title: [Is the relationship between fear-avoidance cognitions and quality of life mediated by depressive symptoms?]
abstract: BACKGROUND
  Chronic low back pain is often accompanied by fear-avoidance cognitions, increased depressive symptoms and decreased quality of life.
  
  
  OBJECTIVE
  Is the relationship between fear-avoidance cognitions and quality of life mediated by depressive symptoms?
  
  
  METHODS
  Mediation analyses were conducted to predict the long-term quality of life with depressive symptoms as mediator using longitudinal data from 131 patients.
  
  
  RESULTS
  Fear-avoidance cognitions prior to rehabilitation predicted the physical quality of life 24 months after rehabilitation, which was mediated by the degree of depressive symptoms 6 months after rehabilitation. The other assumed models could not be tested due to non-significant correlations between the model variables.
  
  
  CONCLUSIONS
  To improve the physical quality of life, depressive symptoms should be included into the treatment of chronic low back pain.
authors.affiliation: Institut für Gesundheits-, Ernährungs- und Sportwissenschaften, Europa-Universität Flensburg, Auf dem Campus 1, 24943, Flensburg, Deutschland. svenja.roch@uni-flensburg.de.
authors.forename: S
authors.initials: S
authors.lastname: Roch
authors.affiliation: Institut für Gesundheits-, Ernährungs- und Sportwissenschaften, Europa-Universität Flensburg, Auf dem Campus 1, 24943, Flensburg, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Föllmer
authors.affiliation: Institut für Gesundheits-, Ernährungs- und Sportwissenschaften, Europa-Universität Flensburg, Auf dem Campus 1, 24943, Flensburg, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Hampel
mesh_terms: D000328:Adult; D001362:Avoidance Learning; D015897:Comorbidity; D003243:Consciousness; D003866:Depressive Disorder / Q000523:psychology*; D005239:Fear / Q000523:psychology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D017116:Low Back Pain / Q000523:psychology* / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D058748:Pain Perception; D011594:Psychometrics; D011788:Quality of Life / Q000523:psychology*; D013223:Statistics as Topic; D011795:Surveys and Questionnaires
keywords: Chronic low back pain; Depressive symptoms; Fear-avoidance model (FAM); Mediation analysis; Quality of life