Staying active despite pain: Pain beliefs and experiences with activity-related pain in patients with chronic musculoskeletal pain

Scandinavian Journal of Caring Sciences

Volumn 25, Issue 1, 2011, Pages 108-116

  Damsgård, Elin ^a   Dewar, Anne ^b   Røe, Cecilie ^c   Hamran, Torunn ^a  

^a UNIVERSITY OF TROMSØ   (Norway)

^b UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^c ULLEVÅL UNIVERSITY HOSPITAL   (Norway)

Author keywords

Fear avoidance; Muscle pain; Pain beliefs; Physical activity; Qualitative research

Indexed keywords

EID: 79951533287     PISSN: 02839318     EISSN: 14716712     Source Type: Journal    
DOI: 10.1111/j.1471-6712.2010.00798.x     Document Type: Article

References (47)

1. Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain 2006; 10: 287-333.
2. Lewandowski W. Psychological factors in chronic pain: a worthwhile undertaking for nursing? Arch Psychiatr Nurs 2004; 18: 97-105.
3. Gannik D. Situational disease: elements of a social theory of disease based on a study of back trouble. Scand J Prim Health Care Suppl 2002; 20: 25-30.
4. Woolf AD, Zeidler H, Haglund U, Carr AJ, Chaussade S, Cucinotta D, Veale DJ, Martin-Mola E, Musculoskeletal pain in Europe: its impact and a comparison of population and medical perceptions of treatment in eight European countries. Ann Rheum Dis 2004; 63: 342-7.
5. Indahl A. Low back pain: diagnosis, treatment, and prognosis. Scand J Rheumatol 2004; 33: 199-209.
6. Keen S, Dowell AC, Hurst K, Klaber Moffett JA, Tovey P, Williams R. Individuals with low back pain: how do they view physical activity? Fam Pract 1999; 16: 39-45.
7. Borkan J, Reis S, Hermoni D, Biderman A. Talking about the pain: a patient-centered study of low back pain in primary care. Soc Sci Med 1995; 40: 977-88.
8. Leeuw M, Goossens ME, Linton SJ, Crombez G, Boersma K, Vlaeyen JW. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med 2007; 30: 77-94.
9. Waddell G, Newton M, Henderson I, Somerville D, Main CJ. A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain 1993; 52: 157-68.
10. De Peuter S, De Jong J, Crombez G, Vlaeyen J. The Nature and Treatment of Pain-Related Fear in Chronic Musculoskeletal Pain. J Cogn Psychother 2009; 23: 85-103.
11. Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain 2000; 85: 317-32.
12. Verbunt JA, Seelen HA, Vlaeyen JW, van der Heijden GJ, Knottnerus JA. Fear of injury and physical deconditioning in patients with chronic low back pain. Arch Phys Med Rehabil 2003; 84: 1227-32.
13. Boersma K, Linton S, Overmeer T, Jansson M, Vlaeyen J, de JJ. Lowering fear-avoidance and enhancing function through exposure in vivo. A multiple baseline study across six patients with back pain. Pain 2004; 108: 8-16.
14. Steihaug S, Ahlsen B, Malterud K. From exercise and education to movement and interaction. Treatment groups in primary care for women with chronic muscular pain. Scand J Prim Health Care 2001; 19: 249-54.
15. Damsgard E, Fors T, Anke A, Roe C. The Tampa Scale of Kinesiophobia, a Rasch analysis of its properties in subjects with low back and more widespread pain. J Rehabil Med 2007; 39: 772-8.
16. Ohman A. Qualitative methodology for rehabilitation research. J Rehabil Med 2005; 37: 273-80.
17. Rogers A, Allison T. What if my back breaks? Making sense of musculoskeletal pain among South Asian and African-Caribbean people in the North West of England J Psychosom Res 2004; 57: 79-87.
18. Bates MS, Rankin-Hill L, Sanchez-Ayendez M. The effects of the cultural context of health care on treatment of and response to chronic pain and illness. Soc Sci Med 1997; 45: 1433-47.
19. Malterud K. Qualitative research: standards, challenges, and guidelines. Lancet 2001; 358: 483-8.
20. Kvale S. Det kvalitative forskningsintervju (Interviews: An Introduction To Qualitative Research Interviwing), 1st edn. 2001, Ad Notam Gyldendal, Oslo.
21. Wijnhoven HA, de Vet HC, Picavet HS. Explaining sex differences in chronic musculoskeletal pain in a general population. Pain 2006; 124: 158-66.
22. Polit DF, Hungler BP. Assessing Data Quality. Nursing Research. Principles and Methods, 6th edn. 1999, Lippincott, Philadelphia, New York, Baltimore, 407-36.
