CoChat
Sign Up
Cited by 141Musculoskeletal pain and rehabilitationPediatric Pain Management TechniquesPain Mechanisms and Treatments

The DOI matches its Crossref record; 161 of the 161 references it cites were found in a registry or an index.

Pain-Related Fear, Pain Intensity and Function in Individuals With Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis

Open access
Martinez-Calderon, Javier, Flores-Cortes, Mar, Morales-Asencio, Jose Miguel, Luque-Suarez, Alejandro·2019·The Journal of Pain
DOI 10.1016/j.jpain.2019.04.009
Open this paper in CoChat — free account

Abstract

Pain-related fear is considered a strong psychological predictor for both chronic pain and disability. The aims of this study were to systematically review and critically appraise the concurrent association and the predictive value of pain-related fear affecting both pain intensity and disability in individuals with chronic musculoskeletal pain (MSK). PubMed, AMED, CINAHL, PsycINFO, PubPsych, and the grey literature were searched from inception to January 2019. Observational studies reporting cross-sectional and longitudinal associations between pain-related fear and pain intensity and/or disability were included. The GRADE criteria judged whether the overall quality and strength of the evidence was high or low in terms of risk of bias, inconsistency, indirectness, imprecision and publication bias. Seventy observational studies (97% cross-sectional) were included with a total sample of 15,623 individuals (63.56% females) with chronic MSK. Pain-related fear is composed of fear of pain, pain-related anxiety, and fear-avoidance beliefs. Greater levels of fear of pain, pain-related anxiety, and fear-avoidance beliefs were significantly associated with greater pain intensity and disability. However, the quality and strength of the evidence was very low owing to the imprecision of results, risk of bias, indirectness, and publication bias were common across the included studies. Despite these limitations, these findings highlight the potential role that pain-related fear may play in chronic MSK and disability. The field would benefit from research using higher quality studies and longitudinal designs. PERSPECTIVE: This article presents promising results about the concurrent association between pain-related fear and both pain intensity and disability in individuals with chronic MSK. Nevertheless, the overall quality and strength of the evidence was very low in terms of risk of bias, indirectness, imprecision, and publication bias. Thus, the findings should be taken with caution, and further research is needed. PROSPERO: CRD42018082018.

Overview

Integrity signals

Registry

Crossref · 10.1016/j.jpain.2019.04.009

Cites

161 of 161 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Show all 161 references

Research works printed but not linked: 3

  1. Camacho-Soto, 2012, Adults with chronic low back pain, PMRJ, 4, 493
  2. Nieminen, 2013, Standardised regression coefficient as an effect size index in summarising the reported findings between quantitative exposure and response variables in epidemiological studies, Epidemiol Biostat Public Health, 10, e88541
  3. 2015, Stata Statistical Software: Release 14

Cited by

Sorted by citations

Items 101–140 of 140

Related

See all

Metadata

Authors
Martinez-Calderon, J., Flores-Cortes, M., Morales-Asencio, J. M., & Luque-Suarez, A.
ORCID
Morales-Asencio, Jose Miguel
Venue
The Journal of Pain
Publisher
Elsevier BV
Published
2019-12
Volume
20
Issue
12
Pages
1394-1415
ISSN
1526-5900 (ISSN-L)
DOI
10.1016/j.jpain.2019.04.009
OpenAlex
W2944252725
Cited by
141
References
161
Citations by year
2026: 14 · 2025: 31 · 2024: 21 · 2023: 25 · 2022: 18 · 2021: 15 · 2020: 15 · 2019: 2
FWCI
1.61
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Pain (publishedVersion)
  • PubMed (publishedVersion)
Funders
Universidad de Málaga
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 › Physiology (medical) › Pain Mechanisms and Treatments
Keywords
fear of pain, chronic musculoskeletal pain, pain intensity, disability, pain-related anxiety, fear-avoidance beliefs
MeSH terms
Fear, Humans, Male, Chronic Pain, Musculoskeletal Pain, Observational Studies as Topic

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review