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Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain
Purpose The purpose of the study was to investigate if changes in psychological variables are related to the outcome in pain and disability in patients with chronic anterior knee pain. Methods A longitudinal observational study on 47 patients with chronic anterior knee pain was performed in a second...
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| Published in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2014-10, Vol.22 (10), p.2295-2300 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Doménech, Julio Sanchis-Alfonso, Vicente Espejo, Begoña |
| description | Purpose
The purpose of the study was to investigate if changes in psychological variables are related to the outcome in pain and disability in patients with chronic anterior knee pain.
Methods
A longitudinal observational study on 47 patients with chronic anterior knee pain was performed in a secondary healthcare setting. Pain was measured with the visual analogue scale and disability with the Lysholm scale. The psychological variables, such as anxiety, depression, pain coping strategies, catastrophizing and fear to movement beliefs, were studied by using self-administered questionnaires.
Results
Among the pain coping strategies, only the catastrophizing subscale showed a significant reduction. Similarly, anxiety, depression and kinesiophobia were significantly reduced after treatment. Those patients who decreased the catastrophizing, kinesiophobia, anxiety and depression showed a greater improvement in pain and disability after a purely biomedical treatment. A multiple regression analysis revealed that changes in catastrophizing predicted the amount of improvement in pain severity and that changes in both catastrophizing and anxiety predicted changes in disability after treatment.
Conclusion
What has been found suggests that clinical improvement in pain and disability is associated with a reduction in catastrophizing and kinesiophobia. Therefore, co-interventions to reduce catastrophizing thinking and kinesiophobia may enhance the results.
Level of evidence
Prospective Cohort Study, Level I for prognosis. |
| doi_str_mv | 10.1007/s00167-014-2968-7 |
| format | article |
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The purpose of the study was to investigate if changes in psychological variables are related to the outcome in pain and disability in patients with chronic anterior knee pain.
Methods
A longitudinal observational study on 47 patients with chronic anterior knee pain was performed in a secondary healthcare setting. Pain was measured with the visual analogue scale and disability with the Lysholm scale. The psychological variables, such as anxiety, depression, pain coping strategies, catastrophizing and fear to movement beliefs, were studied by using self-administered questionnaires.
Results
Among the pain coping strategies, only the catastrophizing subscale showed a significant reduction. Similarly, anxiety, depression and kinesiophobia were significantly reduced after treatment. Those patients who decreased the catastrophizing, kinesiophobia, anxiety and depression showed a greater improvement in pain and disability after a purely biomedical treatment. A multiple regression analysis revealed that changes in catastrophizing predicted the amount of improvement in pain severity and that changes in both catastrophizing and anxiety predicted changes in disability after treatment.
Conclusion
What has been found suggests that clinical improvement in pain and disability is associated with a reduction in catastrophizing and kinesiophobia. Therefore, co-interventions to reduce catastrophizing thinking and kinesiophobia may enhance the results.
Level of evidence
Prospective Cohort Study, Level I for prognosis.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-014-2968-7</identifier><identifier>PMID: 24691626</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Activities of Daily Living ; Adult ; Anxiety ; Arthralgia - complications ; Arthralgia - psychology ; Arthralgia - therapy ; Catastrophization - etiology ; Chronic pain ; Cohort Studies ; Coping ; Culture ; Depression - etiology ; Disability Evaluation ; Fear ; Female ; Humans ; Knee ; Longitudinal Studies ; Male ; Medicine ; Medicine & Public Health ; Mental depression ; Middle Aged ; Movement ; Orthopedics ; Pain - psychology ; Pain Measurement ; Patellofemoral Pain Syndrome - complications ; Patellofemoral Pain Syndrome - psychology ; Patellofemoral Pain Syndrome - therapy ; Phobic Disorders - etiology ; Prospective Studies ; Questionnaires ; Regression Analysis ; Surgery ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014-10, Vol.22 (10), p.2295-2300</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c518t-907f6f9649d1e1f236cda191513ed92f54a0cf29fbe087cbe07eedc8cd3f459c3</citedby><cites>FETCH-LOGICAL-c518t-907f6f9649d1e1f236cda191513ed92f54a0cf29fbe087cbe07eedc8cd3f459c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24691626$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Doménech, Julio</creatorcontrib><creatorcontrib>Sanchis-Alfonso, Vicente</creatorcontrib><creatorcontrib>Espejo, Begoña</creatorcontrib><title>Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The purpose of the study was to investigate if changes in psychological variables are related to the outcome in pain and disability in patients with chronic anterior knee pain.
