The association of illness perception and prognosis for pain and physical function in patients with noncancer musculoskeletal pain: A systematic literature review

Edwin J. de Raaij, Raymond W. Ostelo, Francois Maissan, Jurgen Mollema, Harriët Wittink

Research output: Contribution to journalReview articleAcademicpeer-review

Abstract

BACKGROUND: In the literature, illness perceptions have been reported to be important psychological factors associated with pain intensity and physical function in individuals with musculoskeletal pain. OBJECTIVE: To assess the relationship of illness perceptions with pain intensity and physical function in individuals with noncancer musculo-skeletal pain. METHODS: In this systematic review, relevant literature databases, including PubMed, Embase, PsycINFO, CINAHL, and SPORTDiscus, were searched from inception through December 12, 2017. Two authors (E.D.R. and H.W.) independently performed the search procedures, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the A MeaSurement Tool to Assess systematic Reviews guidelines, and the risk-of-bias assessment, using the QUality In Prognosis Studies tool. A qualitative best-evidence synthesis was performed. RESULTS: A total of 26 articles were included in the review. There were 11 cross-sectional studies concerning associations of illness perceptions with pain intensity and 11 cross-sectional studies of associations of illness perceptions with physical function. For the prognosis of pain intensity by illness perceptions, the authors found 4 longitudinal studies, and for the prognosis of physical function by illness perceptions, the authors found 12 longitudinal studies. All studies except 1 had high risk of bias. Across 15 cross-sectional studies on 9 different musculo-skeletal conditions, the researchers found limited to moderate evidence for a consistent direction of the relationship of illness perceptions with pain intensity and physical function. Higher maladaptive illness perceptions imply stronger pain intensity and more limitation in physical function. Evidence in longitudinal studies is lacking, especially on pain. CONCLUSION: There is limited to moderate evidence for the cross-sectional relationship between illness perceptions and various musculoskeletal conditions. The prognostic value, however, remains unclear. Future research is recommended to investigate the longitudinal relationship between illness perception domains and outcomes in greater detail.
Original languageEnglish
Pages (from-to)789-800
JournalJournal of Orthopaedic and Sports Physical Therapy
Volume48
Issue number10
DOIs
Publication statusPublished - 2018

Cite this

@article{478fe59e3b6f4866beae53894ff4c4ae,
title = "The association of illness perception and prognosis for pain and physical function in patients with noncancer musculoskeletal pain: A systematic literature review",
abstract = "BACKGROUND: In the literature, illness perceptions have been reported to be important psychological factors associated with pain intensity and physical function in individuals with musculoskeletal pain. OBJECTIVE: To assess the relationship of illness perceptions with pain intensity and physical function in individuals with noncancer musculo-skeletal pain. METHODS: In this systematic review, relevant literature databases, including PubMed, Embase, PsycINFO, CINAHL, and SPORTDiscus, were searched from inception through December 12, 2017. Two authors (E.D.R. and H.W.) independently performed the search procedures, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the A MeaSurement Tool to Assess systematic Reviews guidelines, and the risk-of-bias assessment, using the QUality In Prognosis Studies tool. A qualitative best-evidence synthesis was performed. RESULTS: A total of 26 articles were included in the review. There were 11 cross-sectional studies concerning associations of illness perceptions with pain intensity and 11 cross-sectional studies of associations of illness perceptions with physical function. For the prognosis of pain intensity by illness perceptions, the authors found 4 longitudinal studies, and for the prognosis of physical function by illness perceptions, the authors found 12 longitudinal studies. All studies except 1 had high risk of bias. Across 15 cross-sectional studies on 9 different musculo-skeletal conditions, the researchers found limited to moderate evidence for a consistent direction of the relationship of illness perceptions with pain intensity and physical function. Higher maladaptive illness perceptions imply stronger pain intensity and more limitation in physical function. Evidence in longitudinal studies is lacking, especially on pain. CONCLUSION: There is limited to moderate evidence for the cross-sectional relationship between illness perceptions and various musculoskeletal conditions. The prognostic value, however, remains unclear. Future research is recommended to investigate the longitudinal relationship between illness perception domains and outcomes in greater detail.",
author = "{de Raaij}, {Edwin J.} and Ostelo, {Raymond W.} and Francois Maissan and Jurgen Mollema and Harri{\"e}t Wittink",
year = "2018",
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language = "English",
volume = "48",
pages = "789--800",
journal = "Journal of Orthopaedic and Sports Physical Therapy",
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}

The association of illness perception and prognosis for pain and physical function in patients with noncancer musculoskeletal pain: A systematic literature review. / de Raaij, Edwin J.; Ostelo, Raymond W.; Maissan, Francois; Mollema, Jurgen; Wittink, Harriët.

