Pain-related fear predicts disability, but not pain severity: a path analytic approach of the fear-avoidance model

E.L. Gheldof, G. Crombez, E. van den Bussche, J. Vinck, A. van Nieuwenhuyse, G. Moens, P. Mairiaux, J.W.S. Vlaeyen

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Abstract

Two studies are reported that tested the fear-avoidance (FA) model using path analytic techniques. In study 1, 429 employees with back pain at baseline and back pain at 18 months follow-up completed questionnaires assessing sociodemographic information, pain severity, negative affect, pain-related fear, and disability. Results indicated that pain severity at baseline predicted pain-related fear and disability at follow-up, and that pain-related fear is rather a consequence than an antecedent of pain severity. Results further revealed that the disposition to experience negative affect has a low impact upon pain severity and disability, and is best viewed as a precursor of pain-related fear. Study 2 included 238 employees without back pain at baseline, but who developed back pain at 1 year follow-up. A similar model as in study 1 was tested. Overall, results are in line with those of study 1. Results are discussed in terms of theoretical relevance and clinical implications. 

Original languageEnglish
Pages (from-to)870.e1-870.e9
Number of pages9
JournalEuropean Journal of Pain
Volume14
Issue number8
DOIs
Publication statusPublished - Sep 2010

Keywords

  • ATTENTION
  • Back pain
  • CONFIRMATORY FACTOR-ANALYSIS
  • Disability
  • FIT INDEXES
  • Fear
  • Fear-avoidance model
  • KINESIOPHOBIA
  • LOW-BACK-PAIN
  • MUSCULOSKELETAL PAIN
  • OCCUPATIONAL SETTINGS
  • PSYCHOMETRIC PROPERTIES
  • Pain
  • SICK LEAVE
  • TAMPA SCALE

Cite this

Gheldof, E. L., Crombez, G., van den Bussche, E., Vinck, J., van Nieuwenhuyse, A., Moens, G., Mairiaux, P., & Vlaeyen, J. W. S. (2010). Pain-related fear predicts disability, but not pain severity: a path analytic approach of the fear-avoidance model. European Journal of Pain, 14(8), 870.e1-870.e9. https://doi.org/10.1016/j.ejpain.2010.01.003