ArticlePhysical therapy2012
Development of a cumulative psychosocial factor index for problematic recovery following work-related musculoskeletal injuries.
Article in Physical therapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 48 citations in OpenAlex.
- Psychosocial Mechanisms of Cognitive-Behavioral-Based Physical Therapy Outcomes After Spine Surgery: Preliminary Findings From Mediation Analyses.Physical therapy · 2020Trial
- Prevalence and risk factors associated with work-related musculoskeletal disorders among physiotherapists in United Arab Emirates.Scientific reports · 2025Article
- Effects of Individual Psychological Factors and Cumulative Psychological Distress on Prospective Pain Quality in Older Adults With Chronic Low Back Pain.The Clinical journal of pain · 2025Article
- Examining Psychological Factors as Contributors to Pain, Disability, and Physical Function in Geriatric Chronic Low Back Pain: A Prospective Analysis of the Delaware Spine Studies Cohort.The journal of pain · 2024Article
- The association between disability and physical performance, pain intensity, and pain-related anxiety in patients after lumbar decompression surgery: a cross-sectional study.Journal of orthopaedic surgery and research · 2023Article
- Circumstances and outcome of active transportation injuries: protocol of a British Columbian inception cohort study.BMJ open · 2023Article
- Article
- The Impact of Varied Music Applications on Pain Perception and Situational Pain Catastrophizing.The journal of pain · 2023Article
- Predictive Value of the Fear-Avoidance Model on Functional Capacity Evaluation.Journal of occupational rehabilitation · 2018Article
- The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain.The journal of pain · 2016Review
- Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain Rehabilitation.Pain research & management · 2016Article
- Rates and Correlates of Unemployment Across Four Common Chronic Pain Diagnostic Categories.Journal of occupational rehabilitation · 2015Article
- A cross-sectional survey assessing sources of movement-related fear among people with fibromyalgia syndrome.Clinical rheumatology · 2015Article
- Subgrouping for patients with low back pain: a multidimensional approach incorporating cluster analysis and the STarT Back Screening Tool.The journal of pain · 2015Article
- Changes in pain catastrophizing following physical therapy for musculoskeletal injury: the influence of depressive and post-traumatic stress symptoms.Journal of occupational rehabilitation · 2014Article
- Rethinking the fear avoidance model: toward a multidimensional framework of pain-related disability.Pain · 2013Review
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPsychosocial variables such as fear of movement, depression, and pain catastrophizing have been shown to be important prognostic factors for a wide range of pain-related outcomes. The potential for a cumulative relationship between different elevated psychosocial factors and problematic recovery following physical therapy has not been fully explored.
objectiveThe purpose of this study was to determine whether the level of risk for problematic recovery following work-related injuries is associated with the number of elevated psychosocial factors.
designThis was a prospective cohort study.
methodsTwo hundred two individuals with subacute, work-related musculoskeletal injuries completed a 7-week physical therapy intervention and participated in testing at treatment onset and 1 year later. An index of psychosocial risk was created from measures of fear of movement, depression, and pain catastrophizing. This index was used to predict the likelihood of experiencing problematic recovery in reference to pain intensity and return-to-work status at the 1-year follow-up.
resultsLogistic regression analysis revealed that the number of prognostic factors was a significant predictor of persistent pain and work disability at the 1-year follow-up. Chi-square analysis revealed that the risk for problematic recovery increased for patients with elevated levels on at least 1 psychosocial factor and was highest when patients had elevated scores on all 3 psychosocial factors. LIMITATIONS: The physical therapy interventions used in this study were not standardized. This study did not include a specific measure for physical function.
conclusionsThe number of elevated psychosocial factors present in the subacute phase of recovery has a cumulative effect on the level of risk for problematic recovery 1 year later. This research suggests that a cumulative prognostic factor index could be used in clinical settings to improve prognostic accuracy and to facilitate clinical decision making.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.