Academic literature on the topic 'Fear avoidance belief of pain'
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Journal articles on the topic "Fear avoidance belief of pain"
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Panhale, Vrushali P., Prachita P. Walankar, and Sayali S. Khedekar. "Chronic Pain and Fear-Avoidance Beliefs: A Narrative Review." International Journal of Health Sciences and Research 11, no. 6 (June 22, 2021): 219–25. http://dx.doi.org/10.52403/ijhsr.20210634.
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Chronic pain has an impact not only on the physical function but also affects the quality of life of an individual. Psychosocial factors play an important role in mediating chronic pain. Fear-avoidance belief is considered as the important psychosocial factor in predicting patient's avoidance for work and physical activity as well as disability and has strong association with chronic pain. The aim of the study is to review the studies on the relationship between chronic pain and fear-avoidance beliefs. Articles from the PubMed, Research gate, Google Scholar and APTA databases were searched for this narrative review with related keywords like chronic pain, chronic musculoskeletal pain, fear avoidance beliefs, psychosocial factors and quality of life. Total fifteen articles were found. Out of which, five were excluded and ten were studied further. The sum of evidences proves that the fear-avoidance belief is an important predictor of pain. Through this we conclude that the anticipation of chronic pain can further provoke fear-avoidance behaviour and can give rise to a vicious cycle, in which fear can contribute to avoidance of physical activity and work leading to disability. Key words: chronic, pain, fear avoidance beliefs.
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Wilson, Anna C., Amy S. Lewandowski, and Tonya M. Palermo. "Fear-Avoidance Beliefs and Parental Responses to Pain in Adolescents with Chronic Pain." Pain Research and Management 16, no. 3 (2011): 178–82. http://dx.doi.org/10.1155/2011/296298.
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BACKGROUND: The fear-avoidance model of chronic pain posits that fear of pain is associated with fear and avoidance of activity, which can lead to deconditioning and persistence of pain and disability. Despite being well supported in adults, little is known about the role of fear-avoidance beliefs regarding physical activity in children. Research has shown that parental protectiveness contributes to activity limitations in children; however, no studies have examined relationships between protectiveness, and fear and avoidance.OBJECTIVES: To conduct a cross-sectional study to provide additional information regarding the reliability and validity of the Fear-Avoidance Beliefs Questionnaire physical activity subscale among adolescents with chronic pain; examine fear-avoidance beliefs and depressive symptoms as concurrent predictors of physical activity limitations; and test competing models using fear-avoidance beliefs as mediators and moderators of the association between parental protectiveness and activity limitations.METHODS: Adolescents (n=42) 11 to 17 years of age with chronic pain completed questionnaires assessing pain intensity, fear-avoidance beliefs, depressive symptoms and physical activity limitations. Their parents completed questionnaires regarding protectiveness and adolescent activity limitations.RESULTS: The Fear-Avoidance Beliefs Questionnaire physical activity subscale was useful for assessing fear-avoidance beliefs in the present population. In support of hypotheses, greater fear-avoidance beliefs were associated with greater activity limitations, above pain intensity and depressive symptoms. Support was found for fear-avoidance beliefs as mediators of the association between parental protectiveness and activity limitations. Tests of moderation were not significant.CONCLUSIONS: Fear-avoidance beliefs may be an important target for interventions focused on decreasing activity limitations in youth with chronic pain. Future research should investigate these associations longitudinally.
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Gatchel, Robert J., Randy Neblett, Nancy Kishino, and Christopher T. Ray. "Fear-Avoidance Beliefs and Chronic Pain." Journal of Orthopaedic & Sports Physical Therapy 46, no. 2 (February 2016): 38–43. http://dx.doi.org/10.2519/jospt.2016.0601.
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George, Steven Z., Joel E. Bialosky, and Julie M. Fritz. "Physical Therapist Management of a Patient With Acute Low Back Pain and Elevated Fear-Avoidance Beliefs." Physical Therapy 84, no. 6 (June 1, 2004): 538–49. http://dx.doi.org/10.1093/ptj/84.6.538.
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Abstract Background and Purpose. Elevated fear-avoidance beliefs are believed to be a precursor of chronic disability, yet effective intervention options have not been described in the literature. The purpose of this case report is to describe physical therapist management of a patient with acute low back pain and elevated fear-avoidance beliefs. Case Description. The patient was a 42-year-old sales manager with acute low back pain. The patient had no previous history of activity-limiting low back pain and initially had limitations in straight leg raising, limitations in lumbar movement, and elevated fear-avoidance beliefs. Intervention. Treatment-based classification and graded exercise were used. Outcome. Disability, fear-avoidance beliefs, and pain decreased 4 weeks after starting physical therapy. Six months later, disability and fear-avoidance beliefs had increased, but were still improved when compared with the initial measurements. Discussion. Disability and fear-avoidance beliefs improved following a fear-avoidance-based physical therapy intervention. Research is warranted to investigate the effectiveness of this approach.
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Kromer, Thilo O., Judith M. Sieben, Rob A. de Bie, and Caroline H. G. Bastiaenen. "Influence of Fear-Avoidance Beliefs on Disability in Patients With Subacromial Shoulder Pain in Primary Care: A Secondary Analysis." Physical Therapy 94, no. 12 (December 1, 2014): 1775–84. http://dx.doi.org/10.2522/ptj.20130587.
