• Pain · Sep 2005

    Comparative Study

    A longitudinal study on the predictive validity of the fear-avoidance model in low back pain.

    • Judith M Sieben, Johan W S Vlaeyen, Piet J M Portegijs, Jeanine A Verbunt, Sita van Riet-Rutgers, Arnold D M Kester, Michael Von Korff, Arnoud Arntz, and J André Knottnerus.
    • Department of General Practice, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands. judith.sieben@hag.unimaas.nl
    • Pain. 2005 Sep 1;117(1-2):162-70.

    AbstractRecently, fear-avoidance models have been quite influential in understanding the transition from acute to chronic low back pain (LBP). Not only has pain-related fear been found to be associated with disability and increased pain severity, but also treatment focused at reducing pain-related fear has shown to successfully reduce disability levels. In spite of these developments, there is still a lack in well-designed prospective studies examining the role of pain-related fear in acute back pain. The aim of the current study was to prospectively test the assumption that pain-related fear in acute stages successfully predicts future disability. Subjects were primary care acute LBP patients consulting because of a new episode of LBP (

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