Fear-Avoidance Beliefs as Measured by the Fear-Avoidance Beliefs Questionnaire: Change in Fear-Avoidance Beliefs Questionnaire Is Predictive of Change in Self-Report of Disability and Pain Intensity for Patients With Acute Low Back Pain
Clinical Journal of PainPublished 10 January 2006
Steven Z. George, Julie M. Fritz, Daniel W. McNeil
Citations146
SJR quartileQ1
SJR score0.86
SNIP1.08
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Preliminary support for the use of the Fear-Avoidance Beliefs Questionnaire as an outcome measure for patients with acute low back pain is provided.
Abstract
These results suggest that fear-avoidance beliefs have a similar association with pain intensity, physical impairment, and disability for patients with acute and chronic low back pain. This study provides preliminary support for the use of the Fear-Avoidance Beliefs Questionnaire as an outcome measure for patients with acute low back pain.
Keywords
MedicineNeuroscienceEconomics, Econometrics and Finance
PainClinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale
5,689 Citations2001John T. Farrar, James P. Young +3 more
Using a standard outcome across chronic pain studies would greatly enhance the comparability, validity, and clinical applicability of these studies, and the application of these results to future studies may provide a standard definition of clinically important improvement in clinical trials of chronic pain therapies.
SpineThe Oswestry Disability Index
5,686 Citations2000Jeremy Fairbank, Paul Pynsent
The ODI remains a valid and vigorous measure and has been a worthwhile outcome measure, and the process of using the ODI is reviewed and should be the subject of further research.
PainFear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art
4,823 Citations2000Johan W.S. Vlaeyen, Steven J. Linton
PainA Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability
3,128 Citations1993Gordon Waddell, Mary Newton +3 more
It is demonstrated that specific fear‐avoidance beliefs about work are strongly related to work loss due to low back pain, and these findings are incorporated into a biopsychosocial model of the cognitive, affective and behavioural influences inLow back pain and disability.
PainFear of movement/(re)injury in chronic low back pain and its relation to behavioral performance
2,381 Citations1995Johan W.S. Vlaeyen, Ank M. J. Kole-Snijders +2 more
Findings demonstrated that the fear of movement/(re)injury is related to gender and compensation status, and more closely to measures of catastrophizing and depression, but in a much lesser degree to pain coping and pain intensity.
SpineThe Roland–Morris Disability Questionnaire and the Oswestry Disability Questionnaire
1,930 Citations2000Martín Roland, Jeremy Fairbank
These two widely used measures, the Roland–Morris Disability Questionnaire (RDQ) or the Oswestry Disability Index (ODI), are described and evidence of their validity and reliability and some comparative results obtained with the use of the two questionnaires are provided.
PainPain-related fear is more disabling than pain itself: evidence on the role of pain-related fear in chronic back pain disability
1,634 Citations1999Geert Crombez, Johan W.S. Vlaeyen +2 more
It is found that the subscales of the FABQ and the TSK were superior in predicting self-reported disability and poor behavioral performance and the PASS appeared more strongly associated with pain catastrophizing and negative affect, and was less predictive of pain disability and behavioral performance.
Behaviour Research and TherapyOutline of a fear-avoidance model of exaggerated pain perception—I
1,270 Citations1983Jane Lethem, Peter D. Slade +2 more
A theoretical model for exaggerated pain perception which has been generated from a multidisciplinary team approach to the problem of chronic low-back pain is described, suggesting that the type of strategy adopted is influenced by a number of psychosocial factors.
Physical TherapyA Comparison of a Modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale
1,048 Citations2001Julie M. Fritz, James J. Irrgang
The validity of a global rating of change as a reflection of meaningful change in patient status was supported by the stability of the Physical Impairment Index across the study period in patients defined as stable by the global rating and by the decrease in physical impairment across thestudy period.
American Journal of EpidemiologyPain Catastrophizing and Kinesiophobia: Predictors of Chronic Low Back Pain
739 Citations2002H. Susan J. Picavet
Using a population-based cohort of the general Dutch population, the authors studied whether an excessively negative orientation toward pain (pain catastrophizing) and fear of movement/(re)injury (kinesiophobia) are important in the etiology of chronic low back pain and associated disability.
Journal of Occupational RehabilitationThe role of fear of movement/(re)injury in pain disability
729 Citations1995Johan W.S. Vlaeyen, Ank M. J. Kole-Snijders +3 more
The discussion focuses on the clinical relevance of the fear-avoidance model in relation to risk assessment, assessment of functional capacity, and secondary prevention.
SpinePsychosocial Predictors of Outcome in Acute and Subchronic Low Back Trouble
707 Citations1995Kim Burton, K. Malcolm Tillotson +2 more
PainWhat is the maximum number of levels needed in pain intensity measurement?
