OBJECTIVE Chronic back pain (CBP) is responsible for considerable suffering across the world and is frequently associated with decreased functional capacity, quality of life, and substantial health care costs. Fear avoidance beliefs (FAB) comprise cognitions and fears about the potential for physical activities to produce pain and harm and are common among people with CBP. Collectively, research shows that FAB are frequently associated with low levels of physical activity, poorer work outcomes, and disability. Therefore, the purpose of this systematic review is to systematically locate and synthesize the current evidence regarding the effectiveness of psychological interventions on fear avoidance beliefs and fear avoidance behavior in patients with CBP. DESIGN A systematic literature search was conducted based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and included the databases Web of Science, PubMed, Cochrane, CINAHL, Medline, and PsycINFO. RESULTS A total of 5,052 records were identified resulting in 2,448 documents after duplicates were removed. We screened 147 studies full text. Twenty-two studies were included in the qualitative synthesis. FAB were assessed by the Fear Avoidance Beliefs Questionnaire, the Tampa Scale of Kinesiophobia and the Avoidance Exercise Questionnaire. Interventions included cognitive behavior therapy (CBT), psychoeducation (PE), and other psychological approaches like motivational interviewing. Twelve of 22 studies demonstrated significant improvements in FAB for people with CBP who underwent a PE or CBT intervention or a different psychological approach. CONCLUSION CBT and PE interventions are mainly used to address FAB among people with CBP. However, there is still inconsistent evidence as to which psychological interventions are most effective to treat FAB among people with CBP. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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减少慢性背痛患者恐惧回避信念的心理干预措施。

目标慢性背痛 (CBP) 是世界范围内相当大的痛苦的原因，并且经常与功能能力下降、生活质量下降和大量医疗保健费用相关。恐惧回避信念 (FAB) 包括对身体活动可能产生疼痛和伤害的认知和恐惧，在 CBP 患者中很常见。总的来说，研究表明 FAB 经常与低水平的身体活动、较差的工作成果和残疾有关。因此，本系统评价的目的是系统地定位和综合当前关于心理干预对 CBP 患者恐惧回避信念和恐​​惧回避行为的有效性的证据。设计 根据系统评价和元分析首选报告项目 (PRISMA) 指南进行了系统的文献检索，其中包括 Web of Science、PubMed、Cochrane、CINAHL、Medline 和 PsycINFO 数据库。结果 删除重复项后，共识别出 5,052 条记录，产生 2,448 份文件。我们筛选了 147 项研究全文。22 项研究被纳入定性综合。FAB 通过恐惧回避信念问卷、坦帕运动恐惧症量表和回避运动问卷进行评估。干预措施包括认知行为疗法 (CBT)、心理教育 (PE) 和其他心理方法，如动机访谈。22 项研究中有 12 项表明接受 PE 或 CBT 干预或不同心理方法的 CBP 患者的 FAB 显着改善。结论 CBT 和 PE 干预主要用于解决 CBP 患者的 FAB。然而，关于哪种心理干预最有效地治疗 CBP 患者的 FAB，仍然存在不一致的证据。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。