1The “fear-avoidance model of chronic pain”: what and why?In this issue of the Scandinavian Journal of Pain, Katherine Curtin and Deborah Norris  report on an online cross-sectional study in participants with self-reported chronic musculoskeletal pain (CMP). The study aimed to investigate the impact of ruminative anxiety and mindfulness on components of chronic pain (i.e., pain experience, pain catastrophizing, pain-related fear/avoidance) as proposed in the fear-avoidance model . The fear-avoidance model presents a possible pathway by which injured individuals can get caught into a negative downward spiral, the so-called fear-avoidance cycle, which fuels negative pain-related outcomes. In this vicious cycle, a catastrophic interpretation of pain might lead to pain-related fear, which in turn leads to defensive behaviours (i.e., avoidance and/or hypervigilance), resulting in disability and (more) pain. The authors hypothesise that a maladaptive cognition such as anxious rumination will be a risk factor for developing chronic pain. In contrast, a strategy that corrects this maladaptive cognition, such as mindfulness could be considered as a protective factor against maladjustment to pain. In other words, anxious rumination perpetuates the fear-avoidance cycle while mindfulness could prevent and/or break the fear-avoidance cycle.2Anxious rumination and mindfulness needed in the “fear-avoidance model”?Anxious rumination was measured
Scandinavian Journal of Pain – de Gruyter
Published: Oct 1, 2017
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