Rethinking the fear avoidance model: toward a multidimensional framework of pain-related disability
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Wideman, Timothy H.a,*; Asmundson, Gordon G.J.b; Smeets, Rob J.E.M.c; Zautra, Alex J.d; Simmonds, Maureen J.e; Sullivan, Michael J.L.f; Haythornthwaite, Jennifer A.a; Edwards, Robert R.g Author Information
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For the majority of patients who walk through the door of an outpatient orthopaedic clinic, providers lack a more robust psychologically informed model to understand individual differences in motivation, learning, cognition, affect, communication, coping-style, resilience, social orientation, and health-related behaviours.
“For the majority of patients who walk through the door of an outpatient orthopaedic clinic, providers lack a more robust psychologically informed model to understand individual differences in motivation, learning, cognition, affect, communication, coping-style, resilience, social orientation, and health-related behaviours (Boselie & Vlaeyen, 2017;Edwards et al., 2016;Wideman et al., 2013).”
From Beyond yellow flags: The Big‐Five personality traits and psychologically informed musculoskeletal rehabilitation. (2023) · cites this paper as Wideman et al., 2013
In “Toward a Multi-Dimensional Framework of Pain-Related Disability” (page unavailable), the paper says there is no overarching framework for how multidimensional processes interact and affect pain-related disability. It does not establish that providers lack such a model for the majority of outpatient orthopaedic patients, or specifically address every domain in the citing sentence. (LLM, conf=0.86)
Experimental — accuracy not yet measuredStudies show changes in functional connectivity in chronic pain patients.
“Further, studies show changes in functional connectivity in chronic pain patients.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [385]
Studies of the brain's default mode network and other resting-state networks suggest long-lasting functional brain changes related to chronic pain.
“studies of the brain’s default mode network and other resting state networks suggest long-lasting functional brain changes related to the presence of chronic pain 379, 384–387.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [385]
In patients with chronic low back pain, amygdala connectivity with central executive network structures was exaggerated and abnormal, and this connectivity was greatest in patients with the highest pain catastrophizing.
“A study in patients with chronic low back pain reported that patients had exaggerated and abnormal amygdala connectivity with central executive network structures, and this connectivity was most exaggerated in patients with the greatest pain catastrophizing 385.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [385]
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References 42 · Cited by 210
- Authors
- Wideman, T. H., Asmundson, G. G. J., Smeets, R. J. E. M., Zautra, A. J., Simmonds, M. J., Sullivan, M. J. L., Haythornthwaite, J. A., & Edwards, R. R.
- Affiliations
- Johns Hopkins University (US)
- Maastricht University (NL)
- Arizona State University (US)
- The University of Texas at San Antonio Health Science Center (US)
- McGill University (CA)
- Harvard University (US)
- Corresponding author
- Wideman, Timothy H.
- ORCID
- Venue
- Pain
- Published
- 2013-11
- Volume
- 154
- Issue
- 11
- Pages
- 2262-2265
- ISSN
- 0304-3959 (ISSN-L)
- PMC
- PMC4078976
- OpenAlex
- W1987128237
- Cited by
- 210
- References
- 42
- Citations by year
- 2026: 11 · 2025: 19 · 2024: 17 · 2023: 17 · 2022: 8 · 2021: 17 · 2020: 20 · 2019: 19 · 2018: 18 · 2017: 19 · 2016: 21 · 2015: 12 · 2014: 11 · 2013: 1
- FWCI
- 1.88
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion)
- PubMed Central (acceptedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion)
- Funders
- National Institute on Aging (R01AG034982)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R21AR057920)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- fear-avoidance model, pain-related disability, multidimensional framework, fear-avoidance beliefs, chronic pain, disability assessment
- MeSH terms
- Disability Evaluation, Fear, Humans, Models, Psychological, Pain
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