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Background Little information exists about the role of fear-avoidance beliefs and catastrophizing in subacromial pain syndrome. Objective The purpose of this study was to investigate the associations among pain, catastrophizing, fear, and disability and the contribution of fear-avoidance beliefs to disability at baseline and at 3-month follow-up. Design A cross-sectional and longitudinal analysis was conducted. Methods Baseline demographic and clinical data, including fear-avoidance beliefs and catastrophizing, of 90 patients were assessed for this analysis. Disability was measured with the Shoulder Pain and Disability Index at baseline and at 3-month follow-up. First, bivariate and partial correlations were calculated among pain, fear-avoidance beliefs, catastrophizing, and disability, based on the fear-avoidance model. Second, the contribution of fear-avoidance beliefs to disability at baseline and at 3-month follow-up was examined with hierarchical regression analyses. Results Correlations between clinical variables and disability were largely in line with the fear-avoidance model. Regression analyses identified a significant contribution of fear-avoidance beliefs to baseline disability but not to disability at 3 months. Limitations Patients with subacromial pain syndrome were studied; therefore, the results should be transferred with caution to other diagnoses. A modified version of the Fear-Avoidance Beliefs Questionnaire was used, which was not validated for this patient group. Conclusions Fear-avoidance beliefs contribute significantly to baseline disability but not to disability change scores after 3-month follow-up. Duration of complaints and baseline disability were the main factors influencing disability change scores. Although the results help to improve understanding of the role of fear-avoidance beliefs, further studies are needed to fully understand the influence of psychological and clinical factors on the development of disability in patients with subacromial shoulder pain.
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Macías-Toronjo, Israel, María Jesús Rojas-Ocaña, José Luis Sánchez-Ramos, and E. Begoña García-Navarro. "Pain catastrophizing, kinesiophobia and fear-avoidance in non-specific work-related low-back pain as predictors of sickness absence." PLOS ONE 15, no. 12 (December 10, 2020): e0242994. http://dx.doi.org/10.1371/journal.pone.0242994.
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The influence of pain catastrophizing, kinesiophobia and fear-avoidance attitudes towards non-specific low-back pain has been scarcely studied in an occupational insurance provider context. The objective of this work is to ascertain the relationship between these psychosocial variables with work absence, its duration and the disability of subjects with work-related low back pain. This is a descriptive observational methodological strategy. All patients with work-related non-specific low back pain who attended to an occupational health hospital during the study period were included consecutively. Clinical variables of kinesiophobia, pain catastrophizing, fear-avoidance attitudes, disability and pain were collected; sociodemographic variables of sex, age, type of work, educational level, occupational status and duration in days of work absence were recorded. Kinesiophobia (b = 1.43, P = 0.011, r = 0.333), fear-avoidance beliefs in its global dimension (b = 0.910, P = 0.014, r = 0.321), fear-avoidance beliefs in its work dimension (b = 1.255, P = 0.016, r = 0.321) and pain catastrophizing (b = 0.997, P = 0.013, r = 0.340) show individual association with the duration of sickness absence. Kinesiophobia (b = 0.821, P = 0.011, r = 0.30) and fear-avoidance beliefs (b = 1.760, P = 0.016, r = 0.28) are associated with disability (Kinesiophobia, b = 0.880, P = 0.045, r = 0.26; Fear-avoidance beliefs, b = 0.724, P = 0.010, r = 0.34). Kinesiophobia, fear-avoidance beliefs and pain catastrophizing are related to an increase in the duration of work absence and disability in patients with back pain in an occupational insurance provider context.
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Kroska, Emily B. "A meta-analysis of fear-avoidance and pain intensity: The paradox of chronic pain." Scandinavian Journal of Pain 13, no. 1 (October 1, 2016): 43–58. http://dx.doi.org/10.1016/j.sjpain.2016.06.011.
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AbstractBackgroundThe fear-avoidance model of chronic pain has established avoidance as a predictor of negative outcomes in chronic pain patients. Avoidance, or deliberate attempts to suppress or prevent unwanted experiences (e.g., pain), has been studied extensively, with multiple reviews implicating this behavior as a predictor of disability, physical disuse, and depression. Despite hundreds of studies examining the associations between different components of this model (i.e., catastrophizing, fear, avoidance, depression), the association between fear-avoidance and pain intensity has remained unclear. The present study seeks to clarify this association across samples.MethodThe present analyses synthesize the literature (articles from PsycInfo, PubMed, and ProQuest) to determine if fear-avoidance and pain intensity are consistently correlated across studies, samples, and measures. Eligible studies measured pain intensity and fear-avoidance cross-sectionally in chronic pain patients. The search resulted in 118 studies eligible for inclusion. A random-effects model was used to estimate the weighted mean effect size. Comprehensive Meta-Analysis software was used for all analyses. Moderation analyses elucidate the variables that affect the strength of this association. Meta-regression and meta-ANOVA analyses were conducted to examine moderating variables. Moderator variables include demographic characteristics, pain characteristics, study characteristics, and national cultural characteristics (using Hofstede’s cultural dimensions). Publication bias was examined using the funnel plot and the p-curve.ResultsResults indicate a small-to-moderate positive association between fear-avoidance and pain intensity. The results were stable across characteristics of the sample, including mean age, gender distribution, marital status, and duration of pain. Moderation analyses indicate that the measures utilized and cultural differences affect the strength of this association. Weaker effect sizes were observed for studies that utilized measures of experiential avoidance when compared to studies that utilized pain-specific fear-avoidance measures. Studies that utilized multiple measures of fear-avoidance had stronger effect sizes than studies that utilized a single measure of fear-avoidance. Three of Hofstede’s cultural dimensions moderated the association, including Power Distance Index, Individualism versus Collectivism, and Indulgence versus Restraint.ConclusionsThe present meta-analysis synthesizes the results from studies examining the association between fear-avoidance and pain intensity among individuals with chronic pain. The positive association indicates that those with increased fear-avoidance have higher pain intensity, and those with higher pain intensity have increased fear-avoidance. Findings indicate that cultural differences and measurement instruments are important to consider in understanding the variables that affect this association. The significant cultural variations may indicate that it is important to consider the function of avoidance behavior in different cultures in an effort to better understand each patient’s cultural beliefs, as well as how these beliefs are related to pain and associated coping strategies.ImplicationsThe results from the current meta-analysis can be used to inform interventions for patients with chronic pain. In particular, those with more intense pain or increased fear-avoidance should be targeted for prevention and intervention work. Within the intervention itself, avoidance should be undermined and established as an ineffective strategy to manage pain in an effort to prevent disability, depression, and physical deconditioning.
