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Cited by 265Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationMedicine, History, and Philosophy

The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

The Back Pain Beliefs of Health Care Providers: Are We Fear-Avoidant?

Linton, Steven J., Vlaeyen, Johan, Ostelo, Raymond·2002·Journal of Occupational Rehabilitation
DOI 10.1023/a:1020218422974
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Abstract

The purpose of this study was to survey the level of fear-avoidance beliefs for practicing general practitioners and physical therapists and to relate this to self-reported practice behaviors for patients with back pain. To this end, 60 general practitioners and 71 physical therapists were recruited. These participants completed a questionnaire including 11 items slightly revised from instruments designed to assess fear-avoidance beliefs in patients, and four items about treatment practices. The results indicated that these health care practitioners on the average generally held beliefs that are consistent with the current evidence, but there were also indications that some practitioners held beliefs reflecting fear-avoidance. More than two-thirds reported that they would advise a patient to avoid painful movements, more than one-third believed a reduction in pain is a prerequisite for return-to-work, while more than 25% reported that they believe sick leave is a good treatment for back pain. These beliefs were found to be related to reported practice behavior. Those with high levels of fear-avoidance beliefs were compared to those with low levels. Those with high levels of fear-avoidance belief had an increased risk for believing sick leave to be a good treatment (RR = 2.0; 90%CI = 1.02-3.92), not providing good information about activities (RR = 1.7; 90%CI = 1.19-2.45), and being uncertain about identifying patients at risk for developing persistent pain problems (RR = 1.5; 90%CI = 1.00-2.27). It is concluded that some practitioners hold beliefs reflecting fear-avoidance and that these beliefs may influence treatment practice.

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  • Such fears might present a barrier for the dissemination of Exposure treatments for CLBP.

    “Such fears might present a barrier for the dissemination of Exposure treatments for CLBP”

    From Exposure and CBT for chronic back pain: An RCT on differential efficacy and optimal length of treatment (2018) · cites this paper as Linton, Vlaeyen, & Ostelo, 2002

  • Practitioners scoring high on fear avoidance beliefs were much more likely to report that sick leave was a good treatment for pain.

    “Furthermore, those scoring high on fear avoidance beliefs were much more likely to report that sick leave was a good treatment for pain.”

    From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [65]

  • In a survey of 60 general practitioners and 71 physical therapists, a number of practitioners had beliefs consistent with fear avoidance.

    “Results indicated that a number of practitioners had beliefs consistent with fear avoidance.”

    From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [65]

  • Taken together, these findings suggest that health care providers might have pain-related fears that affect the way that they practice and respond to patients with back pain.

    “Taken together, these findings suggest that health care providers might have pain-related fears that affect the way that they practice and respond to patients with back pain.”

    From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [65]

  • More than two thirds of the surveyed practitioners reported that they would recommend that a patient avoid painful movements.

    “More than two thirds of the practitioners reported that they would recommend that a patient avoid painful movements.”

    From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [65]

Citations

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Research works printed but not linked: 26

