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In this issue of the Scandinavian Journal of Pain Nicolaas Eland and his co-workers apply Rasch analysis to evaluate the measurement properties of the Pain Attitudes and Beliefs Scale (PABS) [1]. Low back pain is one of the leading causes of disability worldwide [2], and our treatment options still insufficient [3]. Pain is weakly associated with structural changes and biomedical findings [4], and the psychosocial component is of major importance in the development of back pain related disability [5]. Hence, treatment is often targeted to reduce pain related fear avoidance behaviour and regain functioning including return to work. There is a wide range of psychological, cognitive and behavioural strategies applied in the treatment [6], and information and guidance from the health care providers are generally included in a multimodal management. One would assume that attitudes and beliefs among health care providers heavily influence the service delivery and also the effect of the treatment. It is an important part of the context sensitive therapeutic effect. However, surprisingly few studies include this perspective. Standardized measurements with validated measurement properties are needed in order to assess these beliefs. Hence, the work by Eland et al. [1] should contribute to increased attention to
Scandinavian Journal of Pain – de Gruyter
Published: Oct 1, 2016
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