2007-08-01
Social and psychological factors influenced the course of arm, neck and shoulder complaints
Publication
Publication
Journal of Clinical Epidemiology , Volume 60 - Issue 8 p. 839- 848
Objective: To investigate the clinical course and prognostic factors of complaints of arm, neck, and shoulder. Study Design and Setting: A prospective cohort study in physical therapy practice. Participating physiotherapists recruited new consulters with musculoskeletal complaints of the neck and/or upper extremities. Participants filled in questionnaires at baseline, 3 months, and 6 months. The main outcome measure was the persistence of complaints over 6-month follow-up. Possible predictors like social and psychological factors, physical factors, and complaint specific factors were tested in univariate and multivariate logistic regression analyses for repeated measurements. Results: Of the 624 participants at baseline 543 (87%) returned at least one follow-up questionnaire. At 6-month follow-up, 40% had persisting pain and discomfort. Somatization, kinesiophobia, catastrophizing, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months in the total population. In those with paid work (77%), catastrophizing, low decision authority at work, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months. Conclusion: 40% of the participants had persisting pain and discomfort after 6 months and mainly social and psychological factors played a role in this course.
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doi.org/10.1016/j.jclinepi.2006.11.012, hdl.handle.net/1765/36258 | |
Journal of Clinical Epidemiology | |
Organisation | Erasmus MC: University Medical Center Rotterdam |
Karels, C., Bierma-Zeinstra, S., Burdorf, A., Verhagen, A., Nauta, N., & Koes, B. (2007). Social and psychological factors influenced the course of arm, neck and shoulder complaints. Journal of Clinical Epidemiology, 60(8), 839–848. doi:10.1016/j.jclinepi.2006.11.012 |