Pain-related fear predicts disability, but not pain severity: A path analytic approach of the fear-avoidance model
Pain-related fear predicts disability, but not pain severity: A path analytic approach of the fear-avoidance model
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DOI：
10.1016/j.ejpain.2010.01.003
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发表时间：
2010-09-01
影响因子：
3.6
通讯作者：
Vlaeyen, Johan W. S.
中科院分区：
文献类型：
--
作者：
Gheldof, Els L. M.;Crombez, Geert;Vlaeyen, Johan W. S.
据报道，两项研究使用路径分析技术测试了恐惧回避（FA）模型。在研究 1 中，429 名基线时有背痛以及 18 个月随访时出现背痛的员工完成了问卷调查，评估社会人口统计信息、疼痛严重程度、负面情绪、与疼痛相关的恐惧和残疾。结果表明，基线时的疼痛严重程度可以预测随访时与疼痛相关的恐惧和残疾，并且与疼痛相关的恐惧是疼痛严重程度的结果，而不是前因。结果进一步显示，经历负面情绪的倾向对疼痛严重程度和残疾影响较小，最好将其视为与疼痛相关的恐惧的前兆。研究 2 纳入了 238 名员工，基线时没有背痛，但在 1 年后出现背痛。测试了与研究 1 类似的模型。总体而言，结果与研究 1 的结果一致。结果从理论相关性和临床意义方面进行了讨论。 (C) 2010 年欧洲联合会国际疼痛研究协会分会。由爱思唯尔有限公司出版。保留所有权利。
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. (C) 2010 European Federation of International Association for the Study of Pain Chapters. Published by Elsevier Ltd. All rights reserved.