title: Association between the 10 item Örebro Musculoskeletal Pain Screening Questionnaire and physiotherapists' perception of the contribution of biopsychosocial factors in patients with musculoskeletal pain.
abstract: BACKGROUND
  Contrasting evidence exists on the ability of clinicians to identify biopsychosocial factors in patients with musculoskeletal pain compared to questionnaires.
  
  
  OBJECTIVE
  Evaluate associations between two aspects of clinical practice used to assess biopsychosocial factor contribution in patient presentations (physiotherapist perceptions versus shortened 10-item Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ-10)). Potential influence of physiotherapists' training, experience and confidence level were assessed.
  
  
  METHODS
  Observational.
  
  
  METHODS
  90 musculoskeletal pain patients completed the ÖMPSQ-10 prior to their initial assessment. Independently, 19 treating physiotherapists provided their perception of contribution of biopsychosocial factors to the patient presentation. Pragmatic comparison of physiotherapist perceptions and the ÖMPSQ-10 was made with Spearman's correlations.
  
  
  RESULTS
  Fair correlation existed between physiotherapists' perception of overall contribution of biopsychosocial factors to the patients' presentation and the ÖMPSQ-10 (0.39). There where moderate correlations for the domains of recovery expectancy (0.53), self-perceived ability to work (0.52) and ability to sleep (0.54). There where fair correlations for anxiety (0.33) and depression (0.32), and a poor correlation for fear (0.10). Correlations were influenced by therapist training in psychosocial aspects of pain, experience and confidence.
  
  
  CONCLUSIONS
  Physiotherapists' perceptions on biopsychosocial contributing factors to overall presentation of patients with musculoskeletal pain were reasonably correlated with a number of the domains in the ÖMPSQ-10. However, correlations for anxiety, depression and fear were not as good. This may reflect a lack of adequate training and/or the inadequacy of single questionnaire items to capture complex issues such as pain-related fear. Screening questionnaires are recommended as an adjunct to clinician perceptions.
authors.affiliation: School of Physiotherapy and Exercise Science, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia. Electronic address: D.Beales@curtin.edu.au.
authors.forename: D
authors.initials: D
authors.lastname: Beales
authors.affiliation: School of Physiotherapy and Exercise Science, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia. Electronic address: M.Kendell@curtin.edu.au.
authors.forename: M
authors.initials: M
authors.lastname: Kendell
authors.affiliation: School of Physiotherapy and Exercise Science, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia. Electronic address: ruth@iinet.net.au.
authors.forename: R P
authors.initials: RP
authors.lastname: Chang
authors.affiliation: School of Physiotherapy and Exercise Science, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia. Electronic address: magnushamso@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Håmsø
authors.affiliation: School of Physiotherapy and Exercise Science, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia. Electronic address: luke_gregory4@hotmail.com.
authors.forename: L
authors.initials: L
authors.lastname: Gregory
authors.affiliation: School of Physiotherapy and Exercise Science, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia. Electronic address: kanda.richardson@gmail.com.
authors.forename: K
authors.initials: K
authors.lastname: Richardson
authors.affiliation: School of Physiotherapy and Exercise Science, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia. Electronic address: P.OSullivan@curtin.edu.au.
authors.forename: P
authors.initials: P
authors.lastname: O'Sullivan
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D059352:Musculoskeletal Pain / Q000175:diagnosis* / Q000523:psychology*; D010361:Patients / Q000523:psychology*; D059825:Physical Therapists / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Musculoskeletal pain; Psychosocial factors; Screening; Short-form Örebro