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Sharath, Sherene E., Panos Kougias, and Neal R. Barshes. "The influence of pain-related beliefs on physical activity and health attitudes in patients with claudication: A pilot study." Vascular Medicine 22, no. 5 (May 25, 2017): 378–84. http://dx.doi.org/10.1177/1358863x17709944.
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We examined how pain beliefs are related to symptom severity, expectations of risk/benefits, and baseline physical activity among claudicants. Eligible patients at the Michael E DeBakey Veterans Affairs Medical Center were administered questionnaires that measured: fear-avoidance beliefs (Fear-Avoidance Beliefs Questionnaire [FABQ]), walking impairment, baseline physical activity, claudication type, and risk/benefit attitudes. Among 20 participants, the median age was 69 years (IQR: 66–75). In our efforts to understand how fear-avoidance beliefs influenced physical activity among people with claudication, we found that 12 out of 19 participants (63%) thought that the primary etiology of their pain was walking, while 18 (out of 20) (90%) people thought that walking would exacerbate their leg symptoms – suggesting that there was some confusion regarding the effects of walking on claudication. Those who expected that walking would benefit their symptoms more than surgery reported fewer fear-avoidance beliefs ( p=0.01), but those who believed that walking would make their leg pain worse expected greater benefit from surgery ( p=0.02). As symptom severity increased, fear-avoidance beliefs also increased ( p=0.001). The association between symptom severity and fear-avoidance beliefs indicates that as pain or impairment increases, the likelihood of avoiding behaviors that are thought to cause pain might also increase. Accounting for pain-related beliefs when recommending physical activity for claudication should be considered.
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Zdun-Ryżewska, Agata, and Krzysztof Basiński. "Fear avoidance model – review of selected reports." BÓL 17, no. 4 (January 6, 2017): 41–48. http://dx.doi.org/10.5604/01.3001.0009.7382.
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SUMMARY: Based on the bio-psycho-social approach, fear-avoidance model can be used in situations when somebody avoids movement because of fear of pain. This model can be applied in groups of patients with low back pain and musculoskeletal pain and explains how acute pain becomes chronic. A simple behavioral model of classical and operant conditioning that explains activity avoidance was developed into a more sophisticated, cognitive-behavioral fear-avoidance model, postulating the existence of a vicious circle that causes increasing disability of patients in chronic pain. The variables involved in this mechanism are catastrophizing, fear of activity, avoiding movement, increased distress and fear-avoidance beliefs. This article also presents some further improvements to the model that include pain intensity and motivational theory. A brief overview of tools used in research on fear-avoidance is also presented. It is recommended to take Fear Avoidance Model in to consideration when working with patients with no improvement and the risk of recurrent episodes of pain. Further studies are needed to empirically verify the fear-avoidance model.
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Thomtén, Johanna, and Andreas Karlsson. "Psychological factors in genital pain: The role of fear-avoidance, pain catastrophizing and anxiety sensitivity among women living in Sweden." Scandinavian Journal of Pain 5, no. 3 (July 1, 2014): 193–99. http://dx.doi.org/10.1016/j.sjpain.2014.01.003.
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AbstractObjectivesOne in five women under the age of 30 report recurrent genital pain and pain during sexual intercourse. Female genital pain negatively affects sexual and general health, as well as dyadic function and quality of life. Although the current field of research and clinical expertise in general agree upon a biopsychosocial conceptualization, there is still a lack of theoretical models describing the psychosocial mechanisms involved in the development of genital pain. Originally developed to outline the transition from acute to chronic back pain, the fear avoidance (FA) model has lately been proposed as a possible tool in illustrating the mechanisms involved in genital pain. However, only few studies have empirically tested the components of the FA model empirically. The aim of the present study is to examine fear avoidance beliefs, pain catastrophizing, and symptoms of depression and anxiety among women reporting genital pain, and to relate these concepts to sexual satisfaction/function and the characteristics of pain.MethodsThe study was a population-based study using a postal questionnaire administered to 4052 women (age 18–35). Of these 944 (response rate: 23%) took part in the study.ResultsGenital pain of six months duration was reported by 16.1% of the women. Women with pain reported elevated levels of symptoms of anxiety, fear avoidance beliefs, pain catastrophizing and anxiety sensitivity. Symptoms of anxiety also predicted pain in the explanatory model together with vaginal tension and fungal infection. Vaginal tension has previously been described as a fear-response to painful intercourse and the results thereby seem to give further support to viewing genital pain from a fear avoidance perspective. Furthermore, fear avoidance beliefs seem to be of similar importance as lack of desire for the experience of sexual satisfaction and could also predict pain during specific activities among women with pain. The results also indicate that sexual satisfaction is related to a specific pain-related fear, rather than a heightened level of general anxiety.ConclusionsThe study had a low response rate, but still indicates that genital pain is common and is associated with several aspects of fear and avoidance. In sum, the results support the FA model by giving strong support for fear reactions (vaginal tension) and fear avoidance beliefs, and moderate support for negative affect. In the model negative affect drives pain catastrophizing.ImplicationsIt seems that the experience of genital pain among women in the general population is common and could be associated with increased levels of anxiety and fear-avoidance beliefs. However, the associations should not be understood in isolation from physiological mechanisms but seem to indicate interactions between, e.g. fungal infections, negative appraisals of pain and symptoms, lack of sexual function and satisfaction and increased pain experience. It is possible that psychological mechanisms work in the transition from acute physiological pain to chronic psychologically maintained pain in terms of secondary reactions to, e.g. repeated fungal infections by adding emotional distress, fear of pain and avoidance behaviours.
