Table 6

Studies suggesting that pain catastrophising and expectancies impact WAD prognosis

First AuthorYear PublishedTreatment AdministeredStudy DesignSummary of FindingsLevel of Study
Carroll2009RehabilitationCohortPatients who expected to recover soon recovered in 1/3 of the timeC
Ozegovic2009NoneCohortThose who expected to recover experienced global recovery 42% fasterC
Ozegovic2010NonePopulation-based cohortDepression, ↓ income, ↓ education & male gender associated with delayed RTWC
Ferrari2011NoneX-sectional cohortHigh correlation between expectations and injury severity perception scoresC
Bostick2013Physiotherapy & ChiropracticLongitudinal cohortExpectations inversely correlated, catastrophising directly correlated with pain severity at 6 moC
Carriere2015RehabilitationLongitudinal cohortExpectancies mediate the relationship between pain catastrophizing fear of movement & RTWC
Chiarotto2015Manual therapy; motor & sensorimotor control trainingLongitudinal CohortBaseline pain intensity & pain catastrophising predict responseC
Falla2016NoneLongitudinal cohortFemale gender, unsettled insurance claims & financial status predict painC
Smith2016Radiofrequency neurotomyLongitudinal cohortBaseline pain catastrophising & disability predict responseC
Carriere2017RehabilitationLongitudinal cohortExpectancies mediate the relationship between perceived injustice & RTWC
Soderlund2018Multimodal therapyLongitudinal cohortExpectation of recovery, distracting & supportive feedback from significant others predict recovery outcomeC
De Pauw2018NoneX-sectional case-controlFear avoidance symptoms of central sensitisation, & pain predict motor impairmentB
Elphinston2018RehabilitationLongitudinal cohortExpectations inversely correlated, catastrophising directly correlated with pain severityC

Level of evidence: B; Strength of conclusion: 3; RTW: Return to Work

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