizing and pain or physical function are patchy. The study aimed to quantify the prognostic value of catastrophizing for pain and function in fibromyalgia and low back pain before and after rehabilitation. Methods: The associations of state and change on the Multidimensional Pain Inventory (MPI) Pain severity scale, the Short Form 36 (SF-36) Physical functioning scale and the Six-Minute Walking Distance (6MWD) with the Coping Strategies Questionnaire (CSQ) Catastrophizing scale were quantified by multiple regression modelling to adjust for confounders. Results: Sex- and age-matched cohorts (n = 71 each) were compared. Pain and catastrophizing were worse in fibromyalgia than in low back pain, whereas the function levels were comparable. Baseline catastrophizing predicted pain change by adjusted correlations of 0.552 (fibromyalgia) and 0.450 (low back pain), self-rated function by 0.403 and 0.308, and the 6MWD by 0.270 and - 0.072. The change in catastrophizing was associated to the change in pain by 0.440 (fibromyalgia) and 0.614 (low back pain), self-rated function by 0.122 and 0.465, and the 6MWD by 0186 and 0.162. Conclusions: Catastrophizing (pain-related worrying) was a potential prognostic factor, especially for pain and somewhat less for self-rated physical function but it was only weakly predictive for the walking distance in both conditions, independently of potential confounders, such as sex, age, baseline severity and others. Reduction of maladaptive coping should be integrated into the management of chronic pain. Significance: Our study showed surprisingly high associations between state and change in catastrophizing to pain relief and functional improvement in chronic pain patients. This is supported by clinical experience and research data, even if the construct and measurement of catastrophizing is under debate. Our findings and those of literature point to more pessimistic self-rating of pain and catastrophizing in fibromyalgia when compared to other conditions. This might obscure positive effects on pain and function achieved by adaptive coping in fibromyalgia.de_CH
dc.language.isoende_CH
dc.publisherWileyde_CH
dc.relation.ispartofEuropean Journal of Painde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectHumande_CH
dc.subjectPrognosisde_CH
dc.subjectCatastrophizationde_CH
dc.subjectChronic painde_CH
dc.subjectFibromyalgiade_CH
dc.subjectLow back painde_CH
dc.subject.ddc617.5: Orthopädische Chirurgiede_CH
dc.titleCatastrophizing as a prognostic factor for pain and physical function in the multidisciplinary rehabilitation of fibromyalgia and low back painde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Physiotherapie (IPT)de_CH
dc.identifier.doi10.1002/ejp.1983de_CH
dc.identifier.pmid35634793de_CH
zhaw.funding.euNode_CH
zhaw.issue7de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end1580de_CH
zhaw.pages.start1569de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume26de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
Appears in collections:Publikationen Gesundheit

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Angst, F., Lehmann, S., Sandor, P. S., & Benz, T. (2022). Catastrophizing as a prognostic factor for pain and physical function in the multidisciplinary rehabilitation of fibromyalgia and low back pain. European Journal of Pain, 26(7), 1569–1580. https://doi.org/10.1002/ejp.1983
Angst, F. et al. (2022) ‘Catastrophizing as a prognostic factor for pain and physical function in the multidisciplinary rehabilitation of fibromyalgia and low back pain’, European Journal of Pain, 26(7), pp. 1569–1580. Available at: https://doi.org/10.1002/ejp.1983.
F. Angst, S. Lehmann, P. S. Sandor, and T. Benz, “Catastrophizing as a prognostic factor for pain and physical function in the multidisciplinary rehabilitation of fibromyalgia and low back pain,” European Journal of Pain, vol. 26, no. 7, pp. 1569–1580, Aug. 2022, doi: 10.1002/ejp.1983.
ANGST, Felix, Susanne LEHMANN, Peter S. SANDOR und Thomas BENZ, 2022. Catastrophizing as a prognostic factor for pain and physical function in the multidisciplinary rehabilitation of fibromyalgia and low back pain. European Journal of Pain. August 2022. Bd. 26, Nr. 7, S. 1569–1580. DOI 10.1002/ejp.1983
Angst, Felix, Susanne Lehmann, Peter S. Sandor, and Thomas Benz. 2022. “Catastrophizing as a Prognostic Factor for Pain and Physical Function in the Multidisciplinary Rehabilitation of Fibromyalgia and Low Back Pain.” European Journal of Pain 26 (7): 1569–80. https://doi.org/10.1002/ejp.1983.
Angst, Felix, et al. “Catastrophizing as a Prognostic Factor for Pain and Physical Function in the Multidisciplinary Rehabilitation of Fibromyalgia and Low Back Pain.” European Journal of Pain, vol. 26, no. 7, Aug. 2022, pp. 1569–80, https://doi.org/10.1002/ejp.1983.


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