SAFE BUT SORRY. Theory, assesment, and treatment of pain-related fear in chronic low back pain patients

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1 SAFE BUT SORRY Theory, assesment, and treatment of pain-related fear in chronic low back pain patients

2 SAFE but SORRY: Theory, assessment, and treatment of pain-related fear in chronic low back pain patients Maaike Leeuw Copyright Maaike Leeuw, Maastricht 2008 Universitaire Pers Maastricht ISBN Omslagontwerp & layout: Maaike Leeuw Druk: Datawyse Datawyse

3 SAFE BUT SORRY Theory, assesment, and treatment of pain-related fear in chronic low back pain patients PROEFSCHRIFT ter verkrijging van de graad van doctor aan de Universiteit Maastricht, op gezag van de Rector Magnificus, Prof. Mr. G.P.M.F. Mols, volgens het besluit van het College van Decanen, in het openbaar te verdedigen op vrijdag 7 maart 2008 om 16:00 uur door Maaike Leeuw UUNIVERSITAIRE PERS MAASTRICHT P M

4 PROMOTOR Prof. Dr. J.W.S. Vlaeyen COPROMOTOR Dr. M.E.J.B. Goossens BEOORDELINGSCOMMISSIE Prof. Dr. A.R. Arntz (voorzitter) Prof. Dr. F.J. Keefe Dr. J. Roelofs Prof. Dr. O. Van den Bergh Dr. J.R. Verbunt

5 TABLE OF CONTENTS Part I: Introduction 7 Chapter 1 General introduction 9 Part II: Outlining and testing the contribution of pain-related fear in chronic low back pain 25 Chapter 2 The fear avoidance model of musculoskeletal pain: Current state of scientific evidence Chapter 3 Pain-related fear in low back pain: A prospective study in the general population Part III: Assessment of pain-related fear 63 Chapter 4 Fear of movement/injury in the general population: Factor structure and psychometric properties of an adapted version of the Tampa Scale for Kinesiophobia Chapter 5 Measuring perceived harmfulness of physical activities in patients with chronic low back pain: The Photograph Series of Daily Activities Short electronic Version Chapter 6 Measuring fear of movement/(re)injury in chronic low back pain using implicit measures Part IV: Clinical implications of pain-related fear for chronic low back pain management 109 Chapter 7 Exposure in vivo versus operant graded activity in chronic low back pain patients: Results of a randomized controlled trial Chapter 8 Assessing protocol adherence and contamination in treatment outcome studies: A methodological illustration from behavioural medicine

6 Part V: Summary & Discussion 159 Chapter 9 Summary & General Discussion 161 Nederlandse samenvatting (Dutch Summary) References Dankwoord Curriculum Vitae Publications

7 Part I Introduction 7

8

9

10 CURRICULUM VITAE Curriculum Vitae Maaike Leeuw was born on 29 January 1979 in Hengelo, the Netherlands. She graduated from secondary school, Grundel Lyceum in Hengelo in the Netherlands, in She subsequently moved to Maastricht to study psychology at Maastricht University, the Netherlands. After finishing two additional voluntary clinical internships at the Academic Anxiety Centre and the Department of Neuropsychology of Vijverdal in Maastricht, she graduated in June She received her master s degree in cognitive psychology, with the main subject psychopathology. In September 2002, she started as a PhD-student at the formerly known Department of Medical, Clinical, and Experimental Psychology (currently named Clinical Psychological Science) of Maastricht University. The studies included in this dissertation were carried out as part of her PhD research project. In addition to her PhD research, she worked voluntarily as a psychologist at the regional institute for mental welfare (RIAGG) Maastricht for one day per week from March 2004 until August Since August 2007, she is appointed as a psychologist in Rehabilitation Centre Hoensbroeck in Hoensbroek the Netherlands, where she participates in the multidisciplinary treatment of chronic pain patients. 233

