Sex and Pain-Related Psychological Variables Are Associated With Thermal Pain Sensitivity for Patients With Chronic Low Back Pain

George, Steven Z.; Wittmer, V.; Fillingim, Roger B.; Robinson, Michael E.

doi:10.1016/j.jpain.2006.05.009

Cited by 123 publications

(82 citation statements)

References 44 publications

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“…To account for the pain intensity domain, subjects rated their present pain intensity using a numerical rating scale (NR�), ranging from 0 (no pain) to 10 (worst pain imaginable). 30 To In our own research involving patients with LBP and shoulder pain, we have seen statistically significant but lowermagnitude correlations between FAM measures (r0.6), 16,18,19 suggesting that separate measurement may be warranted. Another potential scenario is that FAM measures have differing associations with clinical measures, indicating specificity of criterion validity.…”

Section: Fam Measuresmentioning

confidence: 81%

“…In patients with LBP, fear of pain was associated with first-pulse thermal pain sensitivity, while pain catastrophizing was associated with temporal summation. 19 In subjects with shoulder pain, fear of pain was predictive of induced pain sensitivity, while pain catastrophizing was predictive of clinical pain intensity. 16 Additional measurement focused studies could assist with clinical implementation of the FAM in physical therapy settings.…”

Section: Fam Measuresmentioning

confidence: 99%

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A Psychometric Investigation of Fear-Avoidance Model Measures in Patients With Chronic Low Back Pain

George¹,

Valencia²,

Beneciuk³

2010

Journal of Orthopaedic & Sports Physical Therapy

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157

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t he fear-avoidance model of musculoskeletal pain (FAM) has been highlighted as a psychological model of potential importance for rehabilitation. 33 The FAM proposes that during a musculoskeletal pain episode, anxiety, pain-related fear, and pain catastrophizing interact to determine whether an individual will resume normal activities (low psychological distress) or will avoid normal activities due to anticipation of increased pain and/or reinjury (high psychological distress). 33,35,60 The FAM suggests that high psychological distress will be associated with poor clinical outcomes, potentially resulting in depressive symptoms, elevated pain intensity, greater physical impairments, and continued disability. 33,35,60 Evidence supporting validity of the FAM can be found in the clinical studies of low back pain (LBP). Longitudinal studies have indicated that elevated FAM measures were predictive of poor outcomes for individuals with LBP. 2,12,14,44,46,52 Furthermore, effective FAM treatment strategies have been reported, including patient education, 3,5 graded exercise, 13,36 and graded exposure. 6,20,21,37,58,59 While portions of the FAM are well supported in the literature, there are unresolved questions and issues affecting its application in clinical settings. 33One unresolved issue is related to measurement of FAM constructs in outpatient physical therapy settings, which is the focus of this particular study. The FAM is associated with multiple psychological constructs, and there are several available measurement tools. Examples include the Fear-Avoidance Beliefs Questionnaire (FABQ), 61 Fear of Pain Questionnaire (FPQ), 40 Tampa �ca-Tampa �ca-le for Kinesiophobia (T�K), 64 and Pain Catastrophizing �cale (PC�). 49 Typically, psychometric studies incorporate 1 or 2 t sTuDY DesiGn: Validity and test-retest reliability of questionnaires related to the fear-avoidance model (FAM).t oBJeCTiVe: To investigate test-retest reliability, construct redundancy, and criterion validity for 4 commonly used FAM measures.t BaCkGrounD: Few studies have reported psychometric properties for more than 2 FAM measures within the same cohort, making it difficult to determine which specific measures should be implemented in outpatient physical therapy settings.t MeTHoDs: Fifty-three consecutive patients (mean age, 44.3  18.5 years) with chronic low back pain participated in this study. Data were collected with validated measures for FAM constructs, including the Fear-Avoidance Beliefs Questionnaire (FABQ), Fear of Pain Questionnaire (FPQ), Tampa Scale for Kinesiophobia, and Pain Catastrophizing Scale. Validated measures were used to investigate criterion validity of the FAM measures, including the Patient Health Questionnaire for depression, the numerical rating scale for pain intensity, the Physical Impairment Scale for physical impairment, and the Oswestry Disability Questionnaire for self-report of disability. Test-retest reliability of the FAM measures was determined with intraclass correlation coefficients (ICC 2,1 ) for total ...