Methods
A longitudinal observational study on 47 patients with chronic anterior knee pain was performed in a secondary healthcare setting. Pain was measured with the visual analogue scale and disability with the Lysholm scale. The psychological variables, such as anxiety, depression, pain coping strategies, catastrophizing and fear to movement beliefs, were studied by using self-administered questionnaires.
Results
Among the pain coping strategies, only the catastrophizing subscale showed a significant reduction. Similarly, anxiety, depression and kinesiophobia were significantly reduced after treatment. Those patients who decreased the catastrophizing, kinesiophobia, anxiety and depression showed a greater improvement in pain and disability after a purely biomedical treatment. A multiple regression analysis revealed that changes in catastrophizing predicted the amount of improvement in pain severity and that changes in both catastrophizing and anxiety predicted changes in disability after treatment.
Conclusion
What has been found suggests that clinical improvement in pain and disability is associated with a reduction in catastrophizing and kinesiophobia. Therefore, co-interventions to reduce catastrophizing thinking and kinesiophobia may enhance the results.
Level of evidence
Prospective Cohort Study, Level I for prognosis.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Anxiety</subject><subject>Arthralgia - complications</subject><subject>Arthralgia - psychology</subject><subject>Arthralgia - therapy</subject><subject>Catastrophization - etiology</subject><subject>Chronic pain</subject><subject>Cohort Studies</subject><subject>Coping</subject><subject>Culture</subject><subject>Depression - etiology</subject><subject>Disability Evaluation</subject><subject>Fear</subject><subject>Female</subject><subject>Humans</subject><subject>Knee</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Movement</subject><subject>Orthopedics</subject><subject>Pain - psychology</subject><subject>Pain Measurement</subject><subject>Patellofemoral Pain Syndrome - complications</subject><subject>Patellofemoral Pain Syndrome - psychology</subject><subject>Patellofemoral Pain Syndrome - therapy</subject><subject>Phobic Disorders - etiology</subject><subject>Prospective Studies</subject><subject>Questionnaires</subject><subject>Regression Analysis</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqNkU1vVCEUhomxsWPrD3BjSNy4ucqBe-GyNBO_kiZu7JowcOjQznCvwNjUf-E_lpmpHzEx6QZODs97yMlDyHNgr4Ex9aYwBlJ1DPqOazl26hFZQC9Ep0SvHpMF0z3vOBvkKXlayjVjrez1E3LKe6lBcrkgP5Zrm66w0Jios9WWmqd5Hb_HdEVt8vQmJiyxtaZVtNRmpHNGH12N35BOgbo_cR-LXcVNrHeH5Gxbz4aKmdaMtm4x1T022xpbWehtrOtGNiBOmd4kxEPmnJwEuyn47P4-I5fv331ZfuwuPn_4tHx70bkBxtpppoIMuu3jASFwIZ23oGEAgV7zMPSWucB1WCEblWunQvRudF6EftBOnJFXx7lznr7usFSzjcXhZmMTTrtiYJByHEBq-RBUaC2U5A19-Q96Pe1yaoscqAG0BNUoOFIuT6VkDGbOcWvznQFm9mrNUa1pas1erdlnXtxP3q226H8nfrlsAD8CpT01Kfmvr_879SeCN7Ek</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Doménech, Julio</creator><creator>Sanchis-Alfonso, Vicente</creator><creator>Espejo, Begoña</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><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>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20141001</creationdate><title>Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain</title><author>Doménech, Julio ; Sanchis-Alfonso, Vicente ; Espejo, Begoña</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c518t-907f6f9649d1e1f236cda191513ed92f54a0cf29fbe087cbe07eedc8cd3f459c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Anxiety</topic><topic>Arthralgia - complications</topic><topic>Arthralgia - psychology</topic><topic>Arthralgia - therapy</topic><topic>Catastrophization - etiology</topic><topic>Chronic pain</topic><topic>Cohort Studies</topic><topic>Coping</topic><topic>Culture</topic><topic>Depression - etiology</topic><topic>Disability Evaluation</topic><topic>Fear</topic><topic>Female</topic><topic>Humans</topic><topic>Knee</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Movement</topic><topic>Orthopedics</topic><topic>Pain - psychology</topic><topic>Pain Measurement</topic><topic>Patellofemoral Pain Syndrome - complications</topic><topic>Patellofemoral Pain Syndrome - psychology</topic><topic>Patellofemoral Pain Syndrome - therapy</topic><topic>Phobic Disorders - etiology</topic><topic>Prospective Studies</topic><topic>Questionnaires</topic><topic>Regression Analysis</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Doménech, Julio</creatorcontrib><creatorcontrib>Sanchis-Alfonso, Vicente</creatorcontrib><creatorcontrib>Espejo, Begoña</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Doménech, Julio</au><au>Sanchis-Alfonso, Vicente</au><au>Espejo, Begoña</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>22</volume><issue>10</issue><spage>2295</spage><epage>2300</epage><pages>2295-2300</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Undefined-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><notes>ObjectType-Article-1</notes><notes>ObjectType-Feature-2</notes><abstract>Purpose
The purpose of the study was to investigate if changes in psychological variables are related to the outcome in pain and disability in patients with chronic anterior knee pain.
Methods
A longitudinal observational study on 47 patients with chronic anterior knee pain was performed in a secondary healthcare setting. Pain was measured with the visual analogue scale and disability with the Lysholm scale. The psychological variables, such as anxiety, depression, pain coping strategies, catastrophizing and fear to movement beliefs, were studied by using self-administered questionnaires.
Results
Among the pain coping strategies, only the catastrophizing subscale showed a significant reduction. Similarly, anxiety, depression and kinesiophobia were significantly reduced after treatment. Those patients who decreased the catastrophizing, kinesiophobia, anxiety and depression showed a greater improvement in pain and disability after a purely biomedical treatment. A multiple regression analysis revealed that changes in catastrophizing predicted the amount of improvement in pain severity and that changes in both catastrophizing and anxiety predicted changes in disability after treatment.
Conclusion
What has been found suggests that clinical improvement in pain and disability is associated with a reduction in catastrophizing and kinesiophobia. Therefore, co-interventions to reduce catastrophizing thinking and kinesiophobia may enhance the results.
Level of evidence
Prospective Cohort Study, Level I for prognosis.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24691626</pmid><doi>10.1007/s00167-014-2968-7</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014-10, Vol.22 (10), p.2295-2300 |
| issn | 0942-2056 1433-7347 |
| language | eng |
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| source | Springer Link; SPORTDiscus with Full Text |
| subjects | Activities of Daily Living Adult Anxiety Arthralgia - complications Arthralgia - psychology Arthralgia - therapy Catastrophization - etiology Chronic pain Cohort Studies Coping Culture Depression - etiology Disability Evaluation Fear Female Humans Knee Longitudinal Studies Male Medicine Medicine & Public Health Mental depression Middle Aged Movement Orthopedics Pain - psychology Pain Measurement Patellofemoral Pain Syndrome - complications Patellofemoral Pain Syndrome - psychology Patellofemoral Pain Syndrome - therapy Phobic Disorders - etiology Prospective Studies Questionnaires Regression Analysis Surgery Surveys and Questionnaires Young Adult |
| title | Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain |
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