Article

Pain perception is influenced by several cognitive and behavioral factors of
which some identified as mediators are important in pain management. We studied
the mediating role of control over pain and ability to decrease pain in relation
to functional self-efficacy, catastrophizing, and pain-related disability in
patients with Whiplash-Associated Disorders, (WAD). Further, if the possible
mediating impact differs over time from acute to three and 12 months after an
accident, cross-sectional and prospective design was used, and 123 patients with
WAD were included. Regression analyses were conducted to examine the mediating
effect. The results showed that control over pain and ability to decrease pain
were not mediators between self-efficacy, catastrophizing, and disability.
Self-efficacy had a larger direct effect on pain-related disability compared to
catastrophizing. Thus, healthcare staff should give priority to increase
patients' self-efficacy, decrease catastrophic thinking, and have least focus on
control over pain or ability to decrease pain.

Langue : ANGLAIS