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Papers of the Week

2022 Jul 22

Clin J Pain

Microtemporal Relationships in the Fear Avoidance Model: An Ecological Momentary Assessment Study.


Kichline T, Cushing CC, Connelly M, Black WR, Simons LE, Friesen C, Schurman JV
Clin J Pain. 2022 Jul 22.
PMID: 35866559.


Current literature in pediatric pain evaluates the Fear-Avoidance Model pathways at the trait (or macrotemporal) level, but it is unknown if these pathways also occur at the state (or microtemporal) level. Identifying microtemporal processes can improve our understanding of how the relationships within the Fear-Avoidance constructs vary when specific Fear-Avoidance variables wax and wane. We hypothesized that changes in FAM constructs would be associated with changes in the next variable in the sequence on a microtemporal level, including: (1) higher pain when there is more pain related fear, (2) higher pain-related fear when there is more avoidance, and (3) higher avoidance when there is more reported disability.