Dissertations / Theses on the topic "Fear avoidance belief of pain"
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Rodrigues, Carlos. "Dor crónica lombar." Master's thesis, Escola Superior de Saúde, 2011. http://hdl.handle.net/10400.26/4196.
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Dissertação de Mestrado em Fisioterapia, área de especialização em Condições Músculo-EsqueléticasA dor crónica lombar, é uma condição de saúde cuja prevalência tem aumentado nas últimas décadas. É uma condição que pode ser bastante incapacitante para o indivíduo e por consequência, ter importante impacto social e económico na sociedade. É um fenómeno complexo, multifactorial e pouco estudado na população portuguesa. Objectivo: Estudar a associação entre a catastrofização da dor, crenças de medo evitamento da dor, intensidade da dor e a incapacidade funcional auto reportada em indivíduos com dor crónica lombar. Metodologia: Estudo observacional analítico de corte transversal, com uma amostra de 38 indivíduos com dor crónica lombar, seleccionados a partir de uma população de 186 trabalhadores de uma unidade local de saúde. A recolha de dados foi realizada através de 4 instrumentos de avaliação: Questionário de caracterização e levantamento de factores de risco e impacto associados à dor crónica lombar; Questionário de incapacidade de Roland e Morris; Escala de catastrofização da dor; e Questionário de crenças de medo evitamento da dor. A análise dos dados foi feita através de estatística descritiva pela distribuição de frequências e medidas de tendência central para análise da prevalência e caracterização da amostra e por estatística inferencial para estudar as relações entre variáveis através do teste de correlação não paramétrico de Spearman. Resultados: A variável catastrofização da dor obteve um valor de correlação com a incapacidade auto-reportada de rs=0,473, para p<0,01; a variável crença de medo evitamento da dor relacionada com o trabalho obteve um valor de correlação com a incapacidade auto-reportada de rs=0,462 para p<0,01, a percepção da intensidade actual de dor e a intensidade percepcionada no ano anterior, obtiveram valores de correlação com a incapacidade auto-reportada de rs=0,327 e rs= 0,359 respectivamente para valor de p<0,05. Conclusão: As variáveis psicossociais catastrofização da dor e crença de medo evitamento da dor relacionada com o trabalho, influenciam de forma moderada a incapacidade em indivíduos com dor crónica lombar. A associação entre a intensidade da dor e a incapacidade parece ter um papel menos importante demonstrando associações baixas.
Abstract: Chronic low back pain is a health condition whose prevalence has increased in recent decades. It is a condition that can be quite disabling for the individual and therefore have important social and economic impact on society. It is a complex phenomenon, multifactorial and poorly studied in the Portuguese population. Objective: To study the association between pain catastrophizing, fear avoidance beliefs, pain, pain intensity and self-reported functional disability in individuals with chronic low back pain. Methods: Observational analytical cross sectional study of a sample of 38 individuals with chronic low back pain, selected from a population of 186 workers at a local health unit. Data collection was performed through four assessment instruments: questionnaire characterization, evaluation of risk factors and impact associated to chronic low back pain, questionnaire Roland and Morris disability, pain catastrophizing scale and fear avoidance beliefs questionnaire. Data analysis was performed using descriptive statistics for the distribution of frequencies and measures of central tendency to analyze the prevalence and characteristics of the sample and inferential statistics to study the relationships between variables by testing for Spearman nonparametric correlation. Results: The pain catastrophizing variable had a correlation value rs= 0,473, p<0,01 with the self-reported disability, the variable of fear avoidance belief of pain related to the work achived a correlation value with the self-reported disability, rs = 0.462 p <0.01, current pain intensity and in the previous year obtained values of correlation with self-reported disability rs = 0.327 and rs = 0.359 respectively for values of p <0.05 .Conclusion: The psychosocial variables of pain catastrophizing and fear avoidance belief of pain related to the work had a moderate association with disability in individuals with chronic low back pain. The association between pain intensity and disability seems to have a less important role demonstrating low associations.
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Rodrigues, Carlos Miguel Antunes. "Dor crónica lombar : incapacidada auto-reportada em trabalhadores de saúde e sua relação com variáveis psicossociais e intensidade da dor." Master's thesis, Faculdade de Ciências Médicas. Universidade Nova de Lisboa, 2011. http://hdl.handle.net/10362/6350.
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RESUMO: A dor crónica lombar, é uma condição de saúde cuja prevalência tem aumentado nas
últimas décadas. É uma condição que pode ser bastante incapacitante para o indivíduo e
por consequência, ter importante impacto social e económico na sociedade. É um
fenómeno complexo, multifactorial e pouco estudado na população portuguesa.
