Cited by 203Musculoskeletal pain and rehabilitationPediatric Pain Management TechniquesPain Management and Treatment

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Pain-related fear, disability, and the fear-avoidance model of chronic pain

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Zale, Emily L, Ditre, Joseph W·2015·Current Opinion in Psychology

DOI 10.1016/j.copsyc.2015.03.014PMC PMC4383173

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Abstract

Chronic pain is a significant public health concern that imposes substantial burdens on individuals and healthcare systems, and factors that contribute to the development and maintenance of pain-related disability are of increasing empirical and clinical interest. Consistent with the fear-avoidance model of chronic pain, greater pain-related fear has consistently been associated with more severe disability and may predict the progression of disability over time. Recent evidence indicates that treatments designed to reduce pain-related fear are efficacious for improving disability outcomes, and several clinical trials are currently underway to test tailored intervention content and methods of dissemination. Future research in this area is needed to identify factors (e.g., substance use, comorbid psychopathology) that may influence interrelations between pain-related fear, response to treatment, and disability.

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Authors: Zale, E. L., & Ditre, J. W.
Affiliations: Syracuse University (US)
Corresponding author: Ditre, Joseph W
ORCID: Zale, Emily L
Ditre, Joseph W
Venue: Current Opinion in Psychology
Publisher: Elsevier BV
Published: 2015-10
Volume: 5
Pages: 24-30
ISSN: 2352-250X (ISSN-L)
DOI: 10.1016/j.copsyc.2015.03.014
PMC: PMC4383173
OpenAlex: W2068772825
Cited by: 203
References: 57
Citations by year: 2026: 30 · 2025: 31 · 2024: 37 · 2023: 17 · 2022: 21 · 2021: 21 · 2020: 14 · 2019: 14 · 2018: 10 · 2017: 4 · 2016: 2 · 2015: 1
FWCI: 0.71
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Current Opinion in Psychology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Drug Abuse (R21DA034285, R21DA038204)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: chronic pain, fear of pain, disability, fear-avoidance model, pain-related disability, disability progression, treatment response, substance use, comorbid psychopathology

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Pain-related fear, disability, and the fear-avoidance model of chronic pain

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