Crombez G, Vervaet L, Lysens R, Baeyens F, Eelen P
Katholieke Universiteit te Leuven, Department of Psychology.
Behav Modif. 1998 Jan;22(1):62-77. doi: 10.1177/01454455980221004.
Avoidance of painful activities has been proposed to be an important risk factor for the initiation and maintenance of chronic low back suffering, whereas exposure to these activities has been suggested to be beneficial for recovery. In a cross-sectional study, the differences between chronic patients with avoidant and confrontational styles were investigated using self-report measures and a behavioral test. Participants were first classified as avoiders or confronters. In comparison with confronters, avoiders reported greater frequency and duration of pain, higher fear of pain and injury, more disability in daily living, and more attention to back sensations. Finally, avoiders reported more fear of (re)injury during the behavioral test and had a worse performance than confronters. The results suggest a close link between the fear of pain/(re)injury on one hand and avoidance behavior and physical deconditioning on the other hand.
避免进行引起疼痛的活动被认为是慢性下背部疼痛产生和持续的一个重要风险因素，而接触这些活动则被认为有利于康复。在一项横断面研究中，使用自我报告测量和行为测试调查了具有回避型和对抗型风格的慢性患者之间的差异。参与者首先被分类为回避者或对抗者。与对抗者相比，回避者报告的疼痛频率和持续时间更长，对疼痛和受伤的恐惧更高，日常生活中的残疾更多，并且对背部感觉的关注更多。最后，回避者在行为测试中报告更多对（再）受伤的恐惧，并且表现比对抗者更差。结果表明，一方面对疼痛/（再）受伤的恐惧与另一方面的回避行为和身体机能下降之间存在密切联系。
