Article
Anesthesiology
Christine M. van Vliet, Ann Meulders, Linda M. G. Vancleef, Johan W. S. Vlaeyen
Summary: The fear-avoidance model suggests that catastrophic interpretation of pain leads to pain-related fear and avoidance behavior, potentially resulting in chronic pain disability. Research found that performing an avoidance movement in a novel context can increase threat and pain-related fear, with participants showing elevated pain expectancy and less likelihood to choose a novel trajectory after acquisition. These findings indicate that avoidance in certain contexts may contribute to the development and maintenance of irrational fears and threat appraisals.
Article
Anesthesiology
Juliane Traxler, Andreas von Leupoldt, Johan W. S. Vlaeyen
Summary: Pain can be seen as a signal of bodily error that activates defensive systems and leads to avoidance behavior. However, contrary to findings in anxiety disorders, individuals with higher ERN amplitudes showed lower levels of avoidance behavior during early acquisition and slower learning to avoid pain.
Article
Clinical Neurology
Eveliina Glogan, Kristof Vandael, Rena Gatzounis, Ann Meulders
Summary: This study explores the generalization of costly pain-related avoidance in healthy individuals under conditions of uncertainty. The results suggest that targeting pain-related uncertainty may be a useful approach for clinicians dealing with excessive pain-related avoidance in chronic pain disorders.
Article
Orthopedics
Maria Andre, Mari Lundberg
Summary: The study explores thoughts and ideas about body and pain in patients with nonspecific low back pain who have fear of movement. Findings suggest that patients with fear require support to feel secure and have enough confidence in their body to move and exercise. Clinicians need to better incorporate evidence-based practice and provide updated information for patients with recurrent LBP and fear.
Article
Psychology, Clinical
Lihong Bao, Chunfen Peng, Jingting He, Chengqin Sun, Lijuan Feng, Yang Luo
Summary: This study aimed to explore the characteristics of fear-avoidance beliefs (FAB) in postoperative patients after lung surgery and the impact of threat learning on FAB. The results showed that FAB was associated with age, gender, and preoperative fear of pain, as well as postoperative variables such as pain intensity, ambulation, and cough performance. Threat learning was found to be an important factor influencing the formation of FAB. Therefore, controlling threat learning is crucial in preventing postoperative FAB.
PSYCHOLOGY RESEARCH AND BEHAVIOR MANAGEMENT
(2023)
Article
Anesthesiology
Tiffany Kichline, Christopher C. Cushing, Mark Connelly, William R. Black, Laura E. Simons, Craig Friesen, Jennifer Schurman
Summary: This study aimed to investigate the microtemporal pathways of the Fear Avoidance Model (FAM) in pediatric pain. The results showed significant microtemporal relationships between Fear Avoidance constructs, with pain predicting pain-related fear, pain-related fear predicting avoidance, and avoidance predicting disability.
CLINICAL JOURNAL OF PAIN
(2022)
Article
Multidisciplinary Sciences
Kirsten Hilger, Anne-Sophie Haege, Christina Zedler, Michael Jost, Paul Pauli
Summary: Research suggests that pain-associated approach and avoidance behaviors play a crucial role in the development and maintenance of chronic pain. A new Virtual Reality paradigm was introduced to study pain-related behavior and experiences, allowing for the evaluation of multiple dimensions. The findings indicate a rapid reduction in approach behavior in the presence of acute pain, along with slower effects on fear of movement-related pain and pain expectancy ratings. The removal of pain contingencies in the modification phase resulted in changes in all three indices. The study highlights the importance of understanding the mechanisms involved in chronic pain and its therapy.
SCIENTIFIC REPORTS
(2023)
Article
Dentistry, Oral Surgery & Medicine
Chia-Shu Lin, Chen-Yi Lee, Li-Ling Chen, Long-Ting Wu, Shue-Fen Yang, Tze-Fang Wang
Summary: The study found that individuals exhibit higher levels of fear and avoidance intentions towards dental treatments they have not experienced, and this fear and avoidance is associated with dental anxiety. Trait dental anxiety plays a significant role in the fear of non-experienced treatments.
Article
Psychology, Biological
Angelos-Miltiadis Krypotos, Maryna Alves, Geert Crombez, Johan W. S. Vlaeyen
Summary: When making behavioral decisions, individuals need to balance between exploiting known options or exploring new ones. The relationship between intolerance of uncertainty (IU) and performance in an exploration-exploitation dilemma (EED) task was tested using computational models. The results did not provide strong evidence for a clear relationship between EED and IU, except for the decay rate and the tendency to become paralyzed in the face of uncertainty.
INTERNATIONAL JOURNAL OF PSYCHOPHYSIOLOGY
(2022)
Article
Psychology, Multidisciplinary
Christopher C. Cushing, Tiffany Kichline, Craig Friesen, Jennifer Schurman
Summary: This study examined individual differences in the relationship between pain fear, avoidance, and pain severity in pediatric patients with chronic abdominal pain. Age was found to play a significant role in explaining the heterogeneity in these relationships, suggesting the importance of considering child development in the fear-avoidance model. Future research should further explore causal relationships and potential developmental differences using randomized control designs.
