2016
DOI: 10.1097/j.pain.0000000000000574
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The fear-avoidance model of pain

Abstract: The large individual variations in response to a similar nociceptive stimulus, as well as the development of persistent pain after an acute pain episode have puzzled researchers and clinicians alike. The Fear-Avoidance model has been introduced as a theoretical model to guide pain research and management, describing the cascade of events following pain that is perceived as threatening [5].

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Cited by 424 publications
(367 citation statements)
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“…To start with, they are core determinants of unhealthy lifestyles that turned out to be important in the recent study 1. For instance, reduced physical activity has been shown to be influenced by fear of movement-related pain (kinesiophobia)2 and by catastrophising cognitions (ie, rumination, magnification and helplessness) 3. Lifestyle factors including unhealthy diet, excess weight and smoking are also (reciprocally) associated with psychological determinants.…”
Section: Biopsychosocial Model Of Chronic Painmentioning
confidence: 99%
“…To start with, they are core determinants of unhealthy lifestyles that turned out to be important in the recent study 1. For instance, reduced physical activity has been shown to be influenced by fear of movement-related pain (kinesiophobia)2 and by catastrophising cognitions (ie, rumination, magnification and helplessness) 3. Lifestyle factors including unhealthy diet, excess weight and smoking are also (reciprocally) associated with psychological determinants.…”
Section: Biopsychosocial Model Of Chronic Painmentioning
confidence: 99%
“…Chronic Pain in 1995 (Vlaeyen, Kole-Snijders, Boeren, & Eek, 1995) (later renamed simply the Fear-Avoidance Model of Pain (Vlaeyen, Crombez, & Linton, 2016)). Instead of fear of pain (as with Lethem et al, 1983), Vlaeyen et al's original model focused more on fear of injury/re-injury.…”
Section: Vlaeyen and Colleagues Expanded On Lethem Et Al's Model Whementioning
confidence: 99%
“…Fear-avoidance [123,124], is included in paper 3 and paper 4, and fear-avoidance has also gained extensive attention also in previous research on chronic pain [121,125,126]. The fear-avoidance model is an established model for explaining behavioural consequences of pain.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, catastrophizing is a suggested part of the fear-avoidance model [121][122][123], which is developed with an attempt to theoretically explain the wide variation in individual responses to pain [124]. The two factors fear and avoidance are at the core of the model, possibly preceded by catastrophizing as a result of a pain experience.…”
Section: Psychological Factorsmentioning
confidence: 99%
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