2021 Apr 17;750:135799. doi: 10.1016/j.neulet.2021.135799. The Fear-Avoidance model (Figure 1) has been introduced as a theoretical By continuing to use this website you are giving consent to cookies being used. Bennett MP, Meulders A, Baeyens F, Vlaeyen JWS. This model indicates that a person suffering from pain will undergo one of two different pathways (Fig.1). Behav Res Ther 2015;64:317. (2000). Some error has occurred while processing your request. [11]. The model proposes that catastrophic interpretations about pain are thought to be the salient feature associated with hypervigilance and fear of increased pain and/or damage/injury ( Crombez et al 2004 ). The Fear-Avoidance Model of Musculoskeletal Pain: Current State of Scientific Evidence M. Leeuw , M. Goossens , S. J. Linton , G. Crombez , K. Boersma , J. Vlaeyen Psychology, Medicine The fear-avoidance model aids our understanding of the role of catastrophizing and fear in the presence of pain (Vlaeyen et al 1995). Link to reset your password has been sent to specified email address. [7]. Avoidance usually implies activity restrictions, interference with valued life activities, and negative affect. The fear-avoidance model of pain Pain. The large individual variations in response to a similar nociceptive stimulus and the development of persistent pain after an acute pain episode have puzzled researchers and clinicians alike. 1983), then elaborated on by Vlaeyen Pain, 85(3), 317--332). 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. Vlaeyen, Geert Crombez, Steven J. Linton The large individual variations in response to a similar nociceptive stimulus, as well as the development of persistent pain after an acute pain episode have puzzled researchers and PAIN 2015;156:144957. 2021 May;25(5):365-376. doi: 10.1016/j.tics.2021.01.001. For immediate assistance, contact Customer Service: Front Psychol 2015;6:520. Vlaeyen and G. Crombez by the Research FoundationFlanders, Belgium (Fonds Wetenschappelijk Onderzoek [FWO] Vlaanderen). The model takes as its starting point the experience of a pain episode, but leaves unanswered the origins of Synonyms Kinesiophobia; pain-related fear; fear of pain; fear-avoidance model Definition Fear-avoidance models explain how and why patients experiencing acute pain may become chronic sufferers and become trapped into a vicious circle of more pain and disability. in 1983, this model helped explain how these individuals experience pain despite the absence of pathology. Pain, 85(3), 317-332). Training discrimination diminishes maladaptive avoidance of innocuous stimuli in a fear conditioning paradigm. Epub 2012 Feb 18. den Hollander M, de Jong JR, Volders S, Goossens ME, Smeets RJ, Vlaeyen JW. Fear Avoidance Model - Vlaeyen (2016) Kinesiophobia was first coined by Miller and colleagues (1990), as an aspect of the fear-avoidance model. Bethesda, MD 20894, Copyright Exposure-based treatments have been shown to be effective in various pain syndromes, both in adults and youngsters.10,13, You can login with your username or your email address along with your chosen password. The fear-avoidance model is a cognitive-behavioral account that explains why a minority of acute low back Register with us for free Epub 2021 Jan 25. PAIN 2013;154:538. The acquisition and generalization of cued and contextual pain-related fear: an experimental study using a voluntary movement paradigm. (2000). Fear avoidance model of chronic pain (reproduced from Vlaeyen & Linton, 2000 with permission). Trends Cogn Sci. Vlaeyen (METH/15/011), and Grant G091812N to J.W.S. The fear-avoidance model of pain. Lethem J, Slade PD, Troup JD, Bentley G. Outline of a fear-avoidance model of G. Lorimer Moseley exaggerated pain perception I. Behav Res Ther 1983;21:4018. [6]. *Corresponding author. Comment on Wideman et al. Sorry, the specified email address could not be found. The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. Fordyces Behavioral Methods for chronic Pain and Illness republished with invited commentaries: IASP and Wolters-Kluwer, 2014. Fear reduction in patients with chronic pain: a learning theory perspective. [2]. 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. According to the 'fear-avoidance model' (Vlaeyen, Crombez, & Linton, 2016), it is one of the most important development and maintenance factors of chronic pain (Vlaeyen & Linton, 2000). was published on October 1, 2017 in the journal Scandinavian Journal of Pain (volume 17, issue 1). Neurosci Lett. CiteSeerX - Document Details (Isaac Councill, Lee Giles, Pradeep Teregowda): Research studies focusing on the fear-avoidance model have expanded considerably since the review by Vlaeyen and Linton (Vlaeyen J. W. S. & Linton, S. J. This model serves as an heuristic aid and ties several findings in the more recent literature together concerning the role of fear-avoidance in the development of musculoskeletal pain problems. We propose to extend the FA model by adopting a motivational perspective on doi: 10.1371/journal.pone.0184485. Behav Res Ther 1983;21:4018. [10]. The FA model has become increas-ingly popular, and a large body of evidence is in line with its assumptions. Fear-avoidance model of chronic musculoskeletal pain: 12 years on. Fear-avoidance model of chronic musculoskeletal pain: 12 years on Johan Vlaeyen IntroductionIt is widely acknowledged that pain is a universal experience that