The Relation Between Pain-Related Fear and Disability: A Meta-Analysis

作者: Emily L. Zale , Krista L. Lange , Sherecce A. Fields , Joseph W. Ditre

DOI: 10.1016/J.JPAIN.2013.05.005

关键词: Perspective (graphical)Biopsychosocial modelPsychiatryPublication biasAssociation (psychology)Pain catastrophizingMeta-analysisChronic painPsycINFOMedicineAnesthesiology and Pain MedicineNeurologyClinical neurology

摘要: Abstract Within a biopsychosocial framework, psychological factors are thought to play an important role in the onset and progression of chronic pain. The cognitive-behavioral fear-avoidance model pain suggests that pain-related fear contributes development maintenance disability. However, investigations relation between disability have demonstrated considerable between-study variation. main goal current meta-analysis was synthesize findings studies investigating cross-sectional associations order estimate magnitude this relation. We also tested potential moderators, including type measure used, demographic characteristics, and relevant characteristics. Searches PubMed PsycINFO yielded total 46 independent samples (N = 9,579) reported correlations among persons experiencing acute or Effect size estimates were generated using random-effects artifact distribution method. positive observed be moderate large magnitude, stable across Although some variability measures, results largely consistent with Perspective Results indicate robust, association disability, which can classified as magnitude. Consistent pain, these suggest may target for treatments intended reduce

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