  1. Burton AK, Waddell G, Tillotson KM, Summerton N. Information and advice to patients with back pain can have a positive effect: A randomized controlled trial of a novel educational booklet in primary care. Spine 1999; 24(23): 2484-2491. · DOI
  2. Riley JF, Ahern DK, Follick MJ. Chronic pain and functional impairment: Assessing beliefs about their relationship. Arch Phys Med Rehab 1988; 59: 579-582.
  3. Waddell G, Newton M, Henderson I, Somerville D, Main CJ. A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low-back pain and disability. Pain 1993; 52: 157-168. · DOI · Paper page
  4. Linton SJ. Applied relaxation as a method of coping with chronic pain: A therapist's guide. Scand J Behav Ther 1982; 11: 161-174. · DOI
  5. Linton SJ, Buer N, Vlaeyen J, Hellsing AL. Are fear-avoidance beliefs related to a new episode of back pain? A prospective study. Psychology and Health 2000; 14: 1051-1059. · DOI
  6. Linton SJ, Halldén K. Can we screen for problematic back pain? A screening questionnaire for predicting outcome in acute and subacute back pain. Clin J Pain 1998; 14(3): 209-215. · DOI
  7. Vlaeyen JWS, Kole-Snijders AMJ, Rotteveel A, Ruesink R, Heuts PHTG. The role of fear of movement/(re)injury in pain disability. J Occup Rehabil 1995; 5: 235-252. · DOI
  8. Vlaeyen JWS, Kole-Snijders AMJ, Boeren RGB, van Eek H. Fear of movement/(re)injury in chronic low-back pain and its relation to behavioral performance. Pain 1995; 62: 363-372. · DOI · Paper page
  9. Linton SJ. Psychologic risk factors for neck and back pain. In: Nachemsom A, Jonsson E, eds. Neck and back pain: The scientific evidence of causes, diagnosis, and treatment. Philadelphia: Lippincott Williams & Wilkins, 2000, pp. 57-78.
  10. Nachemson A, Jonsson E. Neck and back pain: The scientific evidence of causes, diagnosis, and treatment. Philadelphia: Lippincott Williams & Wilkins, 2000, p. 495.
  11. Haldorsen EM, Brage S, Johannesen TS, Tellnes G, Ursin H. Musculoskeletal pain: Concepts of disease, illness, and sickness certification in health professionals in Norway. Scand J Rheumatol 1996; 25(4): 224-232 · DOI
  12. Englund L: Sick-listing: Attitudes and doctor's practice, Doctoral Dissertation. Uppsala University, Sweden, 2000.
  13. Cherkin D, Deyo RA, Wheeler K, Ciol MA. Physicians views about treating low-back pain: The results of a national survey. Spine 1995; 20(1): 1-9. · DOI
  14. Waddell G, Feder G, Lewis M. Systematic reviews of bed rest and advice to stay active for acute low-back pain. Br J Gen Pract 1997; 47: 647-652.
  15. Waddell G. The back pain revolution. Edinburgh: Churchill Livingstone, 1998.
  16. Main CJ, Spanswick CC. Pain management: An interdisciplinary approach. Edinburgh: Churchill Livingstone, 2000.
  17. Von Korff M, Barlow W, Cherkin D, Deyo RA. Effects of practice style in managing back pain. Ann Int Med 1994; 121(3): 187-195. · DOI
  18. Turner J, LeResche L, von Korff M, Ehrlich K. Primary care back pain patient characteristics, visit content, and short-term outcomes. Spine 1998; 23: 463-469. · DOI
  19. Rainville J, Carlson N, Polatin P, Gatchel RJ, Indahl A. Exploration of physicians' recommendations for activities in chronic low-back pain. Spine 2000; 25(17): 2210-2220. · DOI
  20. Miller RP, Kori SH, Todd DD. The Tampa Scale for Kinesiophobia. Tampa, FL, unpublished manuscript, 1991. · DOI
  21. Englund L, Svärdsudd K. Sick-listing habits among general practitioners in a Swedish county. Scand J Prim Health Care 2000; 18: 81-86. · DOI
  22. Koes BW, van Tulder MW, Ostelo R, Burton AK, Waddell G. Clinical guidelines for the management of low-back pain in primary care. Spine 2001; 26(22): 2504-2514. · DOI
  23. von Korff M. Pain management in primary care: An individualized stepped/care approach. In: Gatchel RJ, Turk DC, eds. Psychosocial factors in pain, 1st ed. New York: Guilford Press, 1999, 360-373.
  24. Kendall N. Screening and early interventions: The New Zealand experience. Vienna, Austria: International Association for the Study of Pain, 1999.
  25. Gatchel RJ, Polatin PB, Kinney RK. Predicting outcome of chronic back pain using clinical predictors of psychopathology: A prospective analysis. Health Psychology 1995; 14(5): 415-420. · DOI
  26. Hazard RG, Haugh LD, Reid S, Preble JB, MacDonald L. Early prediction of chronic disability after occupational low back injury. Spine 1996; 21(8): 945-951. · DOI

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Metadata

Authors
Linton, S. J., Vlaeyen, J., & Ostelo, R.
Affiliations
  • Örebro University (SE)
  • Maastricht University (NL)
Corresponding author
Linton, Steven J.
ORCID
Venue
Journal of Occupational Rehabilitation
Publisher
Springer Science and Business Media LLC
Published
2002-12
Volume
12
Issue
4
Pages
223-232
ISSN
  • 1053-0487 (ISSN-L)
  • 1573-3688
DOI
10.1023/a:1020218422974
OpenAlex
W1560747412
Cited by
265
References
3
Citations by year
2026: 2 · 2025: 4 · 2024: 14 · 2023: 7 · 2022: 5 · 2021: 5 · 2020: 7 · 2019: 5 · 2018: 11 · 2017: 9 · 2016: 8 · 2015: 13 · 2014: 15 · 2013: 18 · 2012: 9
FWCI
4.68
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of Occupational Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • VU Research Portal (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
  • Social Sciences › Arts and Humanities › History and Philosophy of Science › Medicine, History, and Philosophy
Keywords
fear-avoidance beliefs, back pain, general practitioners, physiotherapists, treatment behavior, sick leave, return to work, activity avoidance, chronic pain, patient information, practitioner beliefs
MeSH terms
Attitude of Health Personnel, Avoidance Learning, Disability Evaluation, Family Practice, Female, Humans, Male, Physician-Patient Relations, Practice Patterns, Physicians', Probability, Professional-Patient Relations, Surveys and Questionnaires, Sensitivity and Specificity, Severity of Illness Index, Sweden, Cohort Studies, Treatment Outcome, Low Back Pain, Risk Assessment, Statistics, Nonparametric, Health Care Surveys, Physical Therapy Modalities

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