Clin Psychol Rev. 1999 Jan;19(1):97-119.

Beyond pain: the role of fear and avoidance in chronicity.

Source

Regina Health District, Clinical Research and Development Program, Saskatchewan, Canada. gasmundson@reginahealth.sk.ca

Abstract

The purpose of the present article is to provide unification to a number of somewhat disparate themes in the chronic pain and phobia literature. First, we present a summary review of the early writings and current theoretical perspectives regarding the role of avoidance in the maintenance of chronic pain. Second, we present an integrative review of recent empirical investigations of fear and avoidance in patients with chronic musculoskeletal pain, relating the findings to existing cognitive-behavioral theoretical positions. We also discuss several new and emerging lines of investigation, specifically related to information processing and anxiety sensitivity, which appear to be closely linked to pain-related avoidance behavior. Finally, we discuss the implications of the recent empirical findings for the assessment and treatment of individuals who experience disabling chronic musculoskeletal pain and suggest possible avenues for future investigation.

PMID:: 9987586; [PubMed - indexed for MEDLINE]

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Pain - MedlinePlus Health Information

Supplemental Content

Save items

Related citations in PubMed

Review Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. [Pain. 2000]
Review Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art.
Vlaeyen JW, Linton SJ. Pain. 2000 Apr; 85(3):317-32.
Pain-related anxiety and anxiety sensitivity across anxiety and depressive disorders. [J Anxiety Disord. 2009]
Pain-related anxiety and anxiety sensitivity across anxiety and depressive disorders.
Carleton RN, Abrams MP, Asmundson GJ, Antony MM, McCabe RE. J Anxiety Disord. 2009 Aug; 23(6):791-8. Epub 2009 Mar 27.
Review Understanding the co-occurrence of anxiety disorders and chronic pain: state-of-the-art. [Depress Anxiety. 2009]
Review Understanding the co-occurrence of anxiety disorders and chronic pain: state-of-the-art.
Asmundson GJ, Katz J. Depress Anxiety. 2009; 26(10):888-901.
Selective attention to pain-related information in chronic musculoskeletal pain patients. [Pain. 2003]
Selective attention to pain-related information in chronic musculoskeletal pain patients.
Dehghani M, Sharpe L, Nicholas MK. Pain. 2003 Sep; 105(1-2):37-46.
Evidence of a disposition toward fearfulness and vulnerability to posttraumatic stress in dysfunctional pain patients. [Behav Res Ther. 2000]
Evidence of a disposition toward fearfulness and vulnerability to posttraumatic stress in dysfunctional pain patients.
Asmundson GJ, Bonin MF, Frombach IK, Norton GR. Behav Res Ther. 2000 Aug; 38(8):801-12.

See reviews... See all...

Cited by 10 PubMed Central articles

Pain-related fear: a critical review of the related measures. [Pain Res Treat. 2011]
Pain-related fear: a critical review of the related measures.
Lundberg M, Grimby-Ekman A, Verbunt J, Simmonds MJ. Pain Res Treat. 2011; 2011:494196. Epub 2011 Nov 15.
Review Psychological factors in chronic pelvic pain in women: relevance and application of the fear-avoidance model of pain. [Phys Ther. 2011]
Review Psychological factors in chronic pelvic pain in women: relevance and application of the fear-avoidance model of pain.
Alappattu MJ, Bishop MD. Phys Ther. 2011 Oct; 91(10):1542-50. Epub 2011 Aug 11.
Sensitivity to pain traumatization: a higher-order factor underlying pain-related anxiety, pain catastrophizing and anxiety sensitivity among patients scheduled for major surgery. [Pain Res Manag. 2011]
Sensitivity to pain traumatization: a higher-order factor underlying pain-related anxiety, pain catastrophizing and anxiety sensitivity among patients scheduled for major surgery.
Kleiman V, Clarke H, Katz J. Pain Res Manag. 2011 May-Jun; 16(3):169-77.

See all...

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

Beyond pain: the role of fear and avoidance in chronicity.
Beyond pain: the role of fear and avoidance in chronicity.
Clin Psychol Rev. 1999 Jan ;19(1):97-119.

PubMed
Increasing fruit and vegetable consumption through worksites and families in the...
Increasing fruit and vegetable consumption through worksites and families in the treatwell 5-a-day study.
Am J Public Health. 1999 Jan ;89(1):54-60.

PubMed
Prevalence of hepatitis B virus infection in the United States: the National Hea...
Prevalence of hepatitis B virus infection in the United States: the National Health and Nutrition Examination Surveys, 1976 through 1994.
Am J Public Health. 1999 Jan ;89(1):14-8.

PubMed
New design principles for visual acuity letter charts.
New design principles for visual acuity letter charts.
Am J Optom Physiol Opt. 1976 Nov ;53(11):740-5.

PubMed
The structural and functional organization of H-NS-like proteins is evolutionari...
The structural and functional organization of H-NS-like proteins is evolutionarily conserved in gram-negative bacteria.
Mol Microbiol. 1999 Jan ;31(1):319-29.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to:

Beyond pain: the role of fear and avoidance in chronicity.

Source

Abstract

Publication Types, MeSH Terms

Publication Types

MeSH Terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Supplemental Content

Save items

Related citations in PubMed

Cited by 10 PubMed Central articles

Related information

Recent activity

Simple NCBI Directory

Getting Started

Resources

Popular

Featured

NCBI Information