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12 Publications 235

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14 PUBLICATIONS Publications Leeuw, M., Goossens, M.E.J.B., de Vet, H.C.W., Vlaeyen, J.W.S. (accepted for publication, pending revision). Assessing protocol adherence and contamination in treatment outcome studies: A methodological illustration from behavioural medicine. Journal of Clinical Epidemiology. Leeuw, M., Goossens, M.E.J.B., van Breukelen, G.J.P., de Jong, J.R., Heuts, P.H.T.G., Smeets, R.J.E.M., Köke, A.J.A., Vlaeyen, J.W.S. (In press). Exposure in vivo versus operant graded activity in chronic low back pain patients: Results of a randomized controlled trial. Pain. Leeuw, M., Goossens, M.E.J.B., van Breukelen, G.J.P., Boersma, K., Vlaeyen, J.W.S. (2007). Measuring perceived harmfulness of physical activities in patients with chronic low back pain: the Photograph Series of Daily Activities - Short electronic Version. The Journal of Pain, 8(11), Leeuw, M., Goossens, M.E.J.B., Linton, S.J., Crombez, G., Boersma, K, Vlaeyen, J.W.S. (2007). The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. Journal of Behavioral Medicine, 30(1), Leeuw, M., Houben, R.M.A., Vlaeyen, J.W.S., Severeijns, R., Picavet, H.S.J., Schouten, E.G.W. (2007). Pain-related fear in low back pain: a prospective study in the general population. European Journal of Pain, 11(3), Leeuw, M., Peters, M.L., Wiers, R.W. & Vlaeyen, J.W.S. (2007). Measuring fear of movement/(re)injury in chronic low back pain using implicit measures. Cognitive Behaviour Therapy, 36(1), Leeuw, M., Vlaeyen, J.W.S. & Crombez, G. (2007). Fear of movement/(re)injury. In: R.F. Schmidt & W.D. Willis (eds.). Encyclopedia of Pain. Springer-Verlag, Berlin. ISBN: (Print) (Online). Leeuw, M. & Vlaeyen, J.W.S. (2007). Fear of pain. In: R.F. Schmidt & W.D. Willis (2006). Encyclopedia of Pain. Springer-Verlag, Berlin. ISBN: (Print) (Online). Leeuw, M., Vlaeyen, J.W.S., Janssen, R., van Riet, S. (2007). Photograph Series of Daily Activities-Short electronic Version: free software internet download, user manual and installation manual. Leeuw, M., Vlaeyen, J.W.S., de Jong, J.R., Goossens, M.E.J.B. (2006). Exposure in vivo bij chronische lage rugpijn, werkboek en therapeutenboek. In: reeks cognitieve gedragstherapie. Boom Test Uitgevers. ISBN en ISBN

15 PUBLICATIONS Leeuw, M., Goossens, M.E.J.B., van Breukelen, G.J.P., Boersma, K., Vlaeyen, J.W.S. (2006). Het meten van de dreigwaarde van activiteiten in patiënten met chronische lage rugpijn: de Photograph Series of Daily Activities Short electronic Version (PHODA-SeV). Revalidata, 134, 6-9. Houben, R.M.A., Leeuw, M., Vlaeyen, J.W.S., Goubert, L., Picavet, H.S.J. (2005). Fear of movement/injury in the general population : Factor structure and psychometric properties of an adapted version of the Tampa scale for Kinesiophobia. Journal of Behavioural Medicine, 28(5), Leeuw, M., Vlaeyen, J.W.S., Goossens, M.J.E.B. (2005). Exposure in vivo bij lage rugpijn. De Psycholoog, 40(4), Leeuw, M., Vlaeyen, J.W.S., Goossens, M.J.E.B. (2005). Exposure in vivo bij lage rugpijn. Beweegreden: vakblad voor oefentherapeuten caesar en mensendieck, 1(3), 4 9 (reprint van artikel De Psycholoog). Geilen, M.J., Leeuw, M. & Hodiamont-Joosten, M.C.J.(2005). Graded activity volgens gedragsgeoriënteerde principes. In: P.U. Dijkstra, P. van Burken, J. Marinus, J. Nijs, C.P. van Wilgen. Jaarboek Fysiotherapie Kinesitherapie. Bohn Stafleu Van Loghum, Houten. Vlaeyen, J.W.S., de Jong, J.R., Leeuw, M. & Crombez, G. (2004). Fear reduction in chronic pain: graded exposure in vivo with behavioral experiments. In: G.J.G. Asmundson, J.W.S. Vlaeyen, G. Crombez (Eds.). Understanding and treating fear of pain. Oxford University Press, Oxford, UK. Leeuw, M. & Vlaeyen, J.W.S. (2004). Een cognitief gedragsmatige exposure in vivo behandeling bij chronische rugpijn. Revalidata, 121,

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