Pain Self-efficacy Is Associated With Patient-Reported Function in Individuals With Chronic Hip Pain
Nicholas C Coyne1, Shelby Baez2, Millissia Murro3
1School of Medicine, West Virginia University, Morgantown, WV.
JOSPT Open
|December 11, 2024
Summary
Psychological factors like pain self-efficacy and kinesiophobia significantly influence patient-reported hip function in chronic hip pain. Screening for these factors can aid clinicians in managing hip pain patients.
Area of Science:
- Orthopedics
- Physical Therapy
- Rehabilitation Psychology
Background:
- Chronic hip pain affects function and quality of life.
- Psychological factors like pain self-efficacy, kinesiophobia, and pain catastrophizing may influence outcomes.
- Understanding these associations is crucial for effective management.
Purpose of the Study:
- To investigate the relationship between psychological factors (pain self-efficacy, kinesiophobia, pain catastrophizing), physical activity, and patient-reported hip function.
- To identify predictors of hip function in patients with chronic hip pain.
Main Methods:
- Observational, cross-sectional study design.
- Participants with chronic hip pain completed validated questionnaires (TSK-11, PCS, PSEQ, iHOT-12).
- Physical activity was objectively measured using accelerometers over 7 days; data analyzed with linear regression.
Main Results:
- A model including pain self-efficacy (PSEQ), moderate-to-vigorous physical activity, and kinesiophobia (TSK-11) explained 38% of the variance in hip function (iHOT-12 scores).
- Pain self-efficacy alone accounted for 20% of the variance in patient-reported hip function.
- No significant differences in physical activity or psychological measures were found across diagnosis groups.
Conclusions:
- Pain self-efficacy and kinesiophobia are significantly associated with patient-reported hip function in individuals with chronic hip pain.
- Clinicians should consider assessing psychological factors in patients with chronic hip pain to guide treatment.
- These findings highlight the importance of a biopsychosocial approach in managing chronic hip conditions.
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