Journal
CURRENT PAIN AND HEADACHE REPORTS
Volume 14, Issue 2, Pages 88-95Publisher
SPRINGER
DOI: 10.1007/s11916-010-0094-x
Keywords
Fear; Pain; Fear-avoidance; Catastrophizing
Categories
Funding
- NIAMS NIH HHS [R01 AR044724, R01 AR044724-10] Funding Source: Medline
- NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES [R01AR044724] Funding Source: NIH RePORTER
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Chronic pain is a pervasive health care issue affecting over 50 million Americans and costing more than $100 billion dollars annually in lost productivity and health care costs. As a financially and emotionally taxing condition, the families and friends of people with chronic pain, as well as society at large, are affected. Current theory supports the role of biological, psychological, and environmental factors in the etiology, exacerbation, and maintenance of chronic pain. Recently, the specific role of pain-related fear in pain experience has received increasing attention. This article summarizes current understanding of the role of pain-related fear in the onset of acute pain incidents, the transition of acute pain to chronic, and the pain severity and disability of patients with ongoing chronic pain conditions. Treatments demonstrated to reduce pain-related fear are presented, evidence demonstrating their efficacy at reducing disability and pain severity are summarized, and recent criticisms of the fear-avoidance model and future directions are considered.
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