Objectivo: Estudar a associação entre a catastrofização da dor, crenças de medo
evitamento da dor, intensidade da dor e a incapacidade funcional auto reportada em
indivíduos com dor crónica lombar. Metodologia: Estudo observacional analítico de corte transversal, com uma amostra de 38 indivíduos com dor crónica lombar,
seleccionados a partir de uma população de 186 trabalhadores de uma unidade local de
saúde. A recolha de dados foi realizada através de 4 instrumentos de avaliação:
Questionário de caracterização e levantamento de factores de risco e impacto associados à dor crónica lombar; Questionário de incapacidade de Roland e Morris; Escala de catastrofização da dor; e Questionário de crenças de medo evitamento da dor. A análise dos dados foi feita através de estatística descritiva pela distribuição de frequências e medidas de tendência central para análise da prevalência e caracterização da amostra e
por estatística inferencial para estudar as relações entre variáveis através do teste de
correlação não paramétrico de Spearman. Resultados: A variável catastrofização da dor
obteve um valor de correlação com a incapacidade auto-reportada de rs=0,473, para
p<0,01; a variável crença de medo evitamento da dor relacionada com o trabalho obteve
um valor de correlação com a incapacidade auto-reportada de rs=0,462 para p<0,01, a
percepção da intensidade actual de dor e a intensidade percepcionada no ano anterior,
obtiveram valores de correlação com a incapacidade auto-reportada de rs=0,327 e rs=
0,359 respectivamente para valor de p<0,05. Conclusão: As variáveis psicossociais
catastrofização da dor e crença de medo evitamento da dor relacionada com o trabalho,
influenciam de forma moderada a incapacidade em indivíduos com dor crónica lombar.
A associação entre a intensidade da dor e a incapacidade parece ter um papel menos
importante demonstrando associações baixas.--------------------------ABSTRACT:
Chronic low back pain is a health condition whose prevalence has increased in recent
decades. It is a condition that can be quite disabling for the individual and therefore
have important social and economic impact on society. It is a complex phenomenon,
multifactorial and poorly studied in the Portuguese population. Objective: To study the association between pain catastrophizing, fear avoidance beliefs, pain, pain intensity and self-reported functional disability in individuals with chronic low back pain. Methods: Observational analytical cross sectional study of a sample of 38 individuals with chronic low back pain, selected from a population of 186 workers at a local health unit. Data collection was performed through four assessment instruments: questionnaire characterization, evaluation of risk factors and impact associated to chronic low back pain, questionnaire Roland and Morris disability, pain catastrophizing scale and fear avoidance beliefs questionnaire. Data analysis was performed using descriptive statistics for the distribution of frequencies and measures of central tendency
to analyze the prevalence and characteristics of the sample and inferential statistics to study the relationships between variables by testing for Spearman nonparametric correlation. Results: The pain catastrophizing variable had a correlation value rs= 0,473, p<0,01 with the self-reported disability, the variable of fear avoidance belief of
pain related to the work achived a correlation value with the self-reported disability, rs = 0.462 p <0.01, current pain intensity and in the previous year obtained values of correlation with self-reported disability rs = 0.327 and rs = 0.359 respectively for values of p <0.05 .Conclusion: The psychosocial variables of pain catastrophizing and fear avoidance belief of pain related to the work had a moderate association with disability
in individuals with chronic low back pain. The association between pain intensity and
disability seems to have a less important role demonstrating low associations.
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Serpa, Rui Alexandre Predas. "Incapacidade auto-reportada e retorno à actividade profissional em utentes com dor crónica lombar." Master's thesis, Faculdade de Ciências Médicas. Universidade Nova de Lisboa, 2011. http://hdl.handle.net/10362/6301.
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RESUMO: O absentismo à actividade profissional devido à condição de Dor Lombar apresenta-se como um problema de saúde pública com elevados custos económicos nas sociedades ocidentais. É estimado que cerca de 20% a 47% dos utentes com Dor Lombar não retornam à sua actividade profissional no período de 3 meses, sendo responsáveis por 75% a 90% de todos os custos e baixas médicas associadas à condição. Objectivo: O objectivo deste estudo foi analisar a capacidade de retorno à actividade profissional em utentes com Dor Crónica Lombar (DCL), que procuraram a Fisioterapia em situação de agudização dos seus sintomas, e averiguar a sua relação com os níveis de Incapacidade auto-reportados. Secundariamente pretendemos avaliar a influência das Crenças de medo-evitamento, nos níveis de Incapacidade auto-reportados. Metodologia: Foi efectuado um estudo correlacional prospectivo no qual se observou uma amostra de 56 utentes com DCL que tivessem apresentado novos episódios de agudização dos seus sintomas. Após 3 meses de follow-up (n=42) foi avaliado o “regresso ao trabalho em boas condições” e a sua relação com os níveis de Incapacidade iniciais, bem como o contributo das Crenças de medo-evitamento para essa Incapacidade funcional. Resultados: Foi verificada uma correlação negativa entre os níveis de Incapacidade funcional e o Sucesso no “regresso ao trabalho em boas condições” (ρ = -0.369; p =0.016), sendo que os scores mais elevados da Incapacidade correspondem à Falha nesse regresso. Verificámos também uma correlação positiva entre a existência das Crenças de medo-evitamento relativas ao Trabalho e a Incapacidade (r =0.511; p =0,001), apresentando estas Crenças um valor preditivo (β= 0.533; p =0.001) na Incapacidade auto-reportada. Conclusões: A capacidade de retorno à actividade profissional nos utentes com DCL, após um novo episódio de agudização dos seus sintomas, está relacionada com níveis de Incapacidade funcional. Os factores psicossociais, nomeadamente as Crenças de medo-evitamento relativas ao Trabalho apresentam um valor preditivo para essa Incapacidade auto-reportada.------------------------------ABSTRACT:Work-absenteeism due to the condition of Low Back Pain (LBP) presents itself as a public health problem with high economic costs in Western societies. It is estimated that 20% to 47% of patients with LBP not returned to their work-activity in period of 3 months, accounting for 75% to 90% of all medical costs and sickness compensation associated. Objective: The aim of the present study was to assess the ability to return to work on patients with chronic LBP, who searched for physical therapy in a situation of worsening of their symptoms, and examine their relationship with levels of self-reported disability. Secondly we intend to evaluate the influence of fear-avoidance beliefs to the levels of self-reported disability. Methods: We conducted a prospective cross-sectional study in which we observed 56 patients chronic LBP with new episodes of exacerbation of their symptoms. After a 3 months follow-up (n = 42) we evaluated the “return to work in good health” and its relationship with initial levels of disability and the contribution of fear-avoidance beliefs for that disability. Results: There was a negative correlation between levels of disability and “return to work in good health” success (ρ = -0.369, p = 0.016), with the highest scores correspond to the failure in the work-return. We also found a positive correlation between the existence of fear-avoidance beliefs for work and disability (r = 0.511; p = 0.001), with a predictive value of these fear-avoidance beliefs (β = 0.533; p = 0.001) in self-reported disability. Conclusions: The ability to return to work in chronic LBP patients, after a new episode of exacerbation of symptoms is related to the levels of functional disability. Psychosocial factors, including fear-avoidance beliefs for work showed a predictive value for the self-reported disability.
