@article{ref1,
title="Associations between biased threat interpretations, fear and avoidance of pain and pain-linked disability in adolescent chronic pain patients",
journal="European journal of pain",
year="2021",
author="Lau, J. Y. F. and Jacobs, K. and Atkinson-Jones, K.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Biased interpretations of ambiguous bodily threat situations characterise youth with chronic pain, and have been associated with functional  disability for this population. Despite predictions by the fear-avoidance model of  chronic pain, that fear and avoidance of pain explain the association between threat  perceptions and disability, this has not yet been explored in youth with chronic  pain. The current study aimed to address this gap by investigating these proposed  relationships, in addition to the association between bodily threat interpretations  and daily aspects of disability (as well as social, and emotional impairments). <br><br>METHOD: Sixty-eight adolescents aged 11-18 years old with a clinical diagnosis of  chronic pain completed an extended version of the Adolescent Interpretations of  Bodily Threat task to assess interpretations of bodily and social threat situations,  alongside measures of disability and fear and avoidance of pain. <br><br>RESULTS: Using  mediation analysis, fear and avoidance of pain statistically accounted for the  relationship between negative bodily threat interpretations and functional  disability. Significant associations were also demonstrated between negative bodily  threat interpretations and adolescent-reported impairments in daily, emotional and  social impairments. Data revealed a significant relationship between negative social  interpretations and daily functional disability. <br><br>CONCLUSIONS: Findings indicate the  clinical relevance of bodily and social threat interpretations, and fear and  avoidance of pain, for this population and raise further questions regarding the  content-specificity of threat interpretations.<p /> <p>Language: en</p>",
language="en",
issn="1090-3801",
doi="10.1002/ejp.1724",
url="http://dx.doi.org/10.1002/ejp.1724"
}