A test of the fear avoidance model to predict chronic pain outcomes in a polytrauma sample

NeuroRehabilitation
Cindy McGearyDon McGeary

Abstract

Chronic musculoskeletal pain is a complex problem, particularly for individuals with head injury and comorbid psychiatric conditions. The Fear Avoidance Model offers one of the strongest opportunities to conceptualize comorbid traumatic injury and pain, but this model is largely untested. This study tests the Fear Avoidance Model of chronic pain using a sample from a study of polytrauma patients in a large Department of Veterans Affairs facility who participated in a federally-funded study of interdisciplinary chronic pain management. The present study comprises a secondary analysis of 93 veterans with chronic pain, head injury, posttraumatic stress symptoms and a history of persistent opioid use. Standardized measures of Fear Avoidance Model risk factors (e.g., pain catastrophizing, fear avoidance beliefs, anxiety, depression) were examined as cross-sectional predictors of pain-related disability. Secondary data analysis revealed that Fear Avoidance Model factors accounted for almost 40% of the variance in pain-related disability, with pain catastrophizing and depression demonstrating the strongest relationships with disability. A summary variable combining all four factors revealed a 6% increase in disability for each factor ...Continue Reading

References

Jun 1, 1997·The Clinical Journal of Pain·D A FishbainR S Rosomoff
Nov 14, 2000·Spine·J C Fairbank, P B Pynsent
May 24, 2006·Archives of Internal Medicine·Robert L SpitzerBernd Löwe
Apr 5, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Milan P StojanovicRegina E McGlinchey
Jul 23, 2016·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Theresa M BeckieMaureen W Groer
Sep 3, 2016·The Journal of Pain : Official Journal of the American Pain Society·Robert R EdwardsAjay D Wasan
Apr 30, 2017·Archives of Physical Medicine and Rehabilitation·Karen H SealUNKNOWN Chronic Effects of Neurotrauma Consortium Study Group
Jun 20, 2017·Progress in Neuro-psychopharmacology & Biological Psychiatry·Samar Khoury, Rodrigo Benavides
Oct 6, 2017·Brain Injury : [BI]·Melloney L M WijenbergCaroline M Van Heugten
Mar 13, 2018·The Journal of Pain : Official Journal of the American Pain Society·Shannon M BlakeyEric B Elbogen
Jul 10, 2018·Brain Injury : [BI]·Daniel BertenthalUNKNOWN Chronic Effects of Neurotrauma Consortium Study Group
Sep 14, 2018·MMWR. Morbidity and Mortality Weekly Report·James DahlhamerCharles Helmick
Jun 22, 2019·Neurobiology of Pain·Olivia UddinAsaf Keller
Sep 29, 2019·Archives of Physical Medicine and Rehabilitation·Noelle E CarlozziDavid S Tulsky

❮ Previous
Next ❯

Citations

Jul 18, 2020·NeuroRehabilitation·Gary GoldbergLeonard Kamen

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.