596 Citations1994Mark P. Jensen, Judith A. Turner +1 more
The results suggest that 10‐ and 21‐point scales provide sufficient levels of discrimination, in general, for chronic pain patients to describe pain intensity.
PainResponsiveness of functional status in low back pain: a comparison of different instruments
578 Citations1996Anna Beurskens, Henrica C. W. de Vet +1 more
The two strategies for evaluating the responsiveness of three instruments of functional status: two disease‐specific questionnaires (Oswestry and Roland Disability Questionnaires), and a patient‐specific method (severity of the main complaint) appeared to complement each other.
SpineInformation and Advice to Patients With Back Pain Can Have a Positive Effect
555 Citations1999Kim Burton, Gordon Waddell +2 more
This trial shows that carefully selected and presented information and advice about back pain can have a positive effect on patients' beliefs and clinical outcomes, and suggests that a study of clinically important effects in individual patients may provide further insights into the management of low back pain.
SpineThe Prediction of Chronicity in Patients With an Acute Attack of Low Back Pain in a General Practice Setting
540 Citations1995L. Klenerman, Peter D. Slade +6 more
The results suggest that, at the earliest stage of low back pain, fear of pain should be identified by clinicians and, where this is severe, pain confrontation should arguably form part of the approach to treatment.
Physical TherapyA Treatment-Based Classification Approach to Low Back Syndrome: Identifying and Staging Patients for Conservative Treatment
514 Citations1995Anthony Delitto, Richard E. Erhard +1 more
A treatment-based classification approach to the conservative management of low back syndrome is presented, with specific algorithms and decision rules as well as examples presented.
PainThe role of fear-avoidance beliefs in acute low back pain: relationships with current and future disability and work status
510 Citations2001Julie M. Fritz, Steven Z. George +1 more
Fear‐avoidance beliefs about work were significant predictors of 4‐week disability and work status even after controlling for initial levels of pain intensity, physical impairment, and disability, and the type of therapy received.
PainWhat decline in pain intensity is meaningful to patients with acute pain?
507 Citations2003Soledad M. Cepeda, Juan M. Africano +3 more
The meaning to patients of declines in pain intensity and percent pain reduction are established and are applicable in the clinical setting and research arena to assess treatment efficacy.
SpineObjective Clinical Evaluation of Physical Impairment in Chronic Low Back Pain
415 Citations1992Gordon Waddell, Douglas Somerville +2 more
The aim of this study was to develop a method of clinical evaluation suitable for routine use, and to consider the relationship between pain, disability, and physical impairment in patients with chronic low back pain.
Spine1999 Volvo Award Winner in Clinical Studies
334 Citations1999Anne F. Mannion, Markus Müntener +2 more
There is much evidence documenting the efficacy of exercise in the conservative management of chronic low back pain, but many questions about the relative efficacy of three active therapies.
SpineThe Effect of a Fear-Avoidance–Based Physical Therapy Intervention for Patients With Acute Low Back Pain: Results of a Randomized Clinical Trial
297 Citations2003Steven Z. George, Julie M. Fritz +2 more
The prediction of disability at 4 weeks and 6 months after treatment was significantly improved by considering the interaction between the type of treatment and the initial level of fear-avoidance beliefs, and both groups had significant within group improvements for disability and pain intensity.
SpineActive Therapy for Chronic Low Back Pain
270 Citations2001Anne F. Mannion, Astrid Junge +4 more
A combination of pain, psychological and physiological factors was best able to predict baseline disability, although its decrease following therapy was determined only by reductions in pain and psychological variables.
European Journal of PainValidation of the German version of the Fear‐Avoidance Beliefs Questionnaire (FABQ)
247 Citations2000M. Pfingsten, Birgit Kröner‐Herwig +3 more
It can be concluded that the German version of the FAQB is a reliable and valid instrument, but it shows a different factor structure from the original English version.
SpineThe Role of Anticipation and Fear of Pain in the Persistence of Avoidance Behavior in Patients With Chronic Low Back Pain
243 Citations2000Saud Al‐Obaidi, Roger M. Nelson +2 more
The hypothesis that spinal physical capacity in chronicity is not explained solely by the sensory perception of pain is strongly supported.
European Journal of PainAre changes in fear‐avoidance beliefs, catastrophizing, and appraisals of control, predictive of changes in chronic low back pain and disability?
242 Citations2003Steve Woby, P. J. Watson +2 more
The study found that changes in the cognitive factors were not significantly associated with changes in pain intensity, and reductions in fear‐avoidance beliefs about work and physical activity, as well as increased perceptions of control over pain were uniquely related to reductions in disability.
Clinical BiomechanicsSurface electromyography in the identification of chronic low back pain patients: the development of the flexion relaxation ratio
238 Citations1997PJ Watson, C. Kerry Booker +2 more
The results indicate that dynamic sEMG activity of the paraspinal muscles can be reliably measured and is useful in differentiating CLBP patients from normal controls and may be used in the assessment of change in the flexion relaxation phenomenon following treatment interventions.