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Flink, Ida K. "Stuck in mind : the role of catastrophizing in pain." Doctoral thesis, Örebro universitet, Akademin för juridik, psykologi och socialt arbete, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-19125.
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Pain catastrophizing emerges in the literature as one of the most important psychological determinants of both pain itself and the negative outcomes commonly associated with it. However, despite decades of research confirming the impact of catastrophizing, there are still areas that remain unexplored or in which the surface has only been scratched. The overall aim of this dissertation was to expand existing knowledge about catastrophizing and to advance the theoretical framework around the concept. The role of catastrophizing was explored in three distinct areas: during pain in childbirth, in exposure treatment for back pain patients, and in a problem solving context. The findings from the three studies confirmed the vital role of catastrophizing in these areas. Firstly, catastrophizing played a critical role in pain in childbirth; women who catastrophized reported labor pain as more intense and the subsequent recovery period as longer than women who did not catastrophize. Secondly, catastrophizing was identified as a moderator of treatment effect in exposure in vivo for back pain patients with pain-related fear; patients who catastrophized were not helped by the exposure. Thirdly, catastrophizing played a role in a problem solving context; although this is in line with contemporary models such as the misdirected problem solving model, the results suggested a somewhat different pathway to this previous model. Taken together, these findings underscore the instrumental role of catastrophizing in diverse areas and imply a need for catastrophzing to be assessed and addressed in clinical contexts. In addition, the findings highlight a need for further development of the theoretical framework around catastrophizing as well as treatment interventions that directly target catastrophizing. Based on these needs, a new model of catastrophizing was proposed – a model of catastrophizing from a process perspective. In this model, the proposed function of catastrophizing is to down-regulate negative affect, as a form of internal avoidance. The model is a complement to existing theoretical models and provides a framework for developing treatment interventions that directly target catastrophizing, for example by problem solving skills training. Successful interventions for people who catastrophize would lead to several gains – for the individual in less suffering and increased ability to handle pain problems, and for society as a whole in reduced costs for health care for these individuals.
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Wideman, Timothy Howard. "An empirical and theory-based evaluation of the fear avoidance model of pain." Thesis, McGill University, 2012. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=110386.
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Persistent pain and disability are commonly associated with musculoskeletal injury and can result in considerable personal suffering and societal burden. The Fear Avoidance Model provides a theoretical account of how pain-related disability develops, and has inspired a large body of research that aims to mitigate the negative consequences of musculoskeletal injury. While The Fear Avoidance Model is currently the leading theory of pain-related disability, there are several theoretical and empirical aspects of the model that have yet to be fully addressed; this manuscript-based thesis aims to explore these aspects. This thesis consists of five chapters: a general introduction, three empirical studies, and a general discussion. The general introduction provides a broad theoretical context for the three empirical studies. The studies included in this thesis aim to address two empirical gaps in the literature; the studies evaluate specific prospective relationships proposed by the Fear Avoidance Model, and assess alternate relationships among model-relevant variables. The general discussion provides a detailed exploration of various theoretical assumptions that are made within the Fear Avoidance Model that may help account for the observed findings.La douleur et l'invalidité persistante sont souvent associées avec des blessures musculo-squelettiques et peuvent entrainer une souffrance personnelle majeure ainsi qu'un fardeau social considérable. Le Modèle Cognitivo-Comportemental de la Peur liée à la douleur (MCCP) donne un compte rendu théorique de la manière dont l'invalidité associée à la douleur se développe et a inspiré une grande partie de la recherche qui vise à atténuer les conséquences de blessures musculo-squelettiques. Tandis que le MCCP est la théorie de premier ordre sur l'invalidité associée à la douleur, plusieurs aspects théoriques et empiriques du modèle n'ont pas encore été pleinement adressés. Cette thèse vise à examiner ces aspects. Cette thèse consiste en cinq chapitres : une introduction générale, trois études empiriques et une conclusion générale. L'introduction présente le cadre théorique pour les trois études empiriques. Les études incluses dans cette thèse visent à combler deux lacunes empiriques ; les études évaluent des relations prospectives spécifiques proposées par le MCCP, et examinent les relations alternatives entre les variables pertinents au modèle. La discussion générale fournit une exploration détaillée de diverses hypothèses théoriques développées dans le MCCP qui peuvent aider à expliquer les résultats des trois études.
