Rethinking the Fear Avoidance Model: Toward a Multidimensional Framework of Pain-related Disability
SOURCE: Pain. 2013 (Nov); 154 (11): 2262–2265
Timothy H. Wideman, Gordon G. J. Asmundson,
Rob J. E. M Smeets, Alex J. Zautra,
School of Medicine,
Johns Hopkins University,
Baltimore, MD, USA.
Nearly 20 years ago the Fear Avoidance Model (FAM) was advanced to explain the development and persistence of disabling low back pain. The model has since inspired productive research and has become the leading paradigm for understanding disability associated with musculoskeletal pain conditions. The model has also undergone recent expansion by addressing learning, motivation and self-regulation theory [10, 34]. In contrast to these extensions, however, one relatively constant aspect of the model is the recursive series of fear-related cognitive, affective, and behavioral processes shown in Figure 1 [31, 32, 34].
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