The DOI matches its Crossref record, with a small difference in title or year; 119 of the 119 references it cites were found in a registry or an index.
Fear-Avoidance Model of Chronic Pain: The Next Generation
Open accessAbstract
OBJECTIVE: The fear-avoidance (FA) model of chronic pain describes how individuals experiencing acute pain may become trapped into a vicious circle of chronic disability and suffering. We propose to extend the FA model by adopting a motivational perspective on chronic pain and disability. METHODS: A narrative review. RESULTS: There is ample evidence to support the validity of the FA model as originally formulated. There are, however, some key challenges that call for a next generation of the FA model. First, the FA model has its roots in psychopathology, and investigators will have to find a way to account for findings that do not easily fit within such framework. Second, the FA model needs to address the dynamics and complexities of disability and functional recovery. Third, the FA model should incorporate the idea that pain-related fear and avoidance occurs in a context of multiple and often competing personal goals. DISCUSSION: To address these 3 key challenges, we argue that the next generation of the FA model needs to more explicitly adopt a motivational perspective, one that is built around the organizing powers of goals and self-regulatory processes. Using this framework, the FA model is recast as capturing the persistent but futile attempts to solve pain-related problems to protect and restore life goals.
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“However, the assumptions that underlie these paradigms and models remain often untested for chronic pain [3,5].”
From Attentional bias and chronic pain: Where to go from here? (2014) · cites this paper as [3]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Multiple authors have pointed out the lack of other relevant psychological phenomena such as motivation (Crombez et al., 2012), associative learning (Krypotos et al., 2022;Vlaeyen, 2015), attentionregulation (Boselie & Vlaeyen, 2017;Crombez et al., 2012), personality (Crofford, 2015;Goubert et al., 2004;Wong et al., 2015), trauma (Afari et al., 2014), and social relationships (Edwards et al., 2016”
From Beyond yellow flags: The Big‐Five personality traits and psychologically informed musculoskeletal rehabilitation. (2023) · cites this paper as Crombez et al., 2012
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“This fear can cause avoidance behaviors even in the absence of pain, creating a cycle of inactivity and disability, as described in the Fear-Avoidance Model.16, 17, 18”
From Role of Anxiety in Individuals with Generalized Joint Hypermobility: A Systematic Review (2025) · cites this paper as [17]
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In the citing paper
“The Fear-Avoidance Model (FAM)65–71 describes core cognitive–behavioural processes, including pain catastrophising, pain-related fear, pain hypervigilance and pain avoidance, which contribute to the transition from acute to persistent pain, including maintaining and exacerbating processes.”
From Optimising psychological treatment for pain after breast cancer: a factorial design study protocol in Denmark (2023) · cites this paper as [67]
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“It is worth noting that fear avoidance limits the opportunity to attune expectations to actual experiences, leading to long-term disability [79].”
From Virtual Reality–Based Training in Chronic Low Back Pain: Systematic Review and Meta-Analysis of Randomized Controlled Trials (2024) · cites this paper as [79]
In the citing paper
“It is also associated with elevated pain severity and disability among abuse victims 73, 74.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [73]
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“As a recent review of the model clarifies, 'at the core of the FA model is how patients interpret pain' (p 476) 12 and changing these interpretations is the key process of change within this approach.”
From The Psychological Flexibility Model: A Basis for Integration and Progress in Psychological Approaches to Chronic Pain Management (2014) · cites this paper as [12]
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“Recently some of those involved in the development of the FA model proposed that it needs to meet several important challenges and that this would create a next generation of the model. 12”
From The Psychological Flexibility Model: A Basis for Integration and Progress in Psychological Approaches to Chronic Pain Management (2014) · cites this paper as [12]
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“Three primary elements of the model were identified as lacking: (a) a model of normal psychological processes rather than pathological ones, (b) a proposal for how recovery from fear and avoidance is to occur, and (c) appreciation of the context of multiple goals, meaning, in their words, that 'pain-related fear and avoidance cooccur [sic] in a context of multiple and often competing goals.' 12”
From The Psychological Flexibility Model: A Basis for Integration and Progress in Psychological Approaches to Chronic Pain Management (2014) · cites this paper as [12]
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Citations
Cites
The Pain Catastrophizing Scale: Development and validation.
Sullivan, M. J. L., Bishop, S. R., & Pivik, J. (1995) · Psychological Assessment · doi:10.1037//1040-3590.7.4.524 · Cited by 8,227
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
Self-citationThe biopsychosocial approach to chronic pain: Scientific advances and future directions.