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Buer, Nina. "Pain-related fear and movement : implications for physiotherapy and public health /." Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-363-5/.
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Trost, Zina. "Pain-related Fear, Pain and Harm Appraisal, and Kinematic Avoidance among Healthy Participants Following Delayed Onset Muscle Soreness." Ohio University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1279927787.
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Boersma, Katja. "Fear and avoidance in the development of a persistent musculoskeletal pain problem : implications for secondary prevention /." Örebro : University Library, Örebro university, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-110.
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Rose, Michael John. "The prediction of outcome of an acute episode of low back pain using the Fear Avoidance Model of Exaggerated Pain Perception." Thesis, University of Liverpool, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.386892.
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Thompson, David. "Adjustment to chronic neck pain : the important role of cognitive factors." Thesis, University of Manchester, 2012. https://www.research.manchester.ac.uk/portal/en/theses/adjustment-to-chronic-neck-pain--the-important-role-of-cognitive-factors(11161f26-a707-40f9-9721-87b8cf2614c6).html.
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Chronic neck pain (CNP) is a common and disabling condition, accounting for substantial healthcare and societal costs. Previous studies have demonstrated that certain cognitive factors are related to levels of adjustment (levels of disability, pain and depression) in chronic pain conditions. However, this association has not been adequately explored in patients with CNP. The aim of study one was to determine the relationship between specific cognitive factors and levels of adjustment in participants with CNP. Furthermore, study two explored whether the relationship between the cognitive factors and levels of adjustment differed between those patients with idiopathic CNP and those with Chronic Whiplash Associated Disorder (CWAD). Finally, study three compared the efficacy of a physiotherapy led intervention, specifically designed to modify cognitive factors to a conventional physiotherapy intervention.Study one: Hierarchical multiple regression analyses were performed. Greater catastrophizing and lower functional self-efficacy beliefs were associated with greater levels of pain and disability. Additionally, lower functional self-efficacy beliefs were also associated with greater levels of depression. Study two: Data were dichotomised into two groups: those with CWAD and those with idiopathic CNP. T-tests were performed to compare differences in the cognitive scores and the same regression analyses as study one were performed for each sub-group. No significant differences existed between the two groups in terms of levels of pain, disability, depression or the cognitive factors. In both groups greater catastrophizing and lower functional self-efficacy beliefs were related to levels of disability. Likewise, lower self-efficacy beliefs were related to levels of depression in those participants with idiopathic CNP and those with CWAD. However, amongst those with idiopathic CNP, greater levels of catastrophizing and lower levels of pain vigilance and awareness were related to greater pain intensity. In contrast, amongst those with CWAD, none of the cognitive measures were significantly related to levels of pain intensity.Study three: Participants were randomly allocated to either a progressive neck exercise programme or an intervention which specifically targeted the modification of cognitive factors. T-tests revealed that treatment targeting cognitive factors resulted in greater improvements in pain and pain-related fear. Moreover, Χ2 tests revealed that a greater proportion of patients made clinically meaningful reductions in pain and disability in the group targeting cognitive factors. This thesis highlights that cognitive factors play an important role in determining levels of adjustment in patients with CNP. Furthermore, treatments designed to specifically target these factors result in superior clinical outcomes when compared to conventional physiotherapy interventions.
Books on the topic "Fear avoidance belief of pain"
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Svensson, Antonia Louise. Locus of control, coping strategies, depression and fear-avoidance beliefs in relation to chronic back pain: Trying to predict pain severity and disability from psychological variables. 1997.
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Cloeren, Marianne, and Stephen Colameco. Preventing Avoidable Work Disability (DRAFT). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190265366.003.0022.
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Addiction professionals often are called upon to provide opinions or coordinate the treatment of substance abuse, dependence, or addiction in patients who are enmeshed in complicated benefits or compensation systems, including workers’ compensation. Recovery is often compromised by system hurdles, such as insurer resistance to addiction treatment, and secondary gain issues, such as attorney advice for maximal benefit based on profound disability. Disability beliefs and other potentially modifiable risk factors for unnecessary work disability are also common in patients with chronic pain and addiction. These risk factors include fear/avoidance, pain catastrophization, perceived injustice, childhood trauma, and psychiatric illness. Excessive and inappropriate medical care, often including unnecessary procedures and medication, contributes to disability beliefs, which are usually entrenched by the time a patient presents to an addiction professional. This chapter provides information about recognizing disability risk factors, assessing work capacity, and developing treatment strategies that promote optimal return to function.
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Hasenbring, Monika I., and Hanne P. J. Kindermans. Avoidance and Endurance in Chronic Pain. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190627898.003.0008.
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This chapter focuses on two vexing aspects of coping with daily activities while experiencing pain—the tendency to avoid actions that are perceived as exacerbating the pain (avoidance), and the tendency to endure pain by persistent engagement in ongoing activities (endurance). Based on theoretical approaches such as the fear-avoidance and the avoidance-endurance models of pain, the chapter provides insights into the wide variety of cognitive, emotional, and behavioral pain responses that are related to an avoidant or endurance pain response style and aspects of dysfunctionality. Several specific response patterns are identified that mirror dysfunctional avoidance or endurance in addition to an adaptive pattern. The chapter provides preliminary evidence from both clinical and experimental research and is based on selected models of goal striving as conceptualized within a broad self-regulation perspective.
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Khouzam, Hani Raoul. Psychiatry and Chronic Pain. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199981830.003.0007.
