PMID: 8607740Feb 1, 1996Paper

Maximal effort during functional capacity evaluations: an examination of psychological factors

Archives of Physical Medicine and Rehabilitation
G M KaplanD Gillis

Abstract

Patients with low back pain are often administered a Functional Capacity Evaluation (FCE) to determine levels of physical functioning at the conclusion of their rehabilitation program. The purpose of this study was to examine the relationship between psychological factors (ie, self-reported disability, anxiety, depression, self-efficacy) and maximal effort exerted during the FCE. Sixty-four patients with low back pain were administered the the Oswestry Low Back Disability Questionnaire, Beck Depression Inventory, State-Trait Anxiety Inventory, and the FCE Self-Efficacy Scales before administration of the FCE. Compared with patients who gave maximal effort during the FCE, patients who did not exert maximal effort reported significantly more anxiety and self-reported disability, and reported lower expectations for both their FCE performance and for returning to work. There was also a trend for these patients to report more depressive symptomatology. Results provide evidence for the relationship between self-reported disability, depression, anxiety, self-efficacy, and patients' performance on the FCE. Suggestions for addressing the psychological factors in a comprehensive pain treatment program are provided.

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Citations

Oct 24, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Benedict Martin WandLorraine Hilary Desouza
Jun 6, 2006·Journal of Occupational Rehabilitation·Robert J GatchelBrian R Theodore
Feb 1, 2011·Journal of Occupational Rehabilitation·Sylvie RichardArie Nouwen
Mar 17, 2006·Current Pain and Headache Reports·Douglas P Gross
Nov 14, 2000·Spine·J C Fairbank, P B Pynsent
Sep 22, 2006·The Clinical Journal of Pain·Alyson Lieban HattenAnna Wright Stowell
Nov 7, 2014·Disability and Rehabilitation·Amanda E YoungYoonSun Choi
Apr 25, 2006·The Journal of Pain : Official Journal of the American Pain Society·Skye Porter-MoffittLeland Lou
Mar 1, 2012·Archives of Physical Medicine and Rehabilitation·Sandra E LakkeMichiel F Reneman
Sep 28, 2015·NeuroRehabilitation·Shane S Bush, Carmela Bass
May 29, 2002·Pain·David Andrew Walsh, Jenny Clare Radcliffe
Oct 4, 2016·The Spine Journal : Official Journal of the North American Spine Society·Darrel S BrodkeMan Hung
Apr 23, 2004·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·J M MosseyF Tirumalasetti
Feb 6, 2018·Professional Case Management·Marcie C SwiftJanice K Loudon
Mar 10, 2001·American Journal of Physical Medicine & Rehabilitation·W C WalkerL Keyser-Marcus
Jan 30, 2019·Journal of Occupational and Environmental Medicine·Kurt T HegmannMichael S Weiss
Jul 20, 2019·Foot & Ankle International·Alexander J IdarragaKamran S Hamid
Feb 23, 2020·The Clinical Journal of Pain·Vera Vergeld, Till Utesch
May 29, 2018·Journal of Occupational Rehabilitation·Jone Ansuategui EcheitaMichiel F Reneman
Jan 7, 2017·Work : a Journal of Prevention, Assessment, and Rehabilitation·Robert TownsendJohn Harry

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