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Section: Fam Measuresmentioning

confidence: 81%

Section: Fam Measuresmentioning

confidence: 99%

A Psychometric Investigation of Fear-Avoidance Model Measures in Patients With Chronic Low Back Pain

George¹,

Valencia²,

Beneciuk³

2010

Journal of Orthopaedic & Sports Physical Therapy

Self Cite

157

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“…George, Wittmer, Fillingim, & Robinson [37] found that women had elevated thermal pain sensitivity than men.…”

Section: Discussionmentioning

confidence: 99%

Measuring psychometric characteristics of the elderly sensory responsivity questionnaire– A tool for screening sensory processing difficulties in elderly adults

Engel‐Yeger

2013

JNEP

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Background: The function of the sensory systems decreases in the elderly. This may negatively impact the person's performance and independence in daily living. Most studies refer to the decrease in specific modalities and to sensory acuity rather than to general sensory processing in all modalities. Moreover, there is a lack of evaluation tools that focus on these general sensory processing abilities with functional daily life perspective in the elderly population. Objectives:To examine the psychometric characteristics of the Elderly Adult Sensory Sensitivity Questionnaire (ESRQ) -an adapted version of the Sensory Responsiveness Questionnaire (SRQ) version II. The ESRQ aims to screen sensory processing difficulties among elderly adults, as expressed in daily living situations. Methods:The sample consisted of 361 participants, aged 50-86 years, who were and in good health and functionally independent. Participants were divided into three age groups: 50-59; 60-69 and 70-86. All participants completed a demographic and health status questionnaire and the ESRQ.Results: Analysis of ESRQ scales revealed five factors, which explained 45.66% of the total variance. Internal consistency was high for the full questionnaire and moderate to high for each factor. No significant differences were found between the age groups. Women showed significantly higher sensitivity than men in several modalities. Implications and conclusions:ESRQ may serve as a suitable tool for screening sensory processing difficulties in the elderly. Gender may play a role in sensory processing changes in the elderly. Further studies should examine the psychometric properties of the ESRQ among elderly people with disabilities. Establishing the prevalence of sensory processing difficulties in the elderly may be beneficial for developing and improving intervention strategies to overcome functional deficits.

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“…That fear of pain would have a priming effect, increasing the subjective intensity of a subsequent noxious stimulus [25], is perhaps no surprise, for implied by such fear is an expectation-a convictionof intensity, at least along the pain's affective dimension. It is unclear whether fear also contributes to temporal summation [25].…”

Section: Fear Of Painmentioning

confidence: 99%

Chronic Headaches and the Neurobiology of Somatization

Borkum

2010

Curr Pain Headache Rep

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Pain sensitivity is an adaptive process affected by expectation, mood, coping, operant conditioning, and the preconscious allocation of attention. Underlying mechanisms may include encoding of similar experiences (eg, depression, loss, pain-distress) in overlapping patterns of activation, failure of common regulatory mechanisms, direct top-down activation of the pain matrix, and changes in descending pain facilitatory and inhibitory tone. In theory, the combination of glial cell activation from psychological stress and neural firing from nociceptive input may be particularly likely to lead to pain sensitization and long-term structural changes in pain processing regions of the brain. In these ways, headaches in which chronicity, diffuseness, and distress seem better accounted for by psychological than by medical variables can be understood in neurobiological terms. This can allow psychological treatment of physical distress to be objective, nonthreatening, and relatively precise.

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Sex and Pain-Related Psychological Variables Are Associated With Thermal Pain Sensitivity for Patients With Chronic Low Back Pain

Cited by 123 publications

References 44 publications

A Psychometric Investigation of Fear-Avoidance Model Measures in Patients With Chronic Low Back Pain

A Psychometric Investigation of Fear-Avoidance Model Measures in Patients With Chronic Low Back Pain

Measuring psychometric characteristics of the elderly sensory responsivity questionnaire– A tool for screening sensory processing difficulties in elderly adults

Chronic Headaches and the Neurobiology of Somatization

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