The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
General practitioners’ fear-avoidance beliefs influence their management of patients with low back pain
Abstract
The objectives of this cross-sectional study conducted in primary care practice in France were to describe general practitioners' (GPs) fear-avoidance beliefs about low back pain (LBP), investigate the impact of these beliefs on their following guidelines for bed rest, physical activities, and sick leave, and uncover factors associated with GPs' fear-avoidance beliefs. A total of 864 GPs completed a 5-part self-administered questionnaire. Parts 1, 2, and 3 concerned demographic, professional data, and personal history of back pain, respectively. Part 4 dealt with GPs' education about LBP and practice for LBP. Part 5 assessed GPs' fear-avoidance beliefs on the Fear-Avoidance Beliefs Questionnaire (FABQ). GPs' mean age was 48.2+/-7.0 years, 80% were male, 88% had been practicing for more than 10 years, and 52% reported a previous personal episode of acute LBP. Forty-six percent had participated in an educational session on LBP during the last 3 years. Mean scores for the FABQ Phys and Work were 9.6+/-4.8 and 17.5+/-6.7, respectively. Sixteen percent of participants had high rating on the FABQ Phys (FABQ Phys score>14). FABQ Phys score was associated with recommendation of bed rest or rest during sick leave (p<0.0001) for acute LBP and less advice to maintain maximum bearable physical activities (p<0.001) for chronic LBP. FABQ Work score was associated with prescribing sick leave during painful periods (p<0.005) for acute LBP and less advice to maintain maximum bearable physical activities (p<0.001) for chronic LBP. GPs' fear-avoidance beliefs about LBP negatively influence their following guidelines concerning physical and occupational activities for patients with LBP.
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Citations
Cites
Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art.
Vlaeyen, J. W. S., & Linton, S. J. (2000) · Pain · doi:10.1016/s0304-3959(99)00242-0 · Cited by 4,931
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“Among factors related to the onset and persistence of chronic LBP, psychosocial factors may play a pivotal role in the development of disability (Pincus et al., 2002), and especially cognitive factors may be more important than socio-demographic factors (Smith et al., 2004).”
BackgroundOutline of a fear-avoidance model of exaggerated pain perception--I.
Lethem, J., Slade, P. D., Troup, J. D. G., & Bentley, G. (1983) · Behaviour Research and Therapy · doi:10.1016/0005-7967(83)90009-8 · Cited by 1,327 · cited 1×
“Patients with high levels of pain-related fears formulate a catastrophic interpretation that activity will cause injury and exacerbate the pain (Lethem et al., 1983; Vlaeyen et al., 1995; Vlaeyen and Linton, 2000; Boersma et al., 2004).”
BackgroundHypervigilance to pain: an experimental and clinical analysis.
Crombez, G., Van Damme, S., & Eccleston, C. (2005) · Pain · doi:10.1016/j.pain.2005.03.035 · Cited by 392
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Cited by
Fear-Avoidance Model of Chronic Pain: The Next Generation
Crombez, G., Eccleston, C., Van Damme, S., Vlaeyen, J. W. S., & Karoly, P. (2012) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e3182385392 · Cited by 960
Vlaeyen, J. W. S., Maher, C. G., Wiech, K., Van Zundert, J., Meloto, C. B., Diatchenko, L., Battié, M. C., Goossens, M., Koes, B., & Linton, S. J. (2018) · Nature Reviews Disease Primers · doi:10.1038/s41572-018-0052-1 · Cited by 497
Darlow, B., Fullen, B. M., Dean, S., Hurley, D. A., Baxter, G. D., & Dowell, A. (2012) · European Journal of Pain · doi:10.1016/j.ejpain.2011.06.006 · Cited by 492
A biopsychosocial formulation of pain communication.
Hadjistavropoulos, T., Craig, K. D., Duck, S., Cano, A., Goubert, L., Jackson, P. L., Mogil, J. S., Rainville, P., Sullivan, M. J. L., Williams, A. C. D. C., et al. (2011) · Psychological Bulletin · doi:10.1037/a0023876 · Cited by 466
Leeuw, M., Goossens, M. E. J. B., van Breukelen, G. J. P., de Jong, J. R., Heuts, P. H. T. G., Smeets, R. J. E. M., Köke, A. J. A., & Vlaeyen, J. W. S. (2008) · Pain · doi:10.1016/j.pain.2007.12.009 · Cited by 393
Metadata
- Authors
- Coudeyre, E., Rannou, F., Tubach, F., Baron, G., Coriat, F., Brin, S., Revel, M., & Poiraudeau, S.
- Venue
- Pain
- Published
- 2006-10
- Volume
- 124
- Issue
- 3
- Pages
- 330-337
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W1998217169
- Cited by
- 222
- References
- 7
- FWCI
- 9.25
- Type
- journal article
- Language
- en
- Open access
- closed
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- Coudeyre, E., Rannou, F., Tubach, F., Baron, G., Coriat, F., Brin, S., Revel, M., & Poiraudeau, S. (2006). General practitioners’ fear-avoidance beliefs influence their management of patients with low back pain. Pain. https://doi.org/10.1016/j.pain.2006.05.003
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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