Gatchel, R. J., Peng, Y. B., Peters, M. L., Fuchs, P. N., & Turk, D. C. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.4.581 · Cited by 3,392
The clinical application of the biopsychosocial model
ENGEL, G. L. (1980) · American Journal of Psychiatry · doi:10.1176/ajp.137.5.535 · Cited by 3,345
Waddell, G., Newton, M., Henderson, I., Somerville, D., & Main, C. J. (1993) · Pain · doi:10.1016/0304-3959(93)90127-b · Cited by 3,167
The role of rumination in depressive disorders and mixed anxiety/depressive symptoms.
Nolen-Hoeksema, S. (2000) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.109.3.504 · Cited by 2,998
Attention and Self-Regulation : A Control-Theory Approach to Human Behavior
Carver, C. S., & Scheier, M. F. (1981) · Medical Entomology and Zoology · Cited by 2,580
Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance
Vlaeyen, J. W. S., Kole-Snijders, A. M. J., Boeren, R. G. B., & van Eek, H. (1995) · Pain · doi:10.1016/0304-3959(94)00279-n · Cited by 2,446
Self-citationThe fear-avoidance model of musculoskeletal pain: Current state of scientific evidence
Leeuw, M., Goossens, M. E. J. B., Linton, S. J., Crombez, G., Boersma, K., & Vlaeyen, J. W. S. (2007) · Journal of Behavioral Medicine · doi:10.1007/s10865-006-9085-0 · Cited by 2,261
Self-citationPain demands attention: A cognitive–affective model of the interruptive function of pain.
Eccleston, C., & Crombez, G. (1999) · Psychological Bulletin · doi:10.1037/0033-2909.125.3.356 · Cited by 1,718
Self-citationCrombez, G., Vlaeyen, J. W. S., Heuts, P. H. T. G., & Lysens, R. (1999) · Pain · doi:10.1016/s0304-3959(98)00229-2 · Cited by 1,675
Self-citationPincus, T., Burton, A. K., Vogel, S., & Field, A. P. (2002) · Spine · doi:10.1097/00007632-200203010-00017 · Cited by 1,633
Behavioral methods for chronic pain and illness
Fordyce, W. E. (1977) · Pain · doi:10.1016/0304-3959(77)90029-x · Cited by 1,630
A motivational theory of life-span development.
Heckhausen, J., Wrosch, C., & Schulz, R. (2010) · Psychological Review · doi:10.1037/a0017668 · Cited by 1,486
Outline 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
Mechanisms of Self-Regulation: A Systems View
Karoly, P. (1993) · Annual Review of Psychology · doi:10.1146/annurev.ps.44.020193.000323 · Cited by 1,258
Self-citation(1992) · Cited by 1,154
Brandtstädter, J., & Renner, G. (1990) · Psychology and Aging · doi:10.1037/0882-7974.5.1.58 · Cited by 1,131
Kinesiophobia : a new view of chronic pain behavior
Kori, S. (1990) · Medical Entomology and Zoology · Cited by 1,056
Psychological factors in chronic pain: Evolution and revolution
Turk, D. C., & Okifuji, A. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.3.678 · Cited by 1,017
Wrosch, C., Scheier, M. F., Miller, G. E., Schulz, R., & Carver, C. S. (2003) · Personality and Social Psychology Bulletin · doi:10.1177/0146167203256921 · Cited by 991
Pain and Behavioral Medicine: A Cognitive-Behavioral Perspective
Turk, D., Meichenbaum, D. H., Genest, M., & Berntzen, D. (1984) · Scandinavian Journal of Behaviour Therapy · doi:10.1080/16506078409455719 · Cited by 977
Psychological aspects of persistent pain: Current state of the science
Keefe, F. J., Rumble, M. E., Scipio, C. D., Giordano, L. A., & Perri, L. M. (2004) · The Journal of Pain · doi:10.1016/j.jpain.2004.02.576 · Cited by 954
Reiss, S. (1985) · Medical Entomology and Zoology · Cited by 912
Brandtstädter, J., & Renner, G. (1990) · Psychology and Aging · doi:10.1037//0882-7974.5.1.58 · Cited by 860
Common-sense models of illness: The example of hypertension.
