AI Article Synopsis
- The study investigates how pain catastrophising affects physical function in patients with Axial Spondyloarthritis (axSpA), focusing on the roles of fear of movement and competence frustration.
- Among the 98 participants surveyed, results indicated that fear of movement significantly mediates the link between pain and physical function, as well as between pain catastrophising and physical function.
- Notably, the study is the first to reveal the unique impact of competence frustration within the fear-avoidance model for individuals with axSpA, highlighting potential areas for improving patient care and quality of life.
Article Abstract
The objective of this study is to examine the contribution of pain catastrophising to Axial Spondyloarthritis (axSpA) patient's physical function and to test the mediating role of fear of movement, and uniquely, the contribution of competence frustration to the fear-avoidance model. Participants (N = 98, 70% female, M age = 45.62, SD 12.16) completed an online survey (December 2020-May 2021) distributed in the United Kingdom via the National Axial Spondyloarthritis Society (n ≈ 3500; NASS, 2019). The PROCESS SPSS macro was used to test three mediation models using percentile bootstrap 95% confidence intervals (PBCI). A significant indirect effect on the relationship between pain and physical function via fear of movement (β = 0.10, 95% PBCI = 0.030-0.183) was observed (Model 1). Model 2 showed the relationship between pain catastrophising and physical function to be significantly mediated by fear of movement (β = 0.16, 95% PBCI = 0.005-0.322). Finally, Model 3 showed a significant indirect effect on the relationship between pain catastrophising and physical function via competence frustration (β = 0.15, 95% PBCI = 0.014-0.309) but not through fear of movement (β = 0.062, 95% PBCI = - 0.134 to 0.248). To our knowledge, this is the first study to examine and demonstrate the unique contribution of competence need frustration to the Fear-avoidance model in people that live with axSpA. Identifying modifiable factors that contribute to disease outcomes such as physical function can improve the care and quality of life for people living with a disease currently without a cure.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10980646 | PMC |
| http://dx.doi.org/10.1007/s00296-024-05557-w | DOI Listing |
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