title: Factors influencing observed and self-reported functional ability in women with chronic widespread pain: a cross-sectional study.
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.
  
  
  METHODS
  Cross-sectional with systematic data collection in a clinical setting.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: The Parker Institute, Department of Rheumatology, Copenhagen University Hospital Bispebjerg and Frederiksberg , 2000 Frederiksberg, Denmark. kirstine.amris@regionh.dk, stine.amris@mail.dk.
authors.forename: Kirstine
authors.initials: K
authors.lastname: Amris
authors.forename: Eva Ejlersen
authors.initials: EE
authors.lastname: Wæhrens
authors.forename: Anders
authors.initials: A
authors.lastname: Stockmarr
authors.forename: Henning
authors.initials: H
authors.lastname: Bliddal
authors.forename: Bente
authors.initials: B
authors.lastname: Danneskiold-Samsøe
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D059350:Chronic Pain / Q000503:physiopathology* / Q000523:psychology* / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D003718:Denmark; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000523:psychology* / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008875:Middle Aged; D010147:Pain Measurement; D057566:Self Report; D011795:Surveys and Questionnaires