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Rehabil Psychol. 2013 Nov;58(4):361-368. doi: 10.1037/a0034267. Epub 2013 Sep 16.

Pain-related fear of movement and catastrophizing in whiplash-associated disorders.

Author information

1
PSiNET Research Group, Internet Interdisciplinary Institute, Universitat Oberta de Catalunya.
2
Unit for the Study and Treatment of Pain, ALGOS, Department of Psychology, Research Center for Behavior Assessment, Institut d'Investigació Sanitària Pere Virgili, Universitat Rovira i Virgili.
3
IWK Health Centre.

Abstract

OBJECTIVE:

The main aim of this study was to test whether pain-related fear of movement and catastrophizing were predictors of pain intensity and disability 6 months after a whiplash injury. The mediator role of fear of movement was also explored. A sample of 147 whiplash patients with neck pain for less than 3 months participated in the first assessment, and 123 of them were interviewed again at a 6-month follow-up. Multiple regression analyses were performed.

RESULTS:

Fear of movement, initial pain intensity and initial disability were independent predictors of disability at the 6-month follow-up. Initial pain intensity and initial pain duration were significant predictors of pain intensity at 6 months. Fear of movement was found not to be a mediator in either of the 2 outcomes at the 6-month follow-up.

CONCLUSIONS:

These findings suggest that interventions designed to reduce the impact of injury severity and pain-related fear of movement after a motor vehicle accident may be relevant for preventing long-lasting symptoms.

PMID:
24041249
DOI:
10.1037/a0034267
[Indexed for MEDLINE]

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