Clinical Journal of PainPain-Related Fear, Lumbar Flexion, and Dynamic EMG Among Persons With Chronic Musculoskeletal Low Back Pain
233 Citations2004Michael E. Geisser, Andrew J. Haig +2 more
The relationship between pain-related fear and EMG during flexion and extension appears to be mediated by reduced lumbar flexion, and these musculoskeletal abnormalities as well as limited movement may be involved in the development and maintenance of chronic low back pain.
Spine2001 Volvo Award Winner in Clinical Studies: Effects of a Media Campaign on Back Pain Beliefs and Its Potential Influence on Management of Low Back Pain in General Practice
231 Citations2001Rachelle Buchbinder, Damien Jolley +1 more
A population-based strategy of providing positive messages about backPain improves the beliefs of the general population and general practitioners about back pain and appears to influence medical management.
PainThe use of multiple-item scales for pain intensity measurement in chronic pain patients
226 Citations1996Mark P. Jensen, Lindsey Turner +2 more
The results suggest that, when clinicians or researchers wish to assess average pain among chronic pain patients, but cannot obtain multiple measures of pain over time, the most valid measure would be the arithmetic mean of patient‐recalled least and usual pain.
Archives of Physical Medicine and RehabilitationLow back pain: Reliability of a set of pain measurement tools
172 Citations2001Tamar Jacob, Mario Baras +2 more
Most measurement tools are reliable and suitable for community LBP studies in Israel and the internal consistency of the MRMQ and FABQ work index were also high.
PainFear and avoidance in dysfunctional chronic back pain patients
156 Citations1997Gordon J. G. Asmundson, Ron G. Norton +1 more
There were no differences between groups on agoraphobic, blood/injury, social fears, or anxiety sensitivity; however, patients classified as dysfunctional reported more pain‐specific fear and avoidance than did those classified as interpersonally distressed or adaptive copers.
European Spine JournalLongitudinal validation of the Fear-Avoidance Beliefs Questionnaire (FABQ) in a Swiss-German sample of low back pain patients
151 Citations2004Ralph F. Staerkle, Anne F. Mannion +7 more
The cross-cultural German adaptation of the FABQ was very successful and yielded psychometric properties and predictive power of the scales similar to the original version, as they appear to have unique predictive power in analyses of disability and work loss.
SpineHigh Fear-Avoiders of Physical Activity Benefit From an Exercise Program for Patients With Back Pain
143 Citations2004Jennifer A. Klaber Moffett, J.T. Carr +1 more
The benefits of the exercise program for patients with high levels of distress/depression appear to be short-term only and may not be sufficient for more recalcitrant cases.
International Journal of Rehabilitation ResearchThe influence of pain and pain-related fear and disability beliefs on walking velocity in chronic low back pain
130 Citations2003Saud Al‐Obaidi, Baker Al-Zoabi +3 more
Stepwise regression analysis showed that FABQ (physical activity) and anticipated pain were the strongest predictors of velocity deficits in preferred and fast walking respectively and accounted significantly for the velocity deficit in walking.
SpineThe Pain Drawing and Waddellʼs Nonorganic Physical Signs in Chronic Low-Back Pain
111 Citations1993Carl W. Chan, Sherwin Goldman +3 more
A correlation between pain drawings and Waddell's nonorganic physical signs demonstrated that a large proportion of patients with high Waddel scores had nonorganic pain drawings, indicating that pain drawings afford an important adjunct in the physician's assessment of chronic low-back pain.
Journal of Orthopaedic and Sports Physical TherapyTest-Retest Reliability of Patient Reports of Low Back Pain
106 Citations1997Kathryn E. Roach, Mark D. Brown +3 more
The results of this study suggest that, although there is some variability in how consistently patients report various aspects of low back pain, the reliability of these pain measures is sufficient to permit their use in making clinical decisions and measuring treatment outcomes.
PainWork-related beliefs about injury and physical capability for work in individuals with chronic pain
97 Citations2003Kevin E. Vowles, Richard T. Gross
Examining how changes in physical capability for work were related to changes in pain severity and fear‐avoidance beliefs for general physical and work‐specific activities and investigating whether an interdisciplinary treatment program for chronic pain was associated with changes in these specific fears revealed that significant decreases in fear and pain levels occurred from pre‐ to post‐treatment.
PubMedMeasuring self-reported functional status and pain in patients with chronic low back pain by postal questionnaires: a reliability study.
86 Citations2003Inger Holm, Astrid Friis +2 more
SpineMeasuring Self-Reported Functional Status and Pain in Patients with Chronic Low Back Pain by Postal Questionnaires
37 Citations2003Inger Holm, Astrid Friis +2 more
The GFS, pain intensity, fear-avoidance beliefs, and life satisfaction appeared to lack sufficient reliability to be recommended in postal questionnaires, while the ODI was highly reliable.