Pain-related Fear in Chronic Low Back Pain Patients

Authors: J. Raudenská 1,2;  P. Marusič 3;  J. Amlerová 3;  P. Kolář 4;  A. Javůrková 1,5
Authors‘ workplace: Ústav ošetřovatelství, 2. LF UK a FN v Motole, Praha 1;  Oddělení klinické psychologie, FN v Motole, Praha 2;  Neurologická klinika 2. LF UK a FN v Motole, Praha 3;  Klinika rehabilitace a tělovýchovného lékařství 2. LF UK a FN v Motole, Praha 4;  Oddělení klinické psychologie, FN Královské Vinohrady, Praha 5
Published in: Cesk Slov Neurol N 2016; 79/112(6): 644-648
Category: Review Article


The aim of the article is to review the evidence for the mediating role of pain-related fear, and its immediate and long-term consequences in the initiation and maintenance of chronic low back pain disability. Low back pain is one of the most frequent reasons why patients ask for consultation and are on sick leave. In these patients, pain-related fear can cause prolongation of chronic pain and create an important barrier to successful treatment. In many cases, fear leads to compelling functional damage. The „fear-avoidance“ model described in the paper explains how and why some individuals with acute pain develop the chronic pain syndrome. Avoidance leads to reduction, continuation or exacerbation of fear and development of a phobic state. The article describes available cognitive-behavioural assessment and psychotherapeutic methods of pain-related fear and avoidance.

Key words:
chronic low back pain – fear – cognitive-behavioral therapy

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.


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