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DOI: 10.1055/s-2008-1027564
© Georg Thieme Verlag KG Stuttgart · New York
Auswirkungen von Angstvermeidungsverhalten bei Rückenschmerzpatienten[1]
Effects of Fear-Avoidance Behaviour in Back Pain PatientsPublikationsverlauf
Manuskript eingetroffen: 24.7.2007
Manuskript akzeptiert: 18.9.2007
Publikationsdatum:
03. Juli 2008 (online)

Zusammenfassung
Immer mehr Menschen leiden unter Rückenschmerzen. Während viele Patienten nach einer Episode akuter Rückenschmerzen wieder vollständig genesen, halten bei anderen die lumbalen Schmerzen dauerhaft an. Häufig entwickeln sich dabei psychosoziale Risikofaktoren, wie z. B. Angstvermeidungsverhalten.
Die Literaturstudie geht den Fragen nach, warum gewisse Patienten nach Ablauf der Wundheilungszeit immer noch Schmerzen und Aktivitätseinschränkungen aufweisen und wie das Angstvermeidungsverhalten Patienten mit lumbalen Beschwerden beeinflusst.
Abstract
A growing number of people suffer from lower back pain. While many patients recover completely after an episode of acute back pain, in others lumbar pain persists permanently. In this process psychosocial risk factors such as fear-avoidance behaviour often develop.
This literature review explores the questions why certain patients still have pain and activity restrictions after wound healing and how fear avoidance behaviour influences patients with lumbar complaints.
Schlüsselwörter
Rückenschmerzen - Behinderung - Angstvermeidungsverhalten - psychosoziale Faktoren
Key words
back pain - disability - fear avoidance behaviour - psychosocial factors
1 Die Arbeit wurde als Bestandteil der SVOMP-OMT-Ausbildung 2004 – 2006 verfasst.
Literatur
- 1
Al-Obaidi S M, Nelson R M, Al-Awadhi S. et al .
The role of anticipation and fear of pain in the persistence of avoidance behavior
in patients with chronic low back pain.
Spine.
2000;
25
1126-1131
Reference Ris Wihthout Link
- 2
Asmundson G JG, Norton G R, Allerdings M D.
Fear and avoidance in dysfunctional chronic back pain patients.
Pain.
1997;
69
231-236
Reference Ris Wihthout Link
- 3
Asmundson G JG, Norton P J, Norton G R.
Beyond pain: the role of fear and avoidance in chronicity.
Clin Psychol Rev.
1999;
19
97-119
Reference Ris Wihthout Link
- 4 Van den Berg F. Angewandte Physiologie. Bd. 4: Schmerzen verstehen und beeinflussen. (Kap. 1: Weiss
T, Schaible HG. Physiologie des Schmerzes und der Nozizeption). Stuttgart; Thieme 2003
Reference Ris Wihthout Link
- 5
Cedraschi C, Allaz A F.
How to identify patients with a poor prognosis in daily clinical practice.
Best Practice & Research Clinical Rheumatology.
2005;
19
577-591
Reference Ris Wihthout Link
- 6
Crombez G, Vlaeyen J WS, Heuts P H. et al .
Pain-related fear is more disabling than pain itself: evidence on the role of pain-related
fear in chronic back pain disability.
Pain.
1999;
80
329-339
Reference Ris Wihthout Link
- 7
Fairbank J, Davies J B, Couper J. et al .
The Oswestry Low Back Pain Disability Questionnaire.
Pysiotherapy.
1980;
66
271-273
Reference Ris Wihthout Link
- 8
Fritz J M, George S Z, Delitto A.
The role of fear-avoidance beliefs in acute low back pain: relationships with current
and future disability and work status.
Pain.
2001;
94
7-15
Reference Ris Wihthout Link
- 9
Grotle M, Vollestad N K, Veierod M B. et al .
Fear-avoidance beliefs and distress in relation to disability in acute and chronic
low back pain.
Pain.
2004;
112
343-352
Reference Ris Wihthout Link
- 10
Hengeveld E.
Gedanken zum Indikationsbereich der Manuellen Therapie.
Manuelle Therapie.
1998;
2
176-181
Reference Ris Wihthout Link
- 11 Hengeveld E. Biopsychosoziales Modell. Van den Berg F Angewandte Physiologie. Bd.4: Schmerzen verstehen und beeinflussen Stuttgart; Thieme 2003
Reference Ris Wihthout Link
- 12 Kendall N AS, Linton S J, Main C J. Guide to Assessing Psycho-Social Yellow Flags in Acute Low Back Pain: Risk Factors
for Long-Term Disability and Work Loss. Wellington; Accident Compensation Corporation and the New Zealand Guidelines Group 1997
Reference Ris Wihthout Link
- 13
Klenerman L, Slade P D, Stanley I M. et al .
The prediction of chronicity in patients with an acute attack of low back pain in
a general practice setting.
Spine.
1995;
20
478-484
Reference Ris Wihthout Link
- 14
Kori S H, Miller R P, Todd D D.
Kinisophobia: a new view of chronic pain behavior.
Pain Management.
1990;
3
35-43
Reference Ris Wihthout Link
- 15
Lethem J, Slade P D, Troup J DG. et al .
Outline of a fear-avoidance model of exaggerated pain perception.
Behav Res Thr.
