Chronischer Rückenschmerz

Holldorf, M.; Morfeld, Matthias; Möller, M.; Höder, J.; Koch, Uwe

doi:10.1007/s00482-010-0944-9

Cited by 2 publications

(4 citation statements)

References 20 publications

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“…Mostly as expected, patients with distress-avoidance responses (DAR) emerged as the patient group with the most severe levels of stress, maladaptive coping, and bad health. This is largely in line with meta-analytical data concerning the impact of activity avoidance on pain and (psychological) functioning as well as other cluster-analytical studies that also identified avoidance responders, mixed, or extreme cyclers as (one of) the most dysfunctional patient groups [15][16][17][18][19]23].…”

Section: Differences Between Pain Response Profiles In Secondary Meassupporting

confidence: 85%

“…Similar to clusters of depressive avoidance responders, mixed, or extreme cyclers, which were found in prior cluster-analytical studies [16][17][18][19], only one compound profile of mixed distress-avoidance responders (DAR) consistently emerged that showed both higher levels of fear-avoidance and medium levels of distress-endurance responses as compared to both other response profiles. Against our assumptions according to the FAM and AEM, we did not find a distinct profile of pure fear-avoidance responses.…”

Section: Plos Onesupporting

confidence: 62%

“…In comparison to distress-avoidance responders, the findings of more action-oriented eustress-endurance responders (EER; sometimes termed as doers or persistent patients in other cluster-analytical studies [15,16,18,19]) showed significantly lower levels of life stress, better coping and health. This finding is in line with both FAM and Action Control Theory that propose adaptive patterns of no-fear (self-)confrontational (coping) responses to pain and life stress [25,50].…”

Section: Differences Between Pain Response Profiles In Secondary Measmentioning

confidence: 97%

“…In comparison to traditional clustering techniques (e.g., hierarchical and k-means cluster analyses), however, latent class or profile analyses constitute model-based clustering techniques that allow determining probabilities of group membership, the significant number of latent groups, goodness of model fit, and including covariates that are supposed to influence group membership. Up to date, only few studies based on traditional cluster analysis exist that specifically examined pain-related avoidance-and endurance responses in patients with (sub-)acute and chronic low back pain [14][15][16][17][18][19]. The focus of this study thus was to examine the appropriate number of pain-related avoidance and endurance response patterns by means of latent profile analysis as well as their primary and secondary characteristics.…”

Section: Introductionmentioning

confidence: 99%

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Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research

et al. 2021

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Background Identifying pain-related response patterns and understanding functional mechanisms of symptom formation and recovery are important for improving treatment. Objectives We aimed to replicate pain-related avoidance-endurance response patterns associated with the Fear-Avoidance Model, and its extension, the Avoidance-Endurance Model, and examined their differences in secondary measures of stress, action control (i.e., dispositional action vs. state orientation), coping, and health. Methods Latent profile analysis (LPA) was conducted on self-report data from 536 patients with chronic non-specific low back pain at the beginning of an inpatient rehabilitation program. Measures of stress (i.e., pain, life stress) and action control were analyzed as covariates regarding their influence on the formation of different pain response profiles. Measures of coping and health were examined as dependent variables. Results Partially in line with our assumptions, we found three pain response profiles of distress-avoidance, eustress-endurance, and low-endurance responses that are depending on the level of perceived stress and action control. Distress-avoidance responders emerged as the most burdened, dysfunctional patient group concerning measures of stress, action control, maladaptive coping, and health. Eustress-endurance responders showed one of the highest levels of action versus state orientation, as well as the highest levels of adaptive coping and physical activity. Low-endurance responders reported lower levels of stress as well as equal levels of action versus state orientation, maladaptive coping, and health compared to eustress-endurance responders; however, equally low levels of adaptive coping and physical activity compared to distress-avoidance responders. Conclusions Apart from the partially supported assumptions of the Fear-Avoidance and Avoidance-Endurance Model, perceived stress and dispositional action versus state orientation may play a crucial role in the formation of pain-related avoidance-endurance response patterns that vary in degree of adaptiveness. Results suggest tailoring interventions based on behavioral and functional analysis of pain responses in order to more effectively improve patients quality of life.

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Section: Differences Between Pain Response Profiles In Secondary Meassupporting

confidence: 85%

Section: Plos Onesupporting

confidence: 62%

Section: Differences Between Pain Response Profiles In Secondary Measmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research

et al. 2021

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Arbeitsplatznahes präventives Training der die Wirbelsäule stabilisierenden Muskulatur

Pluntke

2012

Manuelle Medizin

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Chronischer Rückenschmerz

Abstract: The study contributes to the methodological stability of two postulated groups. Thus further research should foster the development of risk-based interventions to evaluate if these groups offer an appropriate differentiation in rehabilitation.

Cited by 2 publications

References 20 publications

Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research

Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research

Arbeitsplatznahes präventives Training der die Wirbelsäule stabilisierenden Muskulatur

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