Pain-related fear and daily functioning in patients with osteoarthritis
Abstract
There is growing evidence supporting the relationship between pain-related fear and functional disability in chronic musculoskeletal pain conditions. In osteoarthritis (OA) patients the role of pain-related fear and avoidance has received little research attention so far. The present study investigates the degree to which pain-related fear, measured with the Tampa Scale for Kinesiophobia (TSK), influences daily functioning in OA patients. The purpose of the present paper was twofold: (1) to investigate the factor structure of the TSK in a sample of OA patients by means of confirmatory factor analysis; and (2) to investigate the role of pain-related fear in OA compared to other factors, such as radiological findings and level of pain intensity. The results show that TSK consists of two factors, called 'activity avoidance' and 'somatic focus', which is in line with other studies in low back pain and fibromyalgia. Furthermore, pain-related fear occurred to a considerable extent in this sample of osteoarthritis patients and was negatively associated with daily functioning. Level of pain and level of pain-related fear were significantly associated with functional limitations. Radiological findings were not significant predictors and when compared to pain-related fear they were not significant. These findings underscore the importance of pain-related fear in daily functioning of OA patients. Therefore, treatment strategies aiming at reduction of pain-related fear in OA patients nee…
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Based on the acceptance approach and time commitment, patients with chronic pain experience fear or anxiety and do an action to avoid pain, which makes them suffer more emotional effects and weakens their performance.
“Based on acceptance approach and time commitment, patients with chronic pain experience fear or anxiety and do an action to avoid pain which makes them suffer more emotional effects and weakens their performance (Heuts, Vlaeyen, Roelofs, de Bie, & Aretz, 2004).”
From The effectiveness of group acceptance and commitment therapy on pain intensity, pain catastrophizing and pain-associated anxiety in patients with chronic pain (2015) · cites this paper as Heuts, Vlaeyen, Roelofs, de Bie, & Aretz, 2004
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The fear-avoidance model of musculoskeletal pain: Current state of scientific evidence
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- Authors
- Heuts, P. H. T. G., Vlaeyen, J. W. S., Roelofs, J., de Bie, R. A., Aretz, K., van Weel, C., & van Schayck, O. C. P.
- Affiliations
- Maastricht University (NL)
- Corresponding author
- Heuts, Peter H.T.G
- Venue
- Pain
- Published
- 2004-07
- Volume
- 110
- Issue
- 1
- Pages
- 228-235
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2158531919
- Cited by
- 270
- References
- 3
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 11 · 2023: 10 · 2022: 13 · 2021: 17 · 2020: 23 · 2019: 13 · 2018: 12 · 2017: 13 · 2016: 9 · 2015: 19 · 2014: 16 · 2013: 12 · 2012: 12
- FWCI
- 4.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Funders
- Universiteit Maastricht
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Keywords
- osteoarthritis, fear of pain, kinesiophobia, Tampa Scale for Kinesiophobia, daily functioning, functional disability, activity avoidance, somatic focus, factor structure, pain intensity, radiographic findings
- MeSH terms
- Activities of Daily Living, Adult, Disability Evaluation, Fear, Female, Humans, Male, Middle Aged, Osteoarthritis, Pain, Pain Measurement, Radiography, Regression Analysis, Chi-Square Distribution
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