• Marc Corbière, Sara Zaniboni, Marie-France Coutu, Renée-Louise Franche, Jaime Guzman, Karlene Dawson, and Annalee Yassi.
• École de réadaptation, Université de Sherbrooke, Longueuil, Québec, Canada. Marc.Corbiere@USherbrooke.ca
• Pain. 2011 Nov 1;152(11):2543-8.

AbstractStudies in the literature do not show clear evidence supporting the relationship between pain and depressive symptoms in individuals experiencing acute/subacute pain compared to those experiencing chronic pain. However, more information is needed about which variables act as mediators in the pain-depression relationship in people having acute/subacute pain, before pain becomes chronic. Our objectives were to test the suitability of the fear-avoidance model in a sample of 110 health care workers experiencing acute/subacute pain using path analyses, to improve the model as needed, and to examine a model involving both pain catastrophizing and pain self-efficacy with work status as a final outcome. Overall, the results indicated that adjustments to the fear-avoidance model were required for people experiencing acute/subacute pain, in which fear-avoidance beliefs and depressive symptoms were concurrent rather than sequential. The catastrophizing concept was most closely associated with depressive symptoms, while pain self-efficacy was directly associated with fear-avoidance beliefs and indirectly to work outcomes. Assessing and modifying pain self-efficacy in acute/subacute pain patients is important for interventions aiming to decrease fear-avoidance and improve work outcomes.Copyright © 2011 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

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