Meyer, D., Leventhal, H., & Gutmann, M. (1985) · Health Psychology · doi:10.1037//0278-6133.4.2.115 · Cited by 625
Coping or acceptance? What to do about chronic pain
McCracken, L. M., & Eccleston, C. (2003) · Pain · doi:10.1016/s0304-3959(03)00202-1 · Cited by 591
Self-citationA neurocognitive model of attention to pain: Behavioral and neuroimaging evidence
Legrain, V., Damme, S. V., Eccleston, C., Davis, K. D., Seminowicz, D. A., & Crombez, G. (2009) · Pain · doi:10.1016/j.pain.2009.03.020 · Cited by 512
Self-citationCognitive-processing bias in chronic pain: a review and integration.
Pincus, T., & Morley, S. (2001) · Psychological Bulletin · doi:10.1037/0033-2909.127.5.599 · Cited by 501
Common-sense models of illness: The example of hypertension.
Meyer, D., Leventhal, H., & Gutmann, M. (1985) · Health Psychology · doi:10.1037/0278-6133.4.2.115 · Cited by 493
Asmundson, G. J. G., Norton, P. J., & Norton, G. R. (1999) · Clinical Psychology Review · doi:10.1016/s0272-7358(98)00034-8 · Cited by 468
Worrying: Perspectives on theory, assessment and treatment.
Davey, G. C. L., & Tallis, F. (1994) · Wiley eBooks · Cited by 451
Avoidance behaviour and its role in sustaining chronic pain
Philips, H. C. (1987) · Behaviour Research and Therapy · doi:10.1016/0005-7967(87)90005-2 · Cited by 434
Keeping pain in mind: A motivational account of attention to pain
Damme, S. V., Legrain, V., Vogt, J., & Crombez, G. (2009) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2009.01.005 · Cited by 431
Self-citationLeeuw, 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
Self-citationHypervigilance 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
Self-citationSelf‐Regulation Assessment and Intervention in Physical Health and Illness: A Review
Maes, S., & Karoly, P. (2005) · Applied Psychology · doi:10.1111/j.1464-0597.2005.00210.x · Cited by 389
Self-citationSelf‐Regulation Processes and Health: The Importance of Optimism and Goal Adjustment
Rasmussen, H. N., Wrosch, C., Scheier, M. F., & Carver, C. S. (2006) · Journal of Personality · doi:10.1111/j.1467-6494.2006.00426.x · Cited by 365
Worry and chronic pain: A misdirected problem solving model
Eccleston, C., & Crombez, G. (2007) · Pain · doi:10.1016/j.pain.2007.09.014 · Cited by 344
Self-citationA prospective study of acceptance of pain and patient functioning with chronic pain
McCracken, L. M., & Eccleston, C. (2005) · Pain · doi:10.1016/j.pain.2005.08.015 · Cited by 341
Self-citationHasenbring, M. I., & Verbunt, J. A. (2010) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e3181e104f2 · Cited by 327
Giving Up on Unattainable Goals: Benefits for Health?
Wrosch, C., Miller, G. E., Scheier, M. F., & de Pontet, S. B. (2007) · Personality and Social Psychology Bulletin · doi:10.1177/0146167206294905 · Cited by 326
Acceptance and change in the context of chronic pain
McCracken, L. M., Carson, J. W., Eccleston, C., & Keefe, F. J. (2004) · Pain · doi:10.1016/j.pain.2004.02.006 · Cited by 322
Self-citationRiediger, M., & Freund, A. M. (2004) · Personality and Social Psychology Bulletin · doi:10.1177/0146167204271184 · Cited by 312
Houben, R. M. A., Ostelo, R., Vlaeyen, J. W. S., Wolters, P. M. J. C., Peters, M. L., & den Berg, S. G. M. S. (2004) · European Journal of Pain · doi:10.1016/j.ejpain.2004.05.002 · Cited by 304
Self-citationBack pain in primary care: predictors of high health-care costs
Engel, C. C., Korff, M. V., & Katon, W. J. (1996) · Pain · doi:10.1016/0304-3959(95)00164-6 · Cited by 291
Viane, I., Crombez, G., Eccleston, C., Poppe, C., Devulder, J., Van Houdenhove, B., & De Corte, W. (2003) · Pain · doi:10.1016/s0304-3959(03)00291-4 · Cited by 282
Self-citationRisk Factors of Chronicity in Lumbar Disc Patients