1983;
21
401-408
Reference Ris Wihthout Link
- 16
Linton S J, Buer N, Vlaeyen J WS. et al .
Are fear-avoidance beliefs related to the inception of an episode of back pain? A
prospective study.
Psychol Health.
2000;
14
1051-1059
Reference Ris Wihthout Link
- 17
McCracken L M, Zayfert C, Gross R T.
The Pain Anxiety Symptoms Scale: development and validation of a scale to measure
fear of pain.
Pain.
1992;
50
67-73
Reference Ris Wihthout Link
- 18
McCracken L M, Gross R T, Aikens J. et al .
The assessment of anxiety and fear in persons with chronic pain: a comparison of instruments.
Behav Res Ther.
1996;
34
927-933
Reference Ris Wihthout Link
- 19
Melzack R.
The McGill Pain Questionnaire: major properties and scoring methods.
Pain.
1975;
1
277-299
Reference Ris Wihthout Link
- 20
Pfingsten M, Kroner-Herwig B, Leibing E. et al .
Validation of the German version of the Fear-Avoidance Beliefs Questionnaire (FABQ).
Eur J Pain.
2000;
4
259-266
Reference Ris Wihthout Link
- 21 Pfund R, Zahnd F. Leitsymptom Schmerz. 1: Differenzierende manualtherapeutische Untersuchung und Therapie
bei Bewegungsstörungen. Stuttgart; Thieme 2001
Reference Ris Wihthout Link
- 22
Philips C, Jahanshahi M.
The components of pain behaviour report.
Behav Res Ther.
1986;
24
117-125
Reference Ris Wihthout Link
- 23
Philips C.
Avoidance behaviour and its role in sustaining chronic pain.
Behav Res Ther.
1987;
25
273-279
Reference Ris Wihthout Link
- 24
Roland M, Morris R.
A study of the natural history of back pain. Part 1 & 2: Roland-Morris Disability
Questionnaire.
Spine.
1983;
8
141-150
Reference Ris Wihthout Link
- 25
Sieben J M, Vlaeyen J WS, Tuerlinckx S. et al .
Pain-related fear in acute low back pain: the first two weeks of a new episode.
Eur J Pain.
2002;
6
229-237
Reference Ris Wihthout Link
- 26
Sieben J M, Portegijs P JM, Vlaeyen J WS. et al .
Pain-related fear at the start of a new low back pain episode.
Eur J Pain.
2005;
9
635-641
Reference Ris Wihthout Link
- 27
Sieben J M, Vlaeyen J WS, Portegijs P JM. et al .
A longitudinal study on the predictive validity of the fear-avoidance model in low
back pain.
Pain.
2005;
117
162-170
Reference Ris Wihthout Link
- 28
Sullivan M JL, Bishop S R, Pivik J.
The pain catastrophizing scale: development and validation.
Psychol Assess.
1995;
7
524-532
Reference Ris Wihthout Link
- 29
Swinkels-Meewisse I EJ, Roelofs J, Verbeek A LM. et al .
Fear of movement/(re)injury, disability and participation in acute low back pain.
Pain.
2003;
105
371-379
Reference Ris Wihthout Link
- 30
Swinkels-Meewisse I EJ, Roelofs J, Oostendorp R AB. et al .
Acute low back pain: pain-related fear and pain catastrophizing influence physical
performance and perceived disability.
Pain.
2006;
120
36-43
Reference Ris Wihthout Link
- 31
Swinkels-Meewisse I EJ, Roelofs J, Verbeek A LM. et al .
Fear-avoidance beliefs, disability, and participation in workers and nonworkers with
acute low back pain.
Clin J Pain.
2006;
22
45-54
Reference Ris Wihthout Link
- 32
Vlaeyen J WS, Kole-Snijders A MJ, Boeren R G. et al .
Fear of movement/(re)injury in chronic low back pain and its relation to behavioral
performance.
J Occup Rehabil.
1995;
62
363-372
Reference Ris Wihthout Link
- 33
Vlaeyen J WS, Kole-Snijders A MJ, Rotteveel A. et al .
The role of fear of movement/(re)injury in pain disability.
J Occup Rehabil.
1995;
5
235-252
Reference Ris Wihthout Link
- 34
Vlaeyen J WS, Crombez G.
Fear of movement/(re)injury, avoidance and pain disability in chronic low back pain
patients.
Manual Therapy.
1999;
4
187-195
Reference Ris Wihthout Link
- 35
Vlaeyen J WS, Linton S J.
Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the
art.
Pain.
2000;
85
317-332
Reference Ris Wihthout Link
- 36
Waddell G, Newton M, Henderson I. et al .
A fear-avoidance beliefs questionnaire (FABQ) and the role of fear-avoidance beliefs
in chronic low back pain and disability.
Pain.
1993;
52
157-168
Reference Ris Wihthout Link
- 37 Waddell G. The back pain revolution. Edinburgh; Churchill Livingstone 2004 2nd ed
Reference Ris Wihthout Link
- 38 World Health Organization (WHO) .International Classification of Functioning, Disability and Health. Geneva; WHO 2001
Reference Ris Wihthout Link
1 Die Arbeit wurde als Bestandteil der SVOMP-OMT-Ausbildung 2004 – 2006 verfasst.
Catherine Keller-Eberle
Schachenstr. 3
6006 Luzern, Schweiz
eMail: ceberle@gmx.ch