剧痛
心理学
应对(心理学)
苦恼
慢性疼痛
物理疗法
物理医学与康复
临床心理学
医学
精神科
作者
Johan W.S. Vlaeyen,Ank M. J. Kole-Snijders,Ruben G.B. Boeren,Hugo van Eek
出处
期刊:Pain
[Ovid Technologies (Wolters Kluwer)]
日期:1995-09-01
卷期号:62 (3): 363-372
被引量:2249
标识
DOI:10.1016/0304-3959(94)00279-n
摘要
Two studies are presented that investigated ‘fear of movement/(re)injury’ in chronic musculoskeletal pain and its relation to behavioral performance. The 1st study examines the relation among fear of movement/(re)injury (as measured with the Dutch version of the Tampa Scale for Kinesiophobia (TSK-DV)) (Kori et al. 1990), biographical variables (age, pain duration, gender, use of supportive equipment, compensation status), pain-related variables (pain intensity, pain cognitions, pain coping) and affective distress (fear and depression) in a group of 103 chronic low back pain (CLBP) patients. In the 2nd study, motoric, psychophysiologic and self-report measures of fear are taken from 33 CLBP patients who are exposed to a single and relatively simple movement. Generally, 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. Furthermore, subjects who report a high degree of fear of movement/(re)injury show more fear and escape / avoidance when exposed to a simple movement. The discussion focuses on the clinical relevance of the construct of fear of movement/(re)injury and research questions that remain to be answered.
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