ArticlePloS one2021
Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Emotion Regulation Strategies Related To Problem Behaviors in Teenagers: A Latent Profile Analysis.The Psychiatric quarterly · 2026Article
- From accelerometer data to activity patterns in chronic pain: methodical reasoning is key.Frontiers in sports and active living · 2026Review
- [Importance of avoidance and endurance in post-COVID syndrome : Can dysfunctional patterns be changed?]Schmerz (Berlin, Germany) · 2025Article
- A Novel Investigation of an In-Scanner Alternative to the Cold Pressor Test in Healthy Individuals.Human brain mapping · 2025Article
- Kinesiophobia, limits of stability, and functional balance assessment in geriatric patients with chronic low back pain and osteoporosis: a comprehensive study.Frontiers in neurology · 2024Article
- Personality systems interactions theory: an integrative framework complementing the study of the motivational and volitional dynamics underlying adjustment to chronic pain.Frontiers in pain research (Lausanne, Switzerland) · 2024Article
- Article
- [Results of a pilot study on the role of therapy expectation in interdisciplinary multimodal pain therapy for chronic back pain].Schmerz (Berlin, Germany) · 2022Observational
- A psychometric evaluation of the Italian short version of the Fear of Pain Questionnaire-III: Psychometric properties, measurement invariance across gender, convergent, and discriminant validity.Frontiers in psychology · 2022Article
- Perceived psychosocial stressors and coping resources in chronic low back pain patients as classified by the avoidance-endurance model.Frontiers in rehabilitation sciences · 2022Article
- Influence of Stabilization Techniques Used in the Treatment of Low Back Pain on the Level of Kinesiophobia.International journal of environmental research and public health · 2021Article
- Association of painful human immunodeficiency virus distal sensory polyneuropathy with aberrant expectation of pain relief: functional magnetic resonance imaging evidence.Brain communications · 2021Article
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Authors and funding
9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIdentifying pain-related response patterns and understanding functional mechanisms of symptom formation and recovery are important for improving treatment.
objectivesWe aimed to replicate pain-related avoidance-endurance response patterns associated with the Fear-Avoidance Model, and its extension, the Avoidance-Endurance Model, and examined their differences in secondary measures of stress, action control (i.e., dispositional action vs. state orientation), coping, and health.
methodsLatent profile analysis (LPA) was conducted on self-report data from 536 patients with chronic non-specific low back pain at the beginning of an inpatient rehabilitation program. Measures of stress (i.e., pain, life stress) and action control were analyzed as covariates regarding their influence on the formation of different pain response profiles. Measures of coping and health were examined as dependent variables.
resultsPartially in line with our assumptions, we found three pain response profiles of distress-avoidance, eustress-endurance, and low-endurance responses that are depending on the level of perceived stress and action control. Distress-avoidance responders emerged as the most burdened, dysfunctional patient group concerning measures of stress, action control, maladaptive coping, and health. Eustress-endurance responders showed one of the highest levels of action versus state orientation, as well as the highest levels of adaptive coping and physical activity. Low-endurance responders reported lower levels of stress as well as equal levels of action versus state orientation, maladaptive coping, and health compared to eustress-endurance responders; however, equally low levels of adaptive coping and physical activity compared to distress-avoidance responders.
conclusionsApart from the partially supported assumptions of the Fear-Avoidance and Avoidance-Endurance Model, perceived stress and dispositional action versus state orientation may play a crucial role in the formation of pain-related avoidance-endurance response patterns that vary in degree of adaptiveness. Results suggest tailoring interventions based on behavioral and functional analysis of pain responses in order to more effectively improve patients quality of life.
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