affects human beings across the life span, serving an important protective function. doi: 10.1136/bmjopen-2020-040134. Learning and synaptic plasticity in 3D bioengineered neural tissues. Enter and submit the email address you registered with. Sangha S, Diehl MM, Bergstrom HC, Drew MR. Neurosci Biobehav Rev. Y1 - 2016/8. Sansom Institute for Health Research, [8] Meulders A, Vansteenwegen D, Vlaeyen JWS. U2 - 10.1097/j.pain.0000000000000574 Accessibility "A prospective sequential analysis of the fear-avoidance model of pain" [Pain, 2009] and Nicholas "First things first: reduction in catastrophizing before fear of movement" [Pain, 2009]. The Fear-Avoidance Model of Pain. eCollection 2020. [4]. Lommen MJJ, Duta M, Vanbrabant K, de Jong R, Juechems K, Ehlers A. PLoS One. Would you like email updates of new search results? 800-638-3030 (within USA), 301-223-2300 (international) Goubert L, Vlaeyen JW, Crombez G, Craig KD. In: Main C, Keefe F, Jensen M, Vlaeyen JW, Vowles K, editors. Introduced by Lethem et al. Fear-avoidance model of chronic musculoskeletal pain: 12 years on. Learning about pain from others: an observational learning account. J Pain 2011;12:16774. Epub 2012 Feb 8. Hanssen MM, Peters ML, Vlaeyen JW, Meevissen YM, Vancleef LM. Your message has been successfully sent to your colleague. For more information, please refer to our Privacy Policy. If an individual experiences acute discomfort and They do not, however, address the closely related concept of anxious rumination. The Fear-Avoidance Model was designed to identify and explain why chronic low back pain problems, and associated disability, develop in members of the population suffering from an onset of low back pain . Rouleau N, Cairns DM, Rusk W, Levin M, Kaplan DL. Please try after some time. Fear-avoidance model of chronic musculoskeletal pain: 12 years on. We propose to extend the FA model by adopting a motivational perspective on chronic pain and disability. [5]. PAIN 2013;154:27282. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. [8]. Vlaeyen, Other articles in this journal by Johan W.S. (2000). Goubert L, Crombez G, Van Damme S. The role of neuroticism, pain catastrophizing and pain-related fear in vigilance to pain: a structural equations approach. [emailprotected]. Privacy, Help 2016 Aug;157(8):1588-1589. doi: 10.1097/j.pain.0000000000000574. [1]. Pain. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Please enable scripts and reload this page. In: Main C, Keefe F, Jensen M, Vlaeyen JW, Vowles K, editors. Address: Research Group on Health Psychology, KU Leuvcen, 3000 Leuven, Belgium. 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The Fear-Avoidance model (Figure 1) has been introduced as a theoretical model to guide pain research and management, describing the cascade of events after pain that is perceived as threatening.8,12, Fear is the anticipatory emotional response to imminent threat, and adaptive learning takes place rapidly, either through direct experience,9 observation,5 or verbal instructions.1,4 Initial neutral cues (conditioned stimuli, CS) causally or functionally associated with pain may capture the attention and elicit protective fear responses (conditioned responses such as avoidance), that may be different from unconditioned responses (UR) such as the immediate escape from the unconditioned pain stimulus (US) (see panels 1 and 2).11 Learning typically occurs with interoceptive or proprioceptive CSs. 2009 Sep;145(1-2):45-51. 4, 22, 23 This basic model proposes that, if one interprets the experience of pain (which is associated with or without an actual injury) as significantly threatening and begins to catastrophize about it, then pain-related fear evolves. Over the last 20 years, this original model has been expanded and renamed the FA model of chronic pain. Based upon previous work (Lethem et al., 1983; Philips, 1987; Waddell et al., 1993), Vlaeyen et al. Try again. Research studies focusing on the fear-avoidance model have expanded considerably since the review by Vlaeyen and Linton (Vlaeyen J. W. S. & Linton, S. J. PAIN 2020: Global Year for the Prevention of Pain, PAIN 2019: Global Year Against Pain in the Most Vulnerable, PAIN 2018: Global Year for Excellence in Pain Education, PAIN 2017: Global Year Against Pain After Surgery, PAIN 2016: Global Year Against Pain in the Joints, PAIN 2015: Global Year Against Neuropathic Pain, PAIN 2014: Global Year Against Orofacial Pain, IASP Presidential Task Force on Cannabis and Cannabinoid Analgesia. Common in these models is their focus upon the role of pain-related fear (fear of pain, fear of movement/(re)injury) and dynamic learning processes (avoidance learning). Polaski AM, Phelps AL, Smith TJ, Helm ER, Morone NE, Szucs KA, Kostek MC, Kolber BJ. Front Psychol 2015;6:520. BMJ Open. Comment on Pain. T1 - The fear-avoidance model of pain. Fear-avoidance models explain how and why patients experiencing acute pain may become chronic sufferers and become trapped into a vicious circle of more pain and disability. [9]. It was the fear-avoidance model proposed firstly by Lethem et al (Lethem et al. 800-638-3030 (within USA), 301-223-2300 (international). Research Group on Health Psychology, KU Leuven, University of Leuven, Belgium. 2017 Oct 12;12(10):e0184485. Vlaeyen JW, Morley S, Linton S, Boersma K, De Jong J. Pain-related fear: exposure-based treatment for chronic pain.