Fear-avoidance beliefs increase perception of pain and disability in Mexicans with chronic low back pain

Nava‐Bringas, Tania Inés; Macías‐Hernández, Salvador Israel; Vásquez-Ríos, Jorge Rodrigo; Coronado‐Zarco, Roberto; Miranda‐Duarte, Antonio; Cruz‐Medina, Eva; Arellano-Hernández, Aurelia

doi:10.1016/j.rbre.2016.11.003

Cited by 12 publications

(7 citation statements)

References 17 publications

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“…The second result of the present study concerns the relationship between higher pain, reduced pain self-efficacy and increased kinesiophobia in both groups. This finding is coherent to other studies on chronic LBP, showing that pain severity is related to high Fear Avoidance Beliefs Questionnaires scores [49, 50].…”

Section: Discussionsupporting

confidence: 91%

Does the awareness of having a lumbar spondylolisthesis influence self-efficacy and kinesiophobia? A retrospective analysis

Ferrari

Striano

Lucking³

et al. 2019

Arch Physiother

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Background: High pain self-efficacy and low kinesiophobia seem related to a better prognosis in patients complaining of low back pain (LBP). The literature stresses the potential negative effects of anatomical defect diagnosis (e.g. lumbar spondylolisthesis) on the psychological profile. The aim of this study is to investigate the relationships between awareness of having a spondylolisthesis, pain self-efficacy and kinesiophobia. Methods: A secondary retrospective analysis was done. Ninety-eight subjects with subacute and chronic LBP were included: 49 subjects with diagnosed symptomatic lumbar spondylolisthesis and 49 subjects with diagnosed nonspecific LBP. The pain self-efficacy measured with the Pain Self-Efficacy Questionnaire and the fear of movement measured with the Tampa Scale of Kinesiophobia were considered variables to investigate, whereas diagnosis and demographic/clinical variables were considered predictors or potential confounders. Results: By comparing the two groups, the awareness of having a spondylolisthesis did not significantly influence neither pain self-efficacy (p = 0.82), nor kinesiophobia (p = 0.75). Higher perceived pain reduces pain self-efficacy and increases kinesiophobia in both groups (p = 0.002 and p = 0,031 respectively). Conclusions: It seems that the awareness of an anatomical defect as spondylolisthesis does not significantly affect the beliefs of carry out activities and movements despite the pain. Other studies with wider samples are required, to confirm these preliminary results.

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Section: Discussionsupporting

confidence: 91%

Does the awareness of having a lumbar spondylolisthesis influence self-efficacy and kinesiophobia? A retrospective analysis

Ferrari

Striano

Lucking³

et al. 2019

Arch Physiother

View full text Add to dashboard Cite

show abstract

“…The values of the fear-avoidance behavior obtained are similar to other studies both in acute [38,39] and in chronic pain patients [40]. These data are also consistent with other observational studies in the same line [19,33,41,42], giving meaning to the fear avoidance model, according to which the perception of pain in the short term could lead to movement avoidance behavior, reinforcing this attitude in the long term and providing negative characteristics to movement after a work accident [42].…”

Section: Sickness Absence and Duration Of Absencesupporting

confidence: 90%

Fear-Avoidance Behavior and Sickness Absence in Patients with Work-Related Musculoskeletal Disorders

et al. 2020

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(1) Background and objectives: The purpose of this work is to determine the association of fear-avoidance attitudes with sickness absence status, its duration and disability in a work accident context. (2) Materials and Methods: This is a descriptive observational design, conducting the study in two occupational insurance provider clinics with patients with nonspecific low back and neck pain during the study period. Clinical variables were the Fear Avoidance Questionnaire, Roland Morris Disability Questionnaire, Neck Disability Index, Numerical Pain Scale; sociodemographic variables were sex, age, occupational, educational level, sickness absence status, and duration in days of absence from work. Multiple logistic and linear regressions were used to explore the association between variables. (3) Results: Fear-avoidance behavior is related to sickness absence status (OR = 1.048, p = 0.007), and the physical activity dimension (OR = 1.098, p = 0.013) is more relevant than the work dimension (OR = 1.056, p = 0.028). The duration of sickness absence is related to higher values on the fear-avoidance behavior scale in its global dimension (b = 0.84, p = 0.003, r = 0.327), and the results of the physical activity dimension (B = 1.37, p = 0.035, r = 0.236) were more relevant than the work dimension (B = 1.21, p = 0.003, r = 0.324). Fear-avoidance behavior is related to disability in both dimensions (B = 0.912, p ˂ 0.001, r = 0.505). (4) Conclusions: Fear-avoidance behaviors may influence the typification of sickness absence status, its duration both in its physical activity and work dimension, and its disability reported with higher values than in other healthcare contexts.

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“…Las medias de puntuación para el ME encontradas (FABQ: 44,98; FABQ-PA: 14,16; FABQ-W: 20,69) fueron similares a las reportadas en otros estudios donde todos los sujetos, o la mayoría, estaban en fase crónica27, 28. Las medias reportadas en poblaciones mayoritariamente agudas parecen ser menores22, 23.…”

Section: Discussionunclassified

Factores clínico-demográficos asociados al miedo-evitación en sujetos con lumbalgia crónica inespecífica en atención primaria: análisis secundario de estudio de intervención

et al. 2019

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Some sociodemographic and clinical features of the NCLBP population are presented. Imaging tests (81.63%) and previous passive treatments (55.78%) could reflect problems of adherence to recommendations of CPGs. Sick leave, primary studies level, and disability were associated with FA. The findings should be interpreted in the light of possible limitations. Some suggestions for clinical practice are provided.

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Fear-avoidance beliefs increase perception of pain and disability in Mexicans with chronic low back pain

Abstract: The present study suggests that there is a strong relationship between pain severity, FABQ scores, and functional disability in Mexicans with chronic LBP.

Cited by 12 publications

References 17 publications

Does the awareness of having a lumbar spondylolisthesis influence self-efficacy and kinesiophobia? A retrospective analysis

Does the awareness of having a lumbar spondylolisthesis influence self-efficacy and kinesiophobia? A retrospective analysis

Fear-Avoidance Behavior and Sickness Absence in Patients with Work-Related Musculoskeletal Disorders

Factores clínico-demográficos asociados al miedo-evitación en sujetos con lumbalgia crónica inespecífica en atención primaria: análisis secundario de estudio de intervención

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