Functional Disability, Catastrophizing, and the Stage of Change in Veterans with Chronic Pain.

Background/Purpose: A biopsychosocial approach for the treatment of veterans with chronic pain is warranted. Veterans are more likely to report severe pain than non- veterans and reports suggest that the prevalence of pain complaints among veterans is growing steadily with each passing year. In addi...

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Publicado en:Orthopedic Physical Therapy Practice Vol. 33; no. 1; pp. 6 - 12
Autores principales: Evans, Estey, Bialosky, Joel, Barry, Ann
Formato: research tables/charts Journal Article
Publicado: Orthopaedic Section, APTA, Inc. 2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2021
      vid: 33
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      pub: Orthopaedic Section, APTA, Inc.
      place: La Crosse, Wisconsin
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        atl: Functional Disability, Catastrophizing, and the Stage of Change in Veterans with Chronic Pain.
      aug:
        au:
          Evans, Estey
          Bialosky, Joel
          Barry, Ann
        affil: James A Haley Veterans' Hospital, Department of Veteran Afairs, Tampa, FL
      sug:
        subj:
          Veterans Psychosocial Factors
          Chronic Pain Rehabilitation
          Catastrophization Evaluation
          Transtheoretical Stages of Change Model
          Functional Assessment
          Disability Evaluation
          Psychological Distress
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          South Carolina
          Record Review
          Behavioral Changes
          Outpatients
          Physical Therapy
          Questionnaires
          Scales
          Clinical Assessment Tools
          Descriptive Statistics
          Chi Square Test
          Analysis of Variance
          Linear Regression
          Stress Disorders, Post-Traumatic
          Depression
          Anxiety
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background/Purpose: A biopsychosocial approach for the treatment of veterans with chronic pain is warranted. Veterans are more likely to report severe pain than non- veterans and reports suggest that the prevalence of pain complaints among veterans is growing steadily with each passing year. In addition, veterans also have a high prevalence of psychological comorbidities that can play an important role in the development and maintenance of chronic pain. The purpose of this study was to explore the relationship between the stages of change, psychological distress, pain catastrophizing, and disability in veterans with chronic pain referred to outpatient physical therapy. Methods: Distress, function, and pain catastrophizing were examined according to the stages of change and regression models were developed to account for variance. Findings: There was a significant difference found for pain catastrophizing but not for distress or function based on the stage of change. The stages of change explained a significant amount of variance of function and catastrophizing, when controlling for age and sex. Conclusion: The stage of change adds significant value to the prediction of function and catastrophizing. Clinical Relevance: To maximize treatment outcomes and to influence behavior change, physical therapists must monitor a veteran's readiness to change and align our interventions accordingly.
      pubtype: Periodical
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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