Pain knowledge at treatment entry and post-treatment kinesiophobia in patients with fibromyalgia: a longitudinal study.
Patients' understanding of pain mechanisms is recognized as a significant factor associated with clinical outcomes. However, relatively little research has explored the impact of patients' post-boosting baseline pain knowledge, beliefs and attitudes on subsequent treatment outcomes. Filling this gap could facilitate informed decision-making at an early stage of intervention.
This study aims to examine the relationship between baseline pain knowledge, beliefs and attitudes and clinical health outcomes, including kinesiophobia, following a multidisciplinary rehabilitation program. It was hypothesized that baseline understanding more aligned with contemporary scientific understanding would be associated with improved post-treatment health outcomes, even after controlling for initial health status.
A total of 330 participants with fibromyalgia were recruited from a Central Sensitivity Syndromes Specialized Unit. Pain knowledge was assessed using the PACKA questionnaire after a brief educational boosting intervention and prior to participation in a three-month multidisciplinary rehabilitation program including physical exercise, psychological intervention, and further pain education. Health-related variables were measured both before and after the intervention to analyze potential associations between post-boosting baseline pain knowledge and post-treatment health outcomes.
After controlling for baseline health outcome scores, higher post-boosting baseline pain knowledge was significantly associated with lower post-treatment kinesiophobia (β = -0.23, 95% CI -0.35 to -0.12, p < 0.001). No significant associations were observed between post-boosting baseline pain knowledge and post-treatment fibromyalgia impact, anxiety, depression, or physical functioning (although the association was positive but non-significant).
These findings partially support the initial hypothesis, indicating that higher levels of pain-related knowledge at treatment entry are associated with lower post-treatment kinesiophobia following the intervention, while accounting for initial health status, specifically for kinesiophobia.
This study aims to examine the relationship between baseline pain knowledge, beliefs and attitudes and clinical health outcomes, including kinesiophobia, following a multidisciplinary rehabilitation program. It was hypothesized that baseline understanding more aligned with contemporary scientific understanding would be associated with improved post-treatment health outcomes, even after controlling for initial health status.
A total of 330 participants with fibromyalgia were recruited from a Central Sensitivity Syndromes Specialized Unit. Pain knowledge was assessed using the PACKA questionnaire after a brief educational boosting intervention and prior to participation in a three-month multidisciplinary rehabilitation program including physical exercise, psychological intervention, and further pain education. Health-related variables were measured both before and after the intervention to analyze potential associations between post-boosting baseline pain knowledge and post-treatment health outcomes.
After controlling for baseline health outcome scores, higher post-boosting baseline pain knowledge was significantly associated with lower post-treatment kinesiophobia (β = -0.23, 95% CI -0.35 to -0.12, p < 0.001). No significant associations were observed between post-boosting baseline pain knowledge and post-treatment fibromyalgia impact, anxiety, depression, or physical functioning (although the association was positive but non-significant).
These findings partially support the initial hypothesis, indicating that higher levels of pain-related knowledge at treatment entry are associated with lower post-treatment kinesiophobia following the intervention, while accounting for initial health status, specifically for kinesiophobia.
Authors
Serrat Serrat, Albajes Albajes, Feliu-Soler Feliu-Soler, Moix Moix, Almirall Almirall, Reezigt Reezigt, Lorimer Moseley Lorimer Moseley
View on Pubmed