1. Investigating dynamic pain sensitivity in the context of the fear-avoidance model
- Author
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C.W. Gay, M.E. Horn, M.D. Bishop, M.E. Robinson, and J.E. Bialosky
- Subjects
Mediation (statistics) ,medicine.medical_specialty ,Chronic pain ,Fear-avoidance model ,medicine.disease ,Low back pain ,Anesthesiology and Pain Medicine ,Moderated mediation ,Threshold of pain ,Physical therapy ,medicine ,Back pain ,Pain catastrophizing ,medicine.symptom ,Psychology ,Clinical psychology - Abstract
Background Although nearly everyone at some point in their lives experiences back pain; the amount of interference with routine activity varies significantly. The fear-avoidance (FA) model of chronic pain explains how psychological variables, such as fear, act as mediating factors influencing the relationship between clinical pain intensity and the amount of interference with daily activities. What remains less clear is how other mediating factors fit within this model. The primary objective of this report was to examine the extent to which a dynamic measure of pain sensitivity provides additional information within the context of the FA model. Method To address our primary objective, classic mediation and moderated mediation analyses were conducted on baseline clinical, psychological and quantitative sensory measures obtained on 67 subjects with back pain (mean age, 31.4 ± 12.1 years; 70% female). Results There was a moderately strong relationship (r = 0.52; p
- Published
- 2014