The Fear-Avoidance Model of Musculoskeletal Pain: Current State of Scientific Evidence
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Open Access
- 20 December 2006
- journal article
- review article
- Published by Springer Nature in Journal of Behavioral Medicine
- Vol. 30 (1) , 77-94
- https://doi.org/10.1007/s10865-006-9085-0
Abstract
Research studies focusing on the fear-avoidance model have expanded considerably since the review by Vlaeyen and Linton (Vlaeyen J. W. S. & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain, 85(3), 317--332). The fear-avoidance model is a cognitive-behavioral account that explains why a minority of acute low back pain sufferers develop a chronic pain problem. This paper reviews the current state of scientific evidence for the individual components of the model: pain severity, pain catastrophizing, attention to pain, escape/avoidance behavior, disability, disuse, and vulnerabilities. Furthermore, support for the contribution of pain-related fear in the inception of low back pain, the development of chronic low back pain from an acute episode, and the maintenance of enduring pain, will be highlighted. Finally, available evidence on recent clinical applications is provided, and unresolved issues that need further exploration are discussed.Keywords
This publication has 185 references indexed in Scilit:
- Preliminary Development of a Clinical Prediction Rule for Determining Which Patients With Low Back Pain Will Respond to a Stabilization Exercise ProgramArchives of Physical Medicine and Rehabilitation, 2005
- Active despite pain: the putative role of stop-rules and current moodPain, 2004
- Effects of experimentally induced pain and fear of pain on trunk coordination and back muscle activity during walkingClinical Biomechanics, 2004
- Longitudinal validation of the Fear-Avoidance Beliefs Questionnaire (FABQ) in a Swiss-German sample of low back pain patientsEuropean Spine Journal, 2004
- Disuse and deconditioning in chronic low back pain: concepts and hypotheses on contributing mechanismsEuropean journal of pain, 2003
- Is pain-related fear a predictor of somatosensory hypervigilance in chronic low back pain patients?Behaviour Research and Therapy, 2002
- Fear-Avoidance Behavior and Anticipation of Pain in Patients With Chronic Low Back Pain: A Randomized Controlled StudyPain Medicine, 2001
- Information and Advice to Patients With Back Pain Can Have a Positive EffectSpine, 1999
- Pain demands attention: A cognitive–affective model of the interruptive function of pain.Psychological Bulletin, 1999
- A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disabilityPublished by Wolters Kluwer Health ,1993