Hasenbring, M. I., Marienfeld, G., Kuhlendahl, D., & Soyka, D. (1994) · Spine · doi:10.1097/00007632-199412150-00004 · Cited by 282
Bishop, A., Foster, N. E., Thomas, E., & Hay, E. M. (2008) · Pain · doi:10.1016/j.pain.2007.11.010 · Cited by 274
Factors defining care‐seeking in low back pain – A meta‐analysis of population based surveys
Ferreira, M. L., Machado, G. C., Latimer, J., Maher, C. G., Ferreira, P. H., & Smeets, R. (2009) · European Journal of Pain · doi:10.1016/j.ejpain.2009.11.005 · Cited by 271
The role of values in a contextual cognitive-behavioral approach to chronic pain
McCracken, L. M., & Yang, S.-Y. (2006) · Pain · doi:10.1016/j.pain.2006.02.021 · Cited by 260
Wicksell, R. K., Olsson, G. L., & Hayes, S. C. (2010) · European Journal of Pain · doi:10.1016/j.ejpain.2010.05.001 · Cited by 259
Craske, M. G., Rapee, R. M., Jackel, L., & Barlow, D. H. (1989) · Behaviour Research and Therapy · doi:10.1016/0005-7967(89)90010-7 · Cited by 256
Toward the development of a motivational model of pain self-management
Jensen, M. P., Nielson, W. R., & Kerns, R. D. (2003) · Journal of Pain · doi:10.1016/s1526-5900(03)00779-x · Cited by 254
Selective attentional bias for pain-related stimuli amongst pain fearful individuals
Keogh, E., Ellery, D., Hunt, C. J., & Hannent, I. (2001) · Pain · doi:10.1016/s0304-3959(00)00422-x · Cited by 253
Woby, S. R., Watson, P., Roach, N. K., & Urmston, M. (2003) · European Journal of Pain · doi:10.1016/j.ejpain.2003.08.002 · Cited by 250
Fear of Movement/(Re)injury in Chronic Low Back Pain
de Jong, J. R., Vlaeyen, J. W. S., Onghena, P., Goossens, M. E. J. B., Geilen, M., & Mulder, H. (2004) · Clinical Journal of Pain · doi:10.1097/00002508-200501000-00002 · Cited by 248
Self-citationThe Potential of Treatment Matching for Subgroups of Patients With Chronic Pain
Turk, D. C. (2004) · Clinical Journal of Pain · doi:10.1097/00002508-200501000-00006 · Cited by 246
Executive functions, self-regulation, and chronic pain: a review
Solberg Nes, L., Roach, A. R., & Segerstrom, S. C. (2009) · Annals of Behavioral Medicine · doi:10.1007/s12160-009-9096-5 · Cited by 242
Pain-Related Catastrophizing: What Is It?
Turner, J. A., & Aaron, L. A. (2001) · Clinical Journal of Pain · doi:10.1097/00002508-200103000-00009 · Cited by 240
Hasenbring, M. I., Hallner, D., & Rusu, A. C. (2008) · European Journal of Pain · doi:10.1016/j.ejpain.2008.11.001 · Cited by 232
Coudeyre, E., Rannou, F., Tubach, F., Baron, G., Coriat, F., Brin, S., Revel, M., & Poiraudeau, S. (2006) · Pain · doi:10.1016/j.pain.2006.05.003 · Cited by 229
Eccleston, C., Williams, A. C. D. C., & Rogers, W. S. (1997) · Social Science & Medicine · doi:10.1016/s0277-9536(96)00404-2 · Cited by 229
Self-citationThe Fear Avoidance Model Disentangled: Improving the Clinical Utility of the Fear Avoidance Model
Pincus, T., Smeets, R., Simmonds, M. J., & Sullivan, M. J. L. (2010) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e3181f15d45 · Cited by 213
A Diathesis‐Stress Model of Chronic Pain and Disability following Traumatic Injury
Turk, D. C. (2002) · Pain Research and Management · doi:10.1155/2002/252904 · Cited by 210
Asmundson, G. J. G., Kuperos, J. L., & Norton, R. G. (1997) · Pain · doi:10.1016/s0304-3959(97)00010-9 · Cited by 209
Worrying about chronic pain: vigilance to threat and misdirected problem solving
Aldrich, S., Eccleston, C., & Crombez, G. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00062-5 · Cited by 208
Self-citationCoping with pain: A motivational perspective
Damme, S. V., Crombez, G., & Eccleston, C. (2008) · Pain · doi:10.1016/j.pain.2008.07.022 · Cited by 204
Self-citationAvoidance and Confrontation of Painful, Back-Straining Movements in Chronic Back Pain Patients
Crombez, G., Vervaet, L., Lysens, R., Baeyens, F., & Eelen, P. (1998) · Behavior Modification · doi:10.1177/01454455980221004 · Cited by 195