ANNALS OF BEHAVIORAL MEDICINE
(2021)
Article
Dentistry, Oral Surgery & Medicine
Chia-Shu Lin, Chen-Yi Lee, Shih-Yun Wu, Li-Ling Chen, Kun-Tsung Lee, Min-Ching Wang, Tze-Fang Wang
Summary: The study validated a Chinese version of the Modified Dental Anxiety Scale (T-MDAS), showing good internal consistency, temporal stability, and validity. Higher dental anxiety was associated with lack of regular dental visits, feeling pain during treatment, and perceived lack of skills and empathy from dentists.
Review
Anesthesiology
Guillaume Christe, Geert Crombez, Shannon Edd, Emmanuelle Opsommer, Brigitte M. Jolles, Julien Favre
Summary: Higher levels of pain-related fear, catastrophizing, and depression are significantly associated with reduced spinal movement amplitudes and increased muscle activity in low back pain patients. Pain intensity has a minimal independent association with spinal motor behavior, and the small effect sizes found in the meta-analyses question the role of psychological factors as major causes of spinal movement avoidance.
Article
Orthopedics
Joshua J. Van Wyngaarden, Kristin R. Archer, Jacquelyn S. Pennings, Paul E. Matuszewski, Brian Noehren
Summary: This study aimed to evaluate the impact of psychosocial characteristics on pain outcomes after lower extremity fracture. The results showed that psychosocial scores at 6 weeks post-surgery were associated with pain outcomes at 12 months.
Article
Clinical Neurology
Giorgia Varallo, Carlos Suso-Ribera, Ada Ghiggia, Marco Veneruso, Roberto Cattivelli, Anna Guerrini Usubini, Christian Franceschini, Alessandro Musetti, Giuseppe Plazzi, Jacopo Maria Fontana, Paolo Capodaglio, Gianluca Castelnuovo
Summary: This study aimed to investigate the mediating roles of pain catastrophizing, kinesiophobia, and pain acceptance in the relationship between perceived pain severity and physical functioning in individuals with fibromyalgia and obesity. The results indicated that pain acceptance, kinesiophobia, and pain catastrophizing play crucial roles in enhancing physical functioning.
JOURNAL OF PAIN RESEARCH
(2022)
Article
Anesthesiology
Alexandra Neville, Daniel C. Kopala-Sibley, Sabine Soltani, Gordon J. G. Asmundson, Abbie Jordan, R. Nicholas Carleton, Keith Owen Yeates, Fiona Schulte, Melanie Noel
Summary: The study revealed that intolerance of uncertainty (IU) in parents and youth significantly impacts pain interference in youth with chronic pain, leading to increased pain interference through heightened pain catastrophizing, parental protective responses, and youth fear of pain.
Article
Orthopedics
Tetsu Ohnuma, Karthik Raghunathan, Matthew Fuller, Alan R. Ellis, Eric A. JohnBull, Raquel R. Bartz, Mihaela S. Stefan, Peter K. Lindenauer, Maggie E. Horn, Vijay Krishnamoorthy
Summary: The study found that the transition from ICD-9 to ICD-10 coding system resulted in relatively small discontinuities for most comorbidities among patients who underwent primary THA or TKA. Medical complications generally showed a decreasing trend over the quarters studied.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2021)
Article
Health Care Sciences & Services
Maggie E. Horn, Emily K. Reinke, Richard C. Mather, Jonathan D. O'Donnell, Steven Z. George
Summary: This study aimed to report the development and preliminary evaluation of standardized PROMs collection within a department of orthopedic surgery at a large academic health center. Utilizing the framework provided by Gensheimer et al., the study collected a large volume of PROMs data over a 13-month period. Response rates varied across different clinical sites and providers, indicating challenges in achieving a high response rate consistent with existing literature.
BMC HEALTH SERVICES RESEARCH
(2021)
Article
Nursing
Kuangshrian Chang, Susan Silva, Maggie Horn, Michael P. Cary, Shawna Schmidt, Victoria M. Goode
Summary: This study aimed to study the pre- and postsurgical opioid prescription rates and average morphine milligram equivalents (MME) per day in patients undergoing total shoulder replacement (TSR) procedures. The results showed that although presurgical non-opioid patients were more likely to receive a postsurgical opioid prescription, most patients were at low risk for an opioid-related overdose or death according to CDC guidelines.
PAIN MANAGEMENT NURSING
(2022)
Article
Orthopedics
Maggie E. Horn, Steven Z. George, Adam P. Goode, Emily K. Reinke, Lily G. Scott, Michael P. Bolognesi
Summary: This study found that PROMIS physical function assessment can differentiate patients who will undergo hip or knee total joint arthroplasty from nonsurgical controls. This has implications for determining which PROMIS assessments to use in patients with hip and knee osteoarthritis.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Clinical Neurology
Steven Z. George, Michael P. Bolognesi, Nrupen A. Bhavsar, Colin T. Penrose, Maggie E. Horn
Summary: This study found that high impact and bothersome chronic pain are common after joint arthroplasty. Non-white race and knee arthroplasty were associated with both chronic pain outcomes.
