The first research agenda for the chiropractic profession in Europe

S.M. Rubinstein, J. Bolton, A.L. Webb, J. Hartvigsen

Research output: Contribution to JournalArticleAcademicpeer-review


Background: The influence of psychological factors on acute neck pain is sparsely studied. In a secondary analysis of prospectively collected data, this study investigated how several psychological factors develop in the first three months of acute neck pain and how these factors influence self-perceived recovery. Methods: Patients were recruited in various chiropractic practices throughout Switzerland between 2010 and 2014. The follow-up telephone interviews were conducted for all patients by research assistants in the coordinating university hospital following a standardized procedure. The population of this study consisted of 103 patients (68 female; mean age = 38.3 ± 13.8 years) with a first episode of acute (<4 weeks) neck pain. Prior to the first treatment, the patients filled in the Bournemouth Questionnaire (BQ). One week and 1 and 3 months later, they completed the BQ again along with the Patient Global Impression of Change (PGIC). The temporal development (repeated measure ANOVA) of the BQ questions 4 (anxiety), 5 (depression), 6 (fear-avoidance) and 7 (pain locus of control) as well as the influence of these scores on the PGIC were investigated (binary logistic regression analyses, receiver operating curves (ROC)). Results: All psychological parameters showed significant reduction within the first month. The parameter 'anxiety' was associated with outcome at 1 and 3 months (p = 0.013, R
Original languageEnglish
Article number9
JournalChiropractic and Manual Therapies
Publication statusPublished - 2014


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