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Do psychosocial factors predict disability and health at a 3-year follow-up for patients with non-acute musculoskeletal pain?: A validation of the Örebro Musculoskeletal Pain Screening Questionnaire
Örebro University, School of Health and Medical Sciences. (Center for Health and Medical Psychology, CHAMP)
Örebro University, School of Law, Psychology and Social Work. (Center for Health and Medical Psychology, CHAMP)ORCID iD: 0000-0001-5359-0452
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2008 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 12, no 5, 641-649 p.Article in journal (Refereed) Published
Abstract [en]

Purpose

Early identification and intervention with those that run the risk of developing long-term disability would offer a great opportunity for reducing costs and personal suffering associated with long-term work absenteeism. The Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ) has been used and validated in several studies for participants with mainly acute pain problems. The aim of this study was to validate the ÖMPSQ for patients with non-acute pain problems (e.g. 1–6 months sick leave) and compare to other relevant questionnaires.

Method

One hundred and fifty-eight patients with musculoskeletal pain and disability recruited to a multidisciplinary rehabilitation project completed a battery of questionnaires at baseline and at 3-year follow-up visits. The main analysis involved the relationship between risk levels in the questionnaire and sick leave and perceived health after 3 years.

Results

The ÖMSPQ predicted future sick leave and health and was found to have six factors. The function and pain factors were the best predictors of sick leave after 3 years, while the distress factor was the best predictor of perceived mental health and return to work-expectancy was borderline significant. Perceived physical health at 3 years was best predicted by the function and pain factors with the fear-avoidance factor being marginally significant.

Conclusion

The results demonstrate that psychosocial factors as measured by ÖMPSQ are related to work disability and perceived health even 3 years after treatment for patients with non-acute pain problems. The ÖMSPQ was a good predictor of outcome.

Place, publisher, year, edition, pages
2008. Vol. 12, no 5, 641-649 p.
Keyword [en]
back pain, screening, risk factors, follow-up
National Category
Psychology Medical and Health Sciences
Research subject
Clinical Psychology; Medicine
Identifiers
URN: urn:nbn:se:oru:diva-6696DOI: 10.1016/j.ejpain.2007.10.007OAI: oai:DiVA.org:oru-6696DiVA: diva2:216681
Available from: 2009-05-11 Created: 2009-05-11 Last updated: 2015-03-10Bibliographically approved
In thesis
1. Musculoskeletal pain in primary health care: a biopsychosocial perspective for assessment and  treatment
Open this publication in new window or tab >>Musculoskeletal pain in primary health care: a biopsychosocial perspective for assessment and  treatment
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Long-term musculoskeletal pain is a large public health problem with serious consequences for both the individual and society. Psychosocial factors have been shown to be good predictors of long-term disability and play an important role in the transition from acute to chronic pain. Early identification and intervention of those that run the risk of developing long-term disability would offer a great opportunity for reducing costs and personal suffering. The overall aim of this thesis was to assess a biopsychosocial approach to the assessment and management of musculoskeletal pain patients in primary health care.

To this end, biopsychosocial assessment and treatment methods were tested in two different populations of primary care patients suffering pain. Results indicated that improvements in quality of life and work capacity one year after early multimodal rehabilitation were basically maintained after five years. The most salient prognostic factors determining return to work were educational level and the individual’s perceived health (Study I). Psychosocial factors as measured by the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ) were related to disability and perceived health three years after treatment for non-acute pain problems (Study II). The experimental group in the controlled multimodal pain rehabilitation programme had lower health care utilization and a reduced risk of using large amounts of medication after three years compared with the participants in the control group. However, there were no significant differences between the groups on variables such as work capacity, function, catastrophizing and pain (Study III). Distinct profiles of catastrophizing, fear-avoidance beliefs, and distress were extracted and meaningfully related to future sick leave and dysfunction (Study IV).

Our findings provide support for the biopsychosocial model and highlight the importance of psychosocial factors in long-term outcome. The results underscore the need for early identification of patients at risk. Further, multimodal treatment that covers not only biological but also psychosocial factors seems to be a key to successful treatment, and ideally this intervention should be matched to the patients' needs.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2010. 82 p.
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 40
Keyword
musculoskeletal pain, biopsychosocial, multimodal, fear-avoidance, catastrophizing, distress, sick leave, function
National Category
Family Medicine Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Family Medicine; Rehabilitation Medicine
Identifiers
urn:nbn:se:oru:diva-10084 (URN)978-91-7668-716-1 (ISBN)
Public defence
2010-04-23, Aulan, ingång 21, 721 89, Centrallasarettet, Västerås, 13:15 (Swedish)
Opponent
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Available from: 2010-03-19 Created: 2010-03-18 Last updated: 2011-04-26Bibliographically approved

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