In this issue of the Scandinavian Journal of Pain, Terho and coworkers  report about the translation and validation of the Finnish version of the Fear-Avoidance Beliefs Questionnaire (FABQ). This questionnaire plays an important role in the diagnostic assessment of patients with low-back pain (LBP).1The importance of psychological aspects of chronic painPsychological factors have been proven to influence the development and clinical course of chronic LBP; especially cognitive and affective variables with behavioural consequences are relevant determinants of pain experience and disability in those patients . A frequent assumption of patients with LBP is that activity will exacerbate pain and promote suffering, which may lead to an ongoing avoidance of activities in the future. The resulting avoidance behaviour may subsequently lead to negative consequences characterized by physical deconditioning, sick role behaviour, psy-chosocial withdrawal and negative affect corresponding to a high level of disability. According to cognitive-behavioural theory, this circle is maintained by the perceived reduction of anxiety, which is achieved through avoidance of feared activities. These mechanisms have been described in the fear-avoidance model of chronic pain  that is a major contribution to the understanding of the chronification process and maintenance of LBP.2Solid evidence for the importance of
Scandinavian Journal of Pain – de Gruyter
Published: Jan 1, 2016
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