In: Journal of Orthopaedic and Sports Physical Therapy, Vol. 48, No. 10, 2018, p. 789-800.

Research output: Contribution to journalReview articleAcademicpeer-review

TY - JOUR

T1 - The association of illness perception and prognosis for pain and physical function in patients with noncancer musculoskeletal pain: A systematic literature review

AU - de Raaij, Edwin J.

AU - Ostelo, Raymond W.

AU - Maissan, Francois

AU - Mollema, Jurgen

AU - Wittink, Harriët

PY - 2018

Y1 - 2018

N2 - BACKGROUND: In the literature, illness perceptions have been reported to be important psychological factors associated with pain intensity and physical function in individuals with musculoskeletal pain. OBJECTIVE: To assess the relationship of illness perceptions with pain intensity and physical function in individuals with noncancer musculo-skeletal pain. METHODS: In this systematic review, relevant literature databases, including PubMed, Embase, PsycINFO, CINAHL, and SPORTDiscus, were searched from inception through December 12, 2017. Two authors (E.D.R. and H.W.) independently performed the search procedures, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the A MeaSurement Tool to Assess systematic Reviews guidelines, and the risk-of-bias assessment, using the QUality In Prognosis Studies tool. A qualitative best-evidence synthesis was performed. RESULTS: A total of 26 articles were included in the review. There were 11 cross-sectional studies concerning associations of illness perceptions with pain intensity and 11 cross-sectional studies of associations of illness perceptions with physical function. For the prognosis of pain intensity by illness perceptions, the authors found 4 longitudinal studies, and for the prognosis of physical function by illness perceptions, the authors found 12 longitudinal studies. All studies except 1 had high risk of bias. Across 15 cross-sectional studies on 9 different musculo-skeletal conditions, the researchers found limited to moderate evidence for a consistent direction of the relationship of illness perceptions with pain intensity and physical function. Higher maladaptive illness perceptions imply stronger pain intensity and more limitation in physical function. Evidence in longitudinal studies is lacking, especially on pain. CONCLUSION: There is limited to moderate evidence for the cross-sectional relationship between illness perceptions and various musculoskeletal conditions. The prognostic value, however, remains unclear. Future research is recommended to investigate the longitudinal relationship between illness perception domains and outcomes in greater detail.

AB - BACKGROUND: In the literature, illness perceptions have been reported to be important psychological factors associated with pain intensity and physical function in individuals with musculoskeletal pain. OBJECTIVE: To assess the relationship of illness perceptions with pain intensity and physical function in individuals with noncancer musculo-skeletal pain. METHODS: In this systematic review, relevant literature databases, including PubMed, Embase, PsycINFO, CINAHL, and SPORTDiscus, were searched from inception through December 12, 2017. Two authors (E.D.R. and H.W.) independently performed the search procedures, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the A MeaSurement Tool to Assess systematic Reviews guidelines, and the risk-of-bias assessment, using the QUality In Prognosis Studies tool. A qualitative best-evidence synthesis was performed. RESULTS: A total of 26 articles were included in the review. There were 11 cross-sectional studies concerning associations of illness perceptions with pain intensity and 11 cross-sectional studies of associations of illness perceptions with physical function. For the prognosis of pain intensity by illness perceptions, the authors found 4 longitudinal studies, and for the prognosis of physical function by illness perceptions, the authors found 12 longitudinal studies. All studies except 1 had high risk of bias. Across 15 cross-sectional studies on 9 different musculo-skeletal conditions, the researchers found limited to moderate evidence for a consistent direction of the relationship of illness perceptions with pain intensity and physical function. Higher maladaptive illness perceptions imply stronger pain intensity and more limitation in physical function. Evidence in longitudinal studies is lacking, especially on pain. CONCLUSION: There is limited to moderate evidence for the cross-sectional relationship between illness perceptions and various musculoskeletal conditions. The prognostic value, however, remains unclear. Future research is recommended to investigate the longitudinal relationship between illness perception domains and outcomes in greater detail.

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UR - https://www.ncbi.nlm.nih.gov/pubmed/29747539

U2 - 10.2519/jospt.2018.8072

DO - 10.2519/jospt.2018.8072

M3 - Review article

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JO - Journal of Orthopaedic and Sports Physical Therapy

JF - Journal of Orthopaedic and Sports Physical Therapy

SN - 0190-6011

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