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This chapter reviews some of the connections between psychiatry and chronic pain, highlighting the role that psychiatrists can play in diagnosing and treating chronic pain. Identifying and addressing the various psychiatric components of chronic pain can significantly contribute to successful rehabilitation, recovery, and improved overall functioning.Psychiatric models (gate control, diathesis/stress, biopsychosocial–spiritual approaches, cognitive-behavioral transactional and cognitive-behavioral fear avoidance) are described to provide a theoretical basis for understanding the development and the clinical management of chronic pain.This chapter also describes how psychiatrists can collaborate with primary care providers in managing chronic pain within the framework of multidisciplinary treatment teams.It is important for healthcare professionals, regulators, law enforcement personnel, and legislators to identify the connection between psychiatry and chronic pain in the context of its diagnosis, management, and treatment.
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Van Damme, Stefaan, and Geert Crombez. A Motivational Perspective on Coping with Pain. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190627898.003.0012.
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Coping is one of the most commonly used concepts in the pain literature. Despite its popularity, it remains a broad and confusing concept that is often vaguely defined and poorly operationalized. This chapter presents a motivational model of coping that starts from the idea that pain’s interference with goal pursuit elicits negative affect, which in turn activates coping responses that may then proceed along 3 possible pathways: goal persistence, problem-solving, or goal adjustment. The chapter describes and illustrates these pathways and asserts that all three could be either adaptive or maladaptive, depending upon the nature of the context. It recasts several traditional concepts regarding pain coping, such as pain catastrophizing, fear-avoidance, endurance, pain-related attention, and acceptance, within this motivational perspective. It discusses the potential implications of adopting the motivational account of pain coping for clinical interventions such as exposure, attention management, and acceptance, as well as commitment therapy.
Book chapters on the topic "Fear avoidance belief of pain"
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Lööf, Helena. "“Let Me Be a Meaningful Part in the Outside World”: A Caring Perspective on Long-Term Rheumatic Pain and Fear-Avoidance Beliefs in Relation to Body Awareness and Physical Activities." In Meanings of Pain, 103–16. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-24154-4_6.
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Goubert, Liesbet, Geert Crombez, and Johan W. S. Vlaeyen. "Muscle Pain, Fear-Avoidance Model." In Encyclopedia of Pain, 1963–66. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_2531.
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van’t Hof, Sophie, Arja Rydin, Jan Treur, and Paul Enzlin. "An Adaptive Computational Fear-Avoidance Model Applied to Genito-Pelvic Pain/Penetration Disorder." In Brain Informatics, 3–15. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59277-6_1.
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"Fear Avoidance Beliefs." In Encyclopedia of Pain, 1267. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_200797.
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Sullivan, Michael J. L., Stephania Donayre Pimentel, and Catherine Paré. "The psychology of pain-related disability: Implications for intervention." In Work and pain, edited by Elaine Wainwright and Christopher Eccleston, 105–42. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198828273.003.0009.
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Research over the past two decades a pointed to a number of pain-related psychological variables and mental health conditions that impede recovery following musculoskeletal injury. This chapter briefly reviews evidence suggesting that pain-related psychological variables such as recovery expectancies, self-efficacy, pain catastrophizing, perceived injustice, and fear-avoidance beliefs, depression, and post-traumatic stress disorder (PTSD) play a significant role as determinants of work-disability in individuals with musculoskeletal conditions. Although significant advances have been made with respect to the identification of psychological variables that contribute to prolonged work disability, what has lagged is the development of risk-targeted interventions to promote occupational reintegration. Although numerous clinical trials have shown statistically significant changes in pain-related psychological risk factors, the clinical significance of observed changes has been questioned. The development and evaluation of risk targeted interventions aimed at promoting occupational reintegration in work-disabled individuals will need to be a priority for future research in this area.
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"Fear Avoidance." In Encyclopedia of Pain, 1267. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_200796.
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"Fear-Avoidance." In Encyclopedia of Pain, 1272. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_100800.
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"Fear-Avoidance Model." In Encyclopedia of Pain, 1272. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_200798.
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"Fear-Anxiety-Avoidance Model." In Encyclopedia of Pain, 1272. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_200795.
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Asmundson, Gordon J. G., Holly A. Parkerson, and Christina A. D’Ambrosio. "Fear, Anxiety, Avoidance, and Chronic Pain." In Anxiety Disorders, 227–40. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199395125.003.0016.
Full textConference papers on the topic "Fear avoidance belief of pain"
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Ikegami, K., R. Sugano, S. Michii, H. Ando, H. Nozawa, T. Shirasaka, M. Kondo, et al. "437 Effects on presenteeism owing to fear-avoidance beliefs of workers with musculoskeletal pain: a one-year cohort study." In 32nd Triennial Congress of the International Commission on Occupational Health (ICOH), Dublin, Ireland, 29th April to 4th May 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/oemed-2018-icohabstracts.743.
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Aung, Min, Nadia Bianchi-Berthouze, Paul Watson, and Amanda Williams. "Automatic Recognition of Fear-Avoidance behavior in Chronic Pain Physical Rehabilitation." In 8th International Conference on Pervasive Computing Technologies for Healthcare. ICST, 2014. http://dx.doi.org/10.4108/icst.pervasivehealth.2014.254945.
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Bremander, A., E. Haglund, and S. Bergman. "SAT0737-HPR Measures of physical activity and fear avoidance in people with chronic pain." In Annual European Congress of Rheumatology, EULAR 2018, Amsterdam, 13–16 June 2018. BMJ Publishing Group Ltd and European League Against Rheumatism, 2018. http://dx.doi.org/10.1136/annrheumdis-2018-eular.6170.
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