Self-citationGoubert, L., Crombez, G., & Bourdeaudhuij, I. D. (2003) · European Journal of Pain · doi:10.1016/j.ejpain.2003.11.004 · Cited by 195
Self-citationMorley, S. (2011) · Pain · doi:10.1016/j.pain.2010.10.042 · Cited by 172
A Goal Systems–Self-Regulatory Perspective on Personality, Psychopathology, and Change
Karoly, P. (1999) · Review of General Psychology · doi:10.1037/1089-2680.3.4.264 · Cited by 171
Self-citationA prospective sequential analysis of the fear-avoidance model of pain
Wideman, T. H., Adams, H., & Sullivan, M. J. L. (2009) · Pain · doi:10.1016/j.pain.2009.04.022 · Cited by 171
Swinkels-Meewisse, I., Roelofs, J., Schouten, E. G. W., Verbeek, A. L. M., Oostendorp, R. A. B., & Vlaeyen, J. W. S. (2006) · Spine · doi:10.1097/01.brs.0000203709.65384.9d · Cited by 170
Self-citationFibromyalgia and women's pursuit of personal goals: A daily process analysis.
Affleck, G., Tennen, H., Urrows, S., Higgins, P., Abeles, M., Hall, C., Karoly, P., & Newton, C. (1998) · Health Psychology · doi:10.1037/0278-6133.17.1.40 · Cited by 158
Self-citationThe disruptive nature of pain: An experimental investigation
Crombez, G., Eccleston, C., Baeyens, F., & Eelen, P. (1996) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(96)00058-7 · Cited by 156
Self-citationCause or effect? Deconditioning and chronic low back pain
Verbunt, J., Smeets, R., & Wittink, H. M. (2010) · Pain · doi:10.1016/j.pain.2010.01.020 · Cited by 153
Pfingsten, M., Leibing, E., Harter, W. H., Kröner‐Herwig, B., Hempel, D., Kronshage, U., & Hildebrandt, J. (2001) · Pain Medicine · doi:10.1046/j.1526-4637.2001.01044.x · Cited by 148
The role of motivation in distracting attention away from pain: An experimental study
Verhoeven, K., Crombez, G., Eccleston, C., Van Ryckeghem, D. M. L., Morley, S., & Van Damme, S. (2010) · Pain · doi:10.1016/j.pain.2010.01.019 · Cited by 147
Self-citationYou've Gotta Know When to Fold 'Em
Miller, G. E., & Wrosch, C. (2007) · Psychological Science · doi:10.1111/j.1467-9280.2007.01977.x · Cited by 146
(2017) · Psychology Press eBooks · doi:10.4324/9781315089928 · Cited by 139
Houben, R. M. A., Leeuw, M., Vlaeyen, J. W. S., Goubert, L., & Picavet, H. S. J. (2005) · Journal of Behavioral Medicine · doi:10.1007/s10865-005-9011-x · Cited by 138
Self-citationGheldof, E. L. M., Crombez, G., den Bussche, E. V., Vinck, J., Nieuwenhuyse, A. V., Moens, G. F. G., Mairiaux, P., & Vlaeyen, J. W. S. (2010) · European Journal of Pain · doi:10.1016/j.ejpain.2010.01.003 · Cited by 133
Self-citationWomen's pursuit of personal goals in daily life with fibromyalgia: A value-expectancy analysis.
Affleck, G. G., Tennen, H. A., Zautra, A., URROWS, S. T., Abeles, M., & Karoly, P. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.69.4.587 · Cited by 132
Self-citationPanic disorder and hypochondriasis
Salkovskis, P. M., & Clark, D. M. (1993) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(93)90002-j · Cited by 131
Pain-specific beliefs, perceived symptom severity, and adjustment to chronic pain
Jensen, M. P., & Karoly, P. (1992) · The Clinical Journal of Pain · doi:10.1097/00002508-199206000-00010 · Cited by 129
Self-citationPossible selves in chronic pain: self-pain enmeshment, adjustment and acceptance
Morley, S., Davies, C., & Barton, S. B. (2005) · Pain · doi:10.1016/j.pain.2005.02.021 · Cited by 127
Active despite pain: the putative role of stop-rules and current mood
Vlaeyen, J. W. S., & Morley, S. (2004) · Pain · doi:10.1016/j.pain.2004.04.037 · Cited by 126
Self-citationHasenbring, M. I., Plaas, H., Fischbein, B., & Willburger, R. (2006) · European Journal of Pain · doi:10.1016/j.ejpain.2005.11.004 · Cited by 124
Women's pursuit of personal goals in daily life with fibromyalgia: A value-expectancy analysis.
