{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T22:00:11Z","timestamp":1790632811308,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,4,2]],"date-time":"2014-04-02T00:00:00Z","timestamp":1396396800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of the study was to investigate if changes in psychological variables are related to the outcome in pain and disability in patients with chronic anterior knee pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A longitudinal observational study on 47 patients with chronic anterior knee pain was performed in a secondary healthcare setting. Pain was measured with the visual analogue scale and disability with the Lysholm scale. The psychological variables, such as anxiety, depression, pain coping strategies, catastrophizing and fear to movement beliefs, were studied by using self\u2010administered questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the pain coping strategies, only the catastrophizing subscale showed a significant reduction. Similarly, anxiety, depression and kinesiophobia were significantly reduced after treatment. Those patients who decreased the catastrophizing, kinesiophobia, anxiety and depression showed a greater improvement in pain and disability after a purely biomedical treatment. A multiple regression analysis revealed that changes in catastrophizing predicted the amount of improvement in pain severity and that changes in both catastrophizing and anxiety predicted changes in disability after treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>What has been found suggests that clinical improvement in pain and disability is associated with a reduction in catastrophizing and kinesiophobia. Therefore, co\u2010interventions to reduce catastrophizing thinking and kinesiophobia may enhance the results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Prospective Cohort Study, Level I for prognosis.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-014-2968-7","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T03:03:01Z","timestamp":1396321381000},"page":"2295-2300","source":"Crossref","is-referenced-by-count":127,"title":["Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain"],"prefix":"10.1002","volume":"22","author":[{"given":"Julio","family":"Dom\u00e9nech","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital Arnau de Vilanova C\/San Clemente #12 46015 Valencia Spain"},{"name":"Facultad de Ciencias de la Salud Universidad CEU\u2010Cardenal Herrera Moncada Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicente","family":"Sanchis\u2010Alfonso","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital Arnau de Vilanova C\/San Clemente #12 46015 Valencia Spain"},{"name":"Hospital 9 de Octubre Valle de la Ballestera 59 46015 Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bego\u00f1a","family":"Espejo","sequence":"additional","affiliation":[{"name":"Department of Methodology of the Behavioural Sciences Facultad de Psicolog\u00eda University of Valencia Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304\u20103959(89)90069\u20109"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508330143"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000083234.62751.7A"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005\u20107967(03)00029\u20109"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20100277"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304\u20103959(97)00219\u20104"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00064"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20102238\u20105"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ajp.0000210914.72794.bc"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526\u20104637.2010.00804.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1157\/13127277"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awh098"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0163\u20108343(03)00043\u20104"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002508\u2010198906000\u201000005"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(98)70001\u20105"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304\u20103959(96)03246\u20100"},{"key":"e_1_2_6_18_1","first-page":"35","article-title":"Kinesiophobia: a new view of chronic pain behaviour","volume":"3","author":"Kori KS","year":"1990","journal-title":"Pain Manag"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10865\u2010006\u20109085\u20100"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2007.12.009"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000209258.42037.02"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00674"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.09.033"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwf136"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977\u20100372"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2012.0301"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2011.08.006"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999\u2010009\u20100963\u2010y"},{"key":"e_1_2_6_29_1","first-page":"82","article-title":"Evaluaci\u00f3n de las estrategias de afrontamiento del dolor cr\u00f3nico","volume":"32","author":"Rodr\u00edguez Franco L","year":"2004","journal-title":"Actas Esp Psiq"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304\u20103959(83)90125\u20102"},{"key":"e_1_2_6_31_1","doi-asserted-by":"crossref","unstructured":"Sanchis\u2010AlfonsoV(2014)Holistic approach to understanding the anterior knee pain.Clinical implications. 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