Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research.
<h4>Background</h4>Identifying pain-related response patterns and understanding functional mechanisms of symptom formation and recovery are important for improving treatment.<h4>Objectives</h4>We aimed to replicate pain-related avoidance-endurance response patterns associated...
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Public Library of Science (PLoS)
2021-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0248875&type=printable |
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| author | Jana Buchmann Nicola Baumann Karin Meng Jana Semrau Julius Kuhl Klaus Pfeifer Miguel Kazén Heiner Vogel Hermann Faller |
| author_facet | Jana Buchmann Nicola Baumann Karin Meng Jana Semrau Julius Kuhl Klaus Pfeifer Miguel Kazén Heiner Vogel Hermann Faller |
| author_sort | Jana Buchmann |
| collection | DOAJ |
| description | <h4>Background</h4>Identifying pain-related response patterns and understanding functional mechanisms of symptom formation and recovery are important for improving treatment.<h4>Objectives</h4>We 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.<h4>Methods</h4>Latent 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.<h4>Results</h4>Partially 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.<h4>Conclusions</h4>Apart 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. |
| format | Article |
| id | doaj-art-008643d842cc45f1976f1949943ae2be |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-008643d842cc45f1976f1949943ae2be2025-08-20T02:00:52ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01163e024887510.1371/journal.pone.0248875Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research.Jana BuchmannNicola BaumannKarin MengJana SemrauJulius KuhlKlaus PfeiferMiguel KazénHeiner VogelHermann Faller<h4>Background</h4>Identifying pain-related response patterns and understanding functional mechanisms of symptom formation and recovery are important for improving treatment.<h4>Objectives</h4>We 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.<h4>Methods</h4>Latent 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.<h4>Results</h4>Partially 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.<h4>Conclusions</h4>Apart 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.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0248875&type=printable |
| spellingShingle | Jana Buchmann Nicola Baumann Karin Meng Jana Semrau Julius Kuhl Klaus Pfeifer Miguel Kazén Heiner Vogel Hermann Faller Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research. PLoS ONE |
| title | Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research. |
| title_full | Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research. |
| title_fullStr | Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research. |
| title_full_unstemmed | Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research. |
| title_short | Endurance and avoidance response patterns in pain patients: Application of action control theory in pain research. |
| title_sort | endurance and avoidance response patterns in pain patients application of action control theory in pain research |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0248875&type=printable |
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