The Impact of Organic and Psychological Pain Beliefs on Pain, Disability, Kinesiophobia, Catastrophizing, and Pain Knowledge in Shoulder Pain: A Cross-Sectional Study.

IF 2.5 4区医学 Q2 NURSING

Pain Management Nursing Pub Date : 2026-08-04 DOI:10.1016/j.pmn.2026.07.012

Büşra Aksan Sadıkoğlu, Yıldız Analay Akbaba, Mehmet Fatih Güven

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引用次数: 0

Abstract

Purpose: The purpose of this research is to examine the effects of organic pain beliefs (OPB) and psychological pain beliefs (PPB) on pain intensity, disability, kinesiophobia, catastrophizing, and pain knowledge in chronic shoulder pain.

Design: Cross-sectional observational study.

Methods: In this cross-sectional study, 109 patients (66 females, 43 males; mean age 49.8 ± 10.4 years) with chronic rotator cuff-related shoulder pain were recruited using a convenience sampling method and completed the Pain Beliefs Questionnaire (PBQ), the Numeric Pain Rating Scale (NPRS), the Shoulder Pain and Disability Index (SPADI), the Tampa Scale for Kinesiophobia (TSK), the Pain Catastrophizing Scale (PCS), and the Revised Pain Neurophysiology Questionnaire (Revised-NPQ). Pearson correlation and multiple linear regression analyses were used to assess the relationships of OPB and PPB with the outcome measures.

Results: OPB were significantly positively correlated with activity-related pain (r = 0.30, p = .001), disability (SPADI total; r = 0.21, p = .025), kinesiophobia (TSK; r = 0.42, p < .001), and catastrophizing (PCS; r = 0.40, p < .001), and were negatively correlated with Revised-NPQ (r=-0.34, p = .001). In multiple regression models, OPB significantly predicted greater disability (β=0.25, p = .013), kinesiophobia (β=0.45, p < .001), and catastrophizing (β=0.44, p < .001), explaining 4.8%-17.4% of variance in these outcomes (adjusted R²=0.048-0.174).

Conclusions: In chronic shoulder pain, OPB show weak to moderate associations with adverse clinical outcomes and a negative association with pain knowledge, whereas PPB are not significantly related to outcomes. These findings support the potential value of targeting maladaptive beliefs and improving pain knowledge within rehabilitation.

Clinical implications: Evaluating OPB and PPB in relation to pain-related parameters, kinesiophobia, and catastrophizing may help identify at-risk patients and support individualized rehabilitation and targeted education in chronic shoulder pain.

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有机和心理疼痛信念对肩部疼痛、残疾、运动恐惧症、灾难化和疼痛知识的影响：一项横断面研究。

目的：本研究的目的是探讨有机疼痛信念（OPB）和心理疼痛信念（PPB）对慢性肩痛患者疼痛强度、残疾、运动恐惧、灾难化和疼痛知识的影响。设计：横断面观察性研究。方法：采用方便抽样方法，收集慢性肩袖相关性肩痛患者109例（女66例，男43例，平均年龄49.8±10.4岁），完成疼痛信念问卷（PBQ）、疼痛数值评定量表（NPRS）、肩痛与失能指数（SPADI）、运动恐惧症坦帕量表（TSK）、疼痛灾难化量表（PCS）和修订后的疼痛神经生理问卷（Revised- npq）。采用Pearson相关和多元线性回归分析评估OPB和PPB与结局指标的关系。结果：OPB与活动相关疼痛（r= 0.30, p = .001）、残疾（SPADI total; r= 0.21, p = .025）、运动恐惧症（TSK; r= 0.42, p < .001）、灾难化（PCS; r= 0.40, p < .001）呈显著正相关，与修正npq呈负相关（r=-0.34, p = .001）。在多元回归模型中，OPB显著预测更大的残疾（β=0.25, p = 0.013）、运动恐惧症（β=0.45, p < 0.001）和灾难化（β=0.44, p < 0.001），解释了这些结果的4.8%-17.4%的方差（调整后的R²=0.048-0.174）。结论：在慢性肩痛中，OPB与不良临床结果呈弱至中度相关性，与疼痛知识呈负相关，而PPB与结果无显著相关性。这些发现支持了针对适应不良信念和改善康复中疼痛知识的潜在价值。临床意义：评估OPB和PPB与疼痛相关参数、运动恐惧症和灾难化的关系可能有助于识别高危患者，并支持慢性肩痛的个性化康复和有针对性的教育。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain Management Nursing 医学-护理

CiteScore

3.00

自引率

5.90%

发文量

187

审稿时长

>12 weeks

期刊介绍： This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.