- •Meta-analysis of correlations between avoidance and pacing in chronic pain.
- •A small positive correlation was found overall and between single-item measures.
- •A moderate positive correlation was found between multiple-item measures.
- •Existing pacing measures may partially confound pacing with avoidance.
- •Measures that clearly differentiate pacing from avoidance are needed.
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- Activity pacing, avoidance, endurance, and associations with patient functioning in chronic pain: A systematic review and meta-analysis.Arch Phys Med Rehabil. 2012; 93: 2109-2121
- The development of an activity pacing questionnaire for chronic pain and/or fatigue: A Delphi technique.Physiotherapy. 2013; 99: 241-246
- Depression and pain comorbidity: A literature review.Arch Intern Med. 2003; 163: 2433-2445
- Comprehensive Meta-Analysis Version 3.Biostat, Englewood, NJ2005
- Activity pacing in chronic pain management: One aim, but which method? Part two: National activity pacing survey.Br J Occup Ther. 2004; 67: 481-487
- Chronic pain in Australia: A prevalence study.Pain. 2001; 89: 127-134
- Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment.Eur J Pain. 2006; 10: 287-333
- Obstacles to activity pacing: Assessment, relationship to activity and functioning.Pain. 2016; 157: 1508-1514
- Pain-related activity patterns: Measurement, interrelationships, and associations with psychosocial functioning.Clin J Pain. 2013; 29: 435-442
- A power primer.Psychol Bull. 1992; 112: 155-159
- Development and initial validation of a questionnaire for measuring fear-avoidance associated with pain: The Fear-Avoidance of Pain Scale.J Musculoskelet Pain. 1999; 7: 3-19
- Mental disorders among persons with chronic back or neck pain: Results from the world mental health surveys.Pain. 2007; 129: 332-342
- Development and initial validation of the Activity Patterns Scale in patients with chronic pain.J Pain. 2016; 17: 451-461
- A structured review of the evidence for pacing as a chronic pain intervention.Eur J Pain. 2009; 13: 214-216
- Differences in activity-related behaviour among patients with chronic low back pain.Eur J Pain. 2011; 15: 748-755
- Pacing: A concept analysis of the chronic pain intervention.Pain Res Manag. 2013; 18: 207-213
- The Chronic Pain Coping Inventory: Development and preliminary validation.Pain. 1995; 60: 203-216
- The prevalence of chronic pain in United States adults: Results of an internet-based survey.J Pain. 2010; 11: 1230-1239
- Active avoidance but not activity pacing is associated with disability in fibromyalgia.Pain. 2009; 147: 29-35
- Activity patterns in chronic pain: Underlying dimensions and associations with disability and depressed mood.J Pain. 2011; 12: 1049-1058
- Association between anxiety, health-related quality of life and functional impairment in primary care patients with chronic pain.Gen Hosp Psychiatry. 2013; 35: 359-365
- A short version of the Pain Anxiety Symptoms Scale (PASS-20): Preliminary development and validity.Pain Res Manag. 2002; 7: 45-50
- Clinical assessment of behavioral coping responses: Preliminary results from a brief inventory.Eur J Pain. 2005; 9: 69-78
- The role of avoidance, pacing, and other activity patterns in chronic pain.Pain. 2007; 130: 119-125
- Psychological flexibility and traditional pain management strategies in relation to patient functioning with chronic pain: An examination of a revised instrument.J Pain. 2007; 8: 700-707
- A prospective investigation of acceptance and control-oriented coping with chronic pain.J Behav Med. 2007; 30: 339-349
- The effect of chronic pain on life satisfaction: Evidence from Australian data.Soc Sci Med. 2014; 121: 65-73
- Activity pacing in daily life: A within-day analysis.Pain. 2014; 155: 2630-2637
- When to refer to a pain clinic.Best Pract Res Clin Rheumatol. 2004; 18: 613-629
- Relationship between changes in coping and treatment outcome in patients with fibromyalgia syndrome.Pain. 2004; 109: 233-241
- An activity pacing scale for the Chronic Pain Coping Inventory: Development in a sample of patients with fibromyalgia syndrome.Pain. 2001; 89: 111-115
- Activity pacing in chronic pain: Concepts, evidence, and future directions.Clin J Pain. 2013; 29: 461-468
- A content analysis of activity pacing in chronic pain: What are we measuring and why?.Clin J Pain. 2014; 30: 639-645
- Sex differences in psychological response to pain in patients with fibromyalgia syndrome.Clin J Pain. 2015; 31: 425-432
- A blind randomized controlled trial of cognitive versus behavioral versus cognitive-behavioral therapy for patients with rheumatoid arthritis.Psychother Psychosom. 2012; 81: 145-152
- Potential pain management programmes in primary care. A UK-wide questionnaire and Delphi survey of experts.Fam Pract. 2011; 28: 41-48
- Disease-specific stressors in rheumatoid arthritis: Coping and well-being.Br J Rheumatol. 1994; 33: 1067-1073
- Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art.Pain. 2000; 85: 317-332
- Comparing the role of psychological flexibility and traditional pain management coping strategies in chronic pain treatment outcomes.Behav Res Ther. 2010; 48: 141-146
- Psychological flexibility in coping with chronic pain: Further examination of the Brief Pain Coping Inventory-2.Clin J Pain. 2014; 30: 324-330
- A comprehensive examination of the model underlying acceptance and commitment therapy for chronic pain.Behav Ther. 2014; 45: 390-401
- Acceptance and commitment therapy for chronic pain: Evidence of mediation and clinically significant change following an abbreviated interdisciplinary program of rehabilitation.J Pain. 2014; 15: 101-113
- Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (PACE): A randomised trial.Lancet. 2011; 377: 823-836
- Psychological therapies for the management of chronic pain (excluding headache) in adults.Cochrane Database Syst Rev. 2012; 11: CD007407
The authors have no conflicts of interest to declare.