TY  - JOUR
PY  - 2007//
TI  - Social and psychological factors influenced the course of arm, neck and shoulder complaints
JO  - Journal of clinical epidemiology
A1  - Karels, C. H.
A1  - Bierma-Zeinstra, Sita M. A.
A1  - Burdorf, A.
A1  - Verhagen, Arianne P.
A1  - Nauta, A. P.
A1  - Koes, Bart W.
SP  - 839
EP  - 848
VL  - 60
IS  - 8
N2  - OBJECTIVE: To investigate the clinical course and prognostic factors of complaints of arm, neck, and shoulder. STUDY DESIGN AND SETTING: A prospective cohort study in physical therapy practice. Participating physiotherapists recruited new consulters with musculoskeletal complaints of the neck and/or upper extremities. Participants filled in questionnaires at baseline, 3 months, and 6 months. The main outcome measure was the persistence of complaints over 6-month follow-up. Possible predictors like social and psychological factors, physical factors, and complaint specific factors were tested in univariate and multivariate logistic regression analyses for repeated measurements. RESULTS: Of the 624 participants at baseline 543 (87%) returned at least one follow-up questionnaire. At 6-month follow-up, 40% had persisting pain and discomfort. Somatization, kinesiophobia, catastrophizing, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months in the total population. In those with paid work (77%), catastrophizing, low decision authority at work, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months. CONCLUSION: 40% of the participants had persisting pain and discomfort after 6 months and mainly social and psychological factors played a role in this course.<p /> <p>Language: en</p> 
LA  - en
SN  - 0895-4356
UR  - http://dx.doi.org/10.1016/j.jclinepi.2006.11.012
ID  - ref1
ER  -