GAINING CONTROL" FACTORS ASSOCIATED WITH IMPROVEMENTS IN FEAR IN PEOPLE WITH CHRONIC BACK PAIN
GAINING CONTROL” A PROSPECTIVE MIXED-METHODS STUDY EXPLORING THE FACTORS ASSOCIATED WITH IMPROVEMENTS IN FEAR IN PEOPLE WITH CHRONIC BACK PAIN
Presenter: Bunzli S
This Module addresses:
Question: Fear-reduction interventions targeting pain-catastrophising
have reported modest effects. To better understand the mechanisms
involved in fear-reduction, we asked: What factors are associated with
improvements in fear in people with chronic back pain?
Conclusion: This study suggests different pathways to fear-reduction
that may be facilitated by clinicians considering the beliefs underlying fear
and providing individualised management to improve pain control.
Key Practice Points:
• Pain-related fear is modifiable over a four-month period
• Individuals who gain control over the pain experience may experience
• Improving pain predictability, controllability, intensity and back beliefs
may assist in gaining control over the pain experience.