The Relation between the Fear-Avoidance Model and Constructs from the Social Cognitive Theory in Acute WAD

In the fear-avoidance (FA) model social cognitive constructs could add to explaining the disabling process in whiplash associated disorder (WAD). The aim was to exemplify the possible input from Social Cognitive Theory on the FA model. Specifically the role of functional self-efficacy and perceived...

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Main Authors: Maria Sandborgh, Ann-Christin Johansson, Anne Söderlund
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2016/8281926
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author Maria Sandborgh
Ann-Christin Johansson
Anne Söderlund
author_facet Maria Sandborgh
Ann-Christin Johansson
Anne Söderlund
author_sort Maria Sandborgh
collection DOAJ
description In the fear-avoidance (FA) model social cognitive constructs could add to explaining the disabling process in whiplash associated disorder (WAD). The aim was to exemplify the possible input from Social Cognitive Theory on the FA model. Specifically the role of functional self-efficacy and perceived responses from a spouse/intimate partner was studied. A cross-sectional and correlational design was used. Data from 64 patients with acute WAD were used. Measures were pain intensity measured with a numerical rating scale, the Pain Disability Index, support, punishing responses, solicitous responses, and distracting responses subscales from the Multidimensional Pain Inventory, the Catastrophizing subscale from the Coping Strategies Questionnaire, the Tampa Scale of Kinesiophobia, and the Self-Efficacy Scale. Bivariate correlational, simple linear regression, and multiple regression analyses were used. In the statistical prediction models high pain intensity indicated high punishing responses, which indicated high catastrophizing. High catastrophizing indicated high fear of movement, which indicated low self-efficacy. Low self-efficacy indicated high disability, which indicated high pain intensity. All independent variables together explained 66.4% of the variance in pain disability, p<0.001. Results suggest a possible link between one aspect of the social environment, perceived punishing responses from a spouse/intimate partner, pain intensity, and catastrophizing. Further, results support a mediating role of self-efficacy between fear of movement and disability in WAD.
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spelling doaj-art-d0f3124e94df47c29df877ab42ed9fb42025-08-20T03:19:38ZengWileyPain Research and Management1203-67651918-15232016-01-01201610.1155/2016/82819268281926The Relation between the Fear-Avoidance Model and Constructs from the Social Cognitive Theory in Acute WADMaria Sandborgh0Ann-Christin Johansson1Anne Söderlund2Department of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Box 883, 721 23 Västerås, SwedenDepartment of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Box 883, 721 23 Västerås, SwedenDepartment of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Box 883, 721 23 Västerås, SwedenIn the fear-avoidance (FA) model social cognitive constructs could add to explaining the disabling process in whiplash associated disorder (WAD). The aim was to exemplify the possible input from Social Cognitive Theory on the FA model. Specifically the role of functional self-efficacy and perceived responses from a spouse/intimate partner was studied. A cross-sectional and correlational design was used. Data from 64 patients with acute WAD were used. Measures were pain intensity measured with a numerical rating scale, the Pain Disability Index, support, punishing responses, solicitous responses, and distracting responses subscales from the Multidimensional Pain Inventory, the Catastrophizing subscale from the Coping Strategies Questionnaire, the Tampa Scale of Kinesiophobia, and the Self-Efficacy Scale. Bivariate correlational, simple linear regression, and multiple regression analyses were used. In the statistical prediction models high pain intensity indicated high punishing responses, which indicated high catastrophizing. High catastrophizing indicated high fear of movement, which indicated low self-efficacy. Low self-efficacy indicated high disability, which indicated high pain intensity. All independent variables together explained 66.4% of the variance in pain disability, p<0.001. Results suggest a possible link between one aspect of the social environment, perceived punishing responses from a spouse/intimate partner, pain intensity, and catastrophizing. Further, results support a mediating role of self-efficacy between fear of movement and disability in WAD.http://dx.doi.org/10.1155/2016/8281926
spellingShingle Maria Sandborgh
Ann-Christin Johansson
Anne Söderlund
The Relation between the Fear-Avoidance Model and Constructs from the Social Cognitive Theory in Acute WAD
Pain Research and Management
title The Relation between the Fear-Avoidance Model and Constructs from the Social Cognitive Theory in Acute WAD
title_full The Relation between the Fear-Avoidance Model and Constructs from the Social Cognitive Theory in Acute WAD
title_fullStr The Relation between the Fear-Avoidance Model and Constructs from the Social Cognitive Theory in Acute WAD
title_full_unstemmed The Relation between the Fear-Avoidance Model and Constructs from the Social Cognitive Theory in Acute WAD
title_short The Relation between the Fear-Avoidance Model and Constructs from the Social Cognitive Theory in Acute WAD
title_sort relation between the fear avoidance model and constructs from the social cognitive theory in acute wad
url http://dx.doi.org/10.1155/2016/8281926
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