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Title: The role of fear-avoidance and helplessness in explaining functional disability in chronic pain: a prospective study.
Author(s): Samwel, J.J.A. ; Kraaimaat, F.W. ; Crul, B.J.P. ; Evers, A.W.M.
Publication year: 2007
Source: International Journal of Behavioral Medicine, vol. 14, iss. 4, (2007), pp. 237-241
ISSN: 1070-5503
DOI: https://doi.org/10.1007/BF03002998
Publication type: Article / Letter to editor

Please use this identifier to cite or link to this item : https://hdl.handle.net/2066/52790   https://hdl.handle.net/2066/52790

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Subject: DCN 1: Perception and Action
EBP 1: Determinants of Health and Disease
EBP 3: Effective Primary Care and Public Health
N4i 4: Auto-immunity, transplantation and immunotherapy
NCEBP 2: Evaluation of complex medical interventions
NCEBP 8: Psychological determinants of chronic illness
EBP 1: Determinants of Health and Disease
Organization: Anesthesiology
Medical Psychology
IQ Healthcare
Journal title:
International Journal of Behavioral Medicine
Volume: vol. 14
Issue: iss. 4
Page start: p. 237
Page end: p. 241
Abstract:
OBJECTIVE: Based on the fear-avoidance and helplessness models, the relative contribution of fear of pain, avoidance behavior, worrying, and helplessness were examined in relation to fluctuations in functional disability in chronic-pain patients. METHODS: A cohort of 181 chronic-pain patients first completed various questionnaires and kept a 7-day pain journal during a standard 3-month waiting-list period prior to their scheduled treatment at an Interdisciplinary Pain Centre and did so again immediately preceding the intervention. RESULTS: At baseline, fear of pain, avoidance behavior, and helplessness all predicted functional disability after 3 months. Stepwise regression analyses showed avoidance behavior to be the strongest predictor of change in functional disability followed by helplessness, thus both ahead of fear of pain. CONCLUSION: The current findings support the roles of both fear-avoidance factors and helplessness in the functional disability in chronic-pain patients awaiting treatment but revealed a central role for avoidance behavior.

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