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

Kirstine Amris; Eva Ejlersen Wæhrens; Anders Stockmarr; Henning Bliddal; Bente Danneskiold-Samsøe

doi:10.2340/16501977-1878

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

Kirstine Amris, Eva Ejlersen Wæhrens, Anders Stockmarr, Henning Bliddal, Bente Danneskiold-Samsøe

Department of Clinical Medicine

13 Citations (Scopus)

Abstract

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 language	English
Journal	Journal of Rehabilitation Medicine
Volume	46
Issue number	10
Pages (from-to)	1014-1021
Number of pages	8
ISSN	1650-1977
DOIs	https://doi.org/10.2340/16501977-1878
Publication status	Published - 1 Nov 2014

Keywords

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

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Factors influencing observed and self-reported functional ability in women with chronic widespread pain : A cross-sectional study. / Amris, Kirstine; Wæhrens, Eva Ejlersen; Stockmarr, Anders et al.

In: Journal of Rehabilitation Medicine, Vol. 46, No. 10, 01.11.2014, p. 1014-1021.

Research output: Contribution to journal › Journal article › Research › peer-review

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AU - Bliddal, Henning

AU - Danneskiold-Samsøe, Bente

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AB - 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.

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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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