23. Malterud K. Shared understanding of the qualitative research process - Guidelines for the medical refearcher. Fam Pract 1993; 10: 201-6.
24. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004; 24: 105-12.
25. Morse JM, Barret M, Mayan M, Olson K, Spiers J. Verification strategies for Establishing Reliability and Validity in Qualitative Research. International Journal of Qualitative Methods 2002; 2. Retrieved DATE from
26. Aldrich S, Eccleston C. Making sense of everyday pain. Soc Sci Med 2000; 50: 1631-41.
27. Leder D. The Dys-appearing Body. The Absent Body. 1990, The University of Chicago Press, Chicago, 69-99.
28. Osborn M, Smith JA. Living with a body separate from the self. The experience of the body in chronic benign low back pain: an interpretative phenomenological analysis. Scand J Caring Sci 2006; 20: 216-22.
29. Arntz A, Claassens L. The meaning of pain influences its experienced intensity. Pain 2004; 109: 20-25.
30. Mannerkorpi K, Gard G. Physiotherapy group treatment for patients with fibromyalgia-an embodied learning process. Disabil Rehabil 2003; 25: 1372-80.
31. Steihaug S. Women's strategies for handling chronic muscle pain: a qualitative study. Scand J Prim Health Care 2007; 25: 44-48.
32. Steihaug S, Malterud K. Stories about bodies: a narrative study on self-understanding and chronic pain. Scand J Prim Health Care 2008; 26: 188-92.
33. Borell L, Asaba E, Rosenberg L, Schult ML, Townsend E. Exploring experiences of "participation" among individuals living with chronic pain. Scand J Occup Ther 2006; 13: 76-85.
34. O'Sullivan P. Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Man Ther 2005; 10: 242-55.
35. Jones A, Zachariae B. Psykologiske prosessers betydning for smerteopplevelen (The impact of psychological processes in pain perception). In Pain, 1st edn (Jensen T, Dahl J, Arendt-Nielsen L eds), 2003, FADL A/S Copenhagen, Copenhagen, 129-40.
36. Sheard C, Garrud P. Evaluation of generic patient information: effects on health outcomes, knowledge and satisfaction. Patient Educ Couns 2006; 61: 43-47.
37. Crombez G, Vlaeyen JW, Heuts PH, Lysens R. 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: 329-39.
38. Fisher C, Hauck Y, Fenwick J. How social context impacts on women's fears of childbirth: a Western Australian example. Soc Sci Med 2006; 63: 64-75.
39. Corbett M, Foster NE, Ong BN. Living with low back pain-Stories of hope and despair. Soc Sci Med 2007; 65: 1584-94.
40. Haugli L, Steen E, Laerum E, Nygard R, Finset A. Learning to have less pain - is it possible? A one-year follow-up study of the effects of a personal construct group learning programme on patients with chronic musculoskeletal pain Patient Educ Couns 2001; 45: 111-8.
41. Klaber Moffett JA, Carr J, Howarth E. High fear-avoiders of physical activity benefit from an exercise program for patients with back pain. Spine 2004; 29: 1167-72.
42. Bullington J, Nordemar R, Nordemar K, Sjostrom-Flanagan C. Meaning out of chaos: a way to understand chronic pain. Scand J Caring Sci 2003; 17: 325-31.
43. Andreassen M, Jørgensen L, Jacobsen BK. Fysisk aktivitet i fritiden i Norland. Tidsskr Nor Laegeforen 2007; 127: 3213-6.
44. Thorne SE, Ternulf NK, Paterson BL. Attitudes toward patient expertise in chronic illness. Int J Nurs Stud 2000; 37: 303-11.
45. Robinson CA, Thorne SE. Dilemmas of ethics and validity in qualitative nursing research. Can J Nurs Res 1988; 20: 65-76.
46. Patton MQ. Enhancing the quality and credibility of qualitative analysis. Health Serv Res 1999; 34(5 Pt 2): 1189-208.
47. Høybråten D, Dåvøy L, Gabrielsen A, Solberg E, Haugland V, Klemet C. Handlingsplan for fysisk aktivitet 2005-2009 (Action plan on physical activity 2005-2009). 2005, Published by Ministry of health and care services in cooperation with The Ministry of Labour and Social Affairs, The ministry of Children and Family Affairs, The Ministry of local Government and regional development, The Ministry of Transport and Communication and The Ministry of Education and research of Norway. Oslo, Norway.