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Factors influencing observed and self-reported functional ability in women with chronic widespread pain: a cross-sectional study

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OBJECTIVE: To evaluate the relationships between key outcome variables, classified according to the International Classification of Functioning, Disability and Health (ICF), and observed and self-reported functional ability in patients with chronic widespread pain.

DESIGN: Cross-sectional with systematic data collection in a clinical setting.

SUBJECTS: A total of 257 consecutively enrolled women with chronic widespread pain.

METHODS: Multidimensional assessment using self-report and observation-based assessment tools identified to cover ICF categories included in the brief ICF Core Set for chronic widespread pain.

RESULTS: Relationships between ICF variables and observed functional ability measured with the Assessment of Motor and Process Skills (AMPS) were few. Out of 36 relationships analysed, only 4 ICF variables showed a moderate correlation with the AMPS motor ability measure. A moderate to strong correlation between numerous ICF variables and self-reported functioning was noted. Multivariate regression modelling supported significant contributions from pain and psychosocial variables to the variability in self-reported functional ability, but not to the variability in AMPS ability measures.

CONCLUSION: Observation-based assessment of functional ability in patients with chronic widespread pain is less influenced by pain and psychosocial factors than are self-reported evaluations. Valid observation-based assessment tools, such as the AMPS, should be included in clinical evaluation and future research addressing functional outcomes in this patient population.

Original languageEnglish
JournalJournal of Rehabilitation Medicine
Volume46
Issue number10
Pages (from-to)1014-21
Number of pages8
ISSN1650-1977
DOIs
Publication statusPublished - Nov 2014

    Research areas

  • Activities of Daily Living, Adult, Aged, Chronic Pain, Cross-Sectional Studies, Denmark, Disability Evaluation, Disabled Persons, Female, Humans, Middle Aged, Pain Measurement, Questionnaires, Self Report

ID: 45054771