In this issue of the Scandinavian Journal of Pain Ruud Groeneweg and co-workers  focus on the influence of treatment outcome expectancies on the treatment effect in patients with neck pain. They also included clinical and psychosocial variables previously documented to be associated with treatment outcome. In a prospective study including 181 patients followed at 7 and 26 weeks after receiving manual therapy or physiotherapy, hierarchical logistic regression analysis documented that expectancies explained slightly less than 10% of the variance in pain and 16–17% of the variance in functioning. In contrast to several previous prospective studies in neck pain, fear avoidance beliefs did not influence outcome significantly in the present study [2,3,4,5].1Neck pain, fear and expectanciesNeck pain is common, and often associated with substantially reduced function [6,7]. The course of neck pain may be long lasting  and closely associated with psychosocial factors [9,10]. Emotional distress, anxiety and depression are classic psychological factors influencing the prognosis of neck pain [11,12]. However, also beliefs and expectancies are assumed to influence the prognosis of painful conditions [5,13]. Fear avoidance beliefs are documented in numerous studies to act as mediator and moderator of pain [3,4,5]. Yet, another dimension of psychology is expectations
Scandinavian Journal of Pain – de Gruyter
Published: Jan 1, 2017
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