Article
Nursing
Shawna Schmidt, Kuang Shrian-Chang, Susan Silva, Victoria Goode, Maggie Horn, Michael P. Cary
Summary: The study compared opioid use among THR patients pre- and post-surgery, finding high prescription rates and that patients with comorbidities were more likely to receive opioid prescriptions post-surgery.
ORTHOPAEDIC NURSING
(2021)
Review
Education, Scientific Disciplines
Kelly Reynolds, Caroline Bazemore, Cannon Hanebuth, Steph Hendren, Maggie Horn
Summary: The purpose of this study was to explore the relationship of non-cognitive factors to academic and clinical performance in rehabilitation science programs. Results showed that higher grit and self-efficacy tended to be associated with better performance, while stress was generally associated with worse outcomes.
JOURNAL OF EDUCATIONAL EVALUATION FOR HEALTH PROFESSIONS
(2021)
Article
Orthopedics
Sean D. Rundell, Ayumi Saito, Eric N. Meier, Stephanie T. Danyluk, Jeffrey G. Jarvik, Kelley Seebeck, Janna L. Friedly, Patrick J. Heagerty, Sandra K. Johnston, Monica Smersh, Maggie E. Horn, Pradeep Suri, Amy M. Cizik, Adam P. Goode
Summary: This is a protocol for an inception cohort study of adults 50 years and older who are initiating non-surgical care for symptomatic LSS in a secondary care setting. The study aims to develop and evaluate a clinically useful model to predict long-term physical function of patients seeking non-surgical care for symptomatic LSS. Participants will be followed for 12 months, with data collected through telephone interviews, web-based surveys, and queries of electronic health records.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Steven Z. George, Michael P. Bolognesi, Sean P. Ryan, Maggie E. Horn
Summary: Based on survey research on patients undergoing total joint arthroplasty, it was found that sleep disturbance, anxiety, and dyspnea were not influenced by the location of the surgery, but were associated with postoperative chronic pain grade and strongly correlated with physical function and pain interference outcomes.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Orthopedics
Steven Z. George, Dana Rubenstein, Michael P. Bolognesi, Maggie E. Horn
Summary: This study analyzed the accuracy of Patient-Reported Outcome Measurement Information System (PROMIS) in assessing high impact chronic pain (HICP) status following total joint arthroplasty (TJA). The results showed that pain interference and sleep disturbance, two PROMIS measures, can be used to estimate HICP status, thereby improving the assessment of TJA outcomes.
JOURNAL OF ARTHROPLASTY
(2023)
Letter
Clinical Neurology
Steven Z. George, Michael P. Bolognesi, Nrupen A. Bhavsar, Colin T. Penrose, Maggie E. Horn
Article
Orthopedics
S. Z. George, X. Yan, S. Luo, S. A. Olson, E. K. Reinke, M. P. Bolognesi, M. E. Horn
Summary: This study aimed to determine if PROMIS measures can be used to create patient subgroups for individuals seeking orthopaedic care. The results suggest that orthopaedic patient subgroups differing in physical function, pain, and psychosocial distress can be created from as few as four different PROMIS measures. Longitudinal research is necessary to determine whether these subgroups have prognostic validity.
Article
Medicine, General & Internal
Maggie E. Horn, Emily K. Reinke, Xiaofang Yan, Sheng Luo, Michael Bolognesi, Bryce B. Reeve, Steven Z. George
Summary: This study characterized the health status of patients newly consulting an orthopaedic specialist across eight clinical subspecialties using PROMIS measures. Patients in neurosurgery, spine, and trauma clinics were most affected, while hand specialists reported the least limitations or symptoms. The study also found correlations between different PROMIS domains, supporting PROMIS as a useful tool for assessing patient health status across orthopaedic subspecialties.
Article
Clinical Neurology
Maggie E. Horn, Steven Z. George, Cai Li, Sheng Luo, Trevor A. Lentz
Summary: The study aimed to develop a tool that predicts failure to achieve a 50% pain intensity reduction following physical therapy. After comparing different statistical models, including both baseline and early change predictors, the longitudinal model showed the highest accuracy and was used to inform the risk assessment tool.
JOURNAL OF PAIN RESEARCH
(2021)
Review
Education, Scientific Disciplines
Elio Arruzza, Minh Chau
Summary: Classroom-based cultural competency interventions for undergraduate health science students have shown positive effects on knowledge acquisition, skills performance, attitudes, and student satisfaction. However, current research lacks control arms and requires further evaluation of longterm effects and patient-related outcomes to address existing limitations.
JOURNAL OF EDUCATIONAL EVALUATION FOR HEALTH PROFESSIONS
(2021)
