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Title: Pain and pain-related fear are associated with functional and social disability in an occupational setting: Evidence of mediation by pain-related fear
Authors: Van den Bussche, E
Vlaeyen, JWS
Hidding, A
Crombez, G
Issue Date: 2006
Citation: EUROPEAN JOURNAL OF PAIN, 10(6). p. 513-525
Abstract: This study examined the role of work-related, psychosocial and psychological factors in predicting functional and social disability in working employees. In a cross-sectional design, 890 working employees (reporting at least 1 day of back pain during the past year) completed self-report measures of back pain, disability, pain-related fear, negative and positive affectivity, job satisfaction, job stress and physical work load. Regression analyses revealed that pain intensity was a strong predictor of functional (beta =.69, p <.001) and social disability (beta =.67, p <.001). Fear of (re)injury due to movement (beta =.25, p <.001; beta =.28, p <.001) had additional predictive value in both models. Further, (singular) mediation tests indicated that fear for (re)injury partially mediated the relation between pain intensity and disability, and between negative affectivity and disability. Finally, path analyses revealed both fear and pain intensity as mediators between negative affectivity and disability. Overall, our findings point at the relevance of the cognitive-behavioral model of avoidance in occupational settings. (C) 2005 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Ltd. All rights reserved.
Notes: Hasselt Univ, Res Grp Hlth Psychol, B-3590 Diepenbeek, Belgium. Univ Ghent, Dept Data Anal, Fac Psychol & Educ Sci, Ghent, Belgium. Maastricht Univ, Dept Med Clin & Expt Psychol, Maastricht, Netherlands. Atrium Med Ctr, Dept Educ & Res, Heerlen, Netherlands. Univ Ghent, Dept Expt Clin & Hlth Psychol, Fac Psychol & Educ Sci, Ghent, Belgium.Gheldof, ELM, Hasselt Univ, Res Grp Hlth Psychol, Campus Diepenbeek,Agoralaan Gebouw D, B-3590 Diepenbeek, Belgium.els.gheldof@uhasselt.be
URI: http://hdl.handle.net/1942/2843
DOI: 10.1016/j.ejpain.2005.07.005
ISI #: 000239390400005
ISSN: 1090-3801
Category: A1
Type: Journal Contribution
Validation: ecoom, 2007
Appears in Collections: Research publications

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