Affleck, G. G., Tennen, H. A., Zautra, A., et al. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.69.4.587 · Cited by 110
Gheldof, E. L. M., Vinck, J., Vlaeyen, J. W. S., Hidding, A., & Crombez, G. (2004) · Pain · doi:10.1016/j.pain.2004.09.040 · Cited by 105
Self-citationWideman, T. H., & Sullivan, M. J. L. (2011) · Pain · doi:10.1016/j.pain.2010.10.044 · Cited by 102
Exposure to physical movement in low back pain patients: Restricted effects of generalization.
Crombez, G., Eccleston, C., Vlaeyen, J. W. S., Vansteenwegen, D., Lysens, R., & Eelen, P. (2002) · Health Psychology · doi:10.1037/0278-6133.21.6.573 · Cited by 98
Self-citationReassurance: Help or hinder in the treatment of pain
Linton, S. J., McCracken, L. M., & Vlaeyen, J. W. S. (2007) · Pain · doi:10.1016/j.pain.2007.10.002 · Cited by 97
Self-citationPain-related fear and avoidance of physical exertion following delayed-onset muscle soreness
Trost, Z., France, C. R., & Thomas, J. S. (2011) · Pain · doi:10.1016/j.pain.2011.02.038 · Cited by 97
Karoly, P., & Ruehlman, L. S. (1996) · Health Psychology · doi:10.1037/0278-6133.15.5.383 · Cited by 93
Self-citationCrombez, G., Beirens, K., Damme, S. V., Eccleston, C., & Fontaine, J. R. J. (2009) · Pain · doi:10.1016/j.pain.2009.04.006 · Cited by 91
Self-citationOutcome of subacute low back pain: influence of patients' and rheumatologists' characteristics
Poiraudeau, S., Rannou, F., Hénanff, A. L., Coudeyre, E., Rozenberg, S., Huas, D., Martineau, C., Jolivet-Landreau, I., Revel, M., & Ravaud, P. (2005) · Lara D. Veeken · doi:10.1093/rheumatology/kei231 · Cited by 91
Jensen, J. N., Karpatschof, B., Labriola, M., & Albertsen, K. (2010) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e3181c95b9e · Cited by 90
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Self-citation
Research works printed but not linked: 1
- Malec, 1977, Coping with pain: a self-management approach., JSAS Catalog of Selected Documents in Psychology, 7, 113
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Metadata
- Authors
- Crombez, G., Eccleston, C., Van Damme, S., Vlaeyen, J. W. S., & Karoly, P.
- Affiliations
- Ghent University (BE)
- KU Leuven (BE)
- Maastricht University (NL)
- Arizona State University (US)
- Corresponding author
- Crombez, Geert
- Venue
- The Clinical Journal of Pain
- Published
- 2012-07
- Volume
- 28
- Issue
- 6
- Pages
- 475-483
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2091637698
- Cited by
- 960
- References
- 116
- Citations by year
- 2026: 65 · 2025: 67 · 2024: 80 · 2023: 75 · 2022: 73 · 2021: 79 · 2020: 83 · 2019: 65 · 2018: 78 · 2017: 59 · 2016: 63 · 2015: 59 · 2014: 59 · 2013: 36 · 2012: 14
- FWCI
- 6.22
- Type
- journal article
- Language
- en
- Open access
- green
- biblio.ugent.be
- Licence
- other-oa
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- Lirias (KU Leuven) (submittedVersion, other-oa)
- Funders
- Fonds Wetenschappelijk Onderzoek
- Universiteit Gent (BOF-GOA2006/001)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- fear-avoidance model, chronic pain, fear of pain, avoidance behavior, disability, functional recovery, goals, self-regulation, psychopathology
- MeSH terms
- Anxiety, Avoidance Learning, Fear, Forecasting, Humans, Models, Psychological, Chronic Pain
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