{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T12:15:57Z","timestamp":1783685757201,"version":"3.55.0"},"reference-count":39,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","painmanagementnursing.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Pain Management Nursing"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.pmn.2026.06.002","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T11:25:24Z","timestamp":1783682724000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Pain, Pain-Related Beliefs, and Fear-Avoidance Beliefs on Functional Disability and Fear of Falling in Patients With Degenerative Spinal Diseases: A Path Analysis Study"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9414-6582","authenticated-orcid":false,"given":"Gulsah","family":"Kose","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0022-2529","authenticated-orcid":false,"given":"Sevim","family":"Saltay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6100-1873","authenticated-orcid":false,"given":"Asena","family":"Sayac\u0131","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9147-4804","authenticated-orcid":false,"given":"Gulcan","family":"Kozluk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4804-1281","authenticated-orcid":false,"given":"Beste","family":"Daltaban","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8374-7916","authenticated-orcid":false,"given":"Guven","family":"Gursoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.pmn.2026.06.002_bib0001","doi-asserted-by":"crossref","first-page":"e152","DOI":"10.1016\/j.pmn.2023.08.009","article-title":"Comparison of the effects of body mechanics education methods on pain, disability, and quality of life: A randomized controlled study","volume":"24","author":"Akcelik Bakcek","year":"2023","journal-title":"Pain Management Nursing"},{"issue":"3","key":"10.1016\/j.pmn.2026.06.002_bib0002","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0193566","article-title":"The fear avoidance model predicts short-term pain and disability following lumbar disc surgery","volume":"13","author":"Alodaibi","year":"2018","journal-title":"PLoS One"},{"issue":"8","key":"10.1016\/j.pmn.2026.06.002_bib0003","doi-asserted-by":"crossref","first-page":"1734","DOI":"10.1097\/j.pain.0000000000002866","article-title":"The burden of preoperative fear-avoidance beliefs in workers after thoracic and lumbar spine surgery: A 2-year follow-up study","volume":"164","author":"Bellosta-L\u00f3pez","year":"2023","journal-title":"Pain"},{"issue":"6","key":"10.1016\/j.pmn.2026.06.002_bib0004","first-page":"441","article-title":"The predictive value of fear avoidance beliefs for outcomes following surgery for lumbar degenerative disease: A systematic review and best evidence synthesis","volume":"25","author":"Bogaert","year":"2022","journal-title":"Pain Physician"},{"issue":"7","key":"10.1016\/j.pmn.2026.06.002_bib0005","doi-asserted-by":"crossref","first-page":"E425","DOI":"10.1097\/BRS.0000000000001845","article-title":"The influence of pre-and postoperative fear avoidance beliefs on postoperative pain and disability in patients with lumbar spinal stenosis","volume":"42","author":"Burgstaller","year":"2017","journal-title":"Spine"},{"issue":"7","key":"10.1016\/j.pmn.2026.06.002_bib0006","doi-asserted-by":"crossref","first-page":"1582","DOI":"10.11124\/JBISRIR-2017-003628","article-title":"Falls prevention strategies for patients over 65 years in a neurology ward: A best practice implementation project","volume":"16","author":"Comino-Sanz","year":"2018","journal-title":"JBI Database of Systematic Reviews and Implementation Reports"},{"issue":"21\u201322","key":"10.1016\/j.pmn.2026.06.002_bib0007","doi-asserted-by":"crossref","first-page":"3249","DOI":"10.1111\/jocn.15831","article-title":"Association of preoperative pain beliefs with postperative pain levels in abdominal surgery","volume":"30","author":"Disceken","year":"2021","journal-title":"Journal of Clinical Nursing"},{"issue":"3","key":"10.1016\/j.pmn.2026.06.002_bib0008","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/0304-3959(92)90209-T","article-title":"The pain beliefs questionnaire: An investigation of beliefs in the causes and consequences of pain","volume":"51","author":"Edwards","year":"1992","journal-title":"Pain"},{"issue":"22","key":"10.1016\/j.pmn.2026.06.002_bib39","doi-asserted-by":"crossref","first-page":"2940","DOI":"10.1097\/00007632-200011150-00017","article-title":"The Oswestry Disability Index","volume":"25","author":"Fairbank","year":"2000","journal-title":"Spine"},{"issue":"4","key":"10.1016\/j.pmn.2026.06.002_bib0009","doi-asserted-by":"crossref","first-page":"471","DOI":"10.3344\/kjp.2021.34.4.471","article-title":"The association between pain, balance, fall, and disability in patients with lumbar spinal stenosis with vascular claudication","volume":"34","author":"G\u00fcne\u015f","year":"2021","journal-title":"The Korean Journal of Pain"},{"issue":"5","key":"10.1016\/j.pmn.2026.06.002_bib0010","doi-asserted-by":"crossref","first-page":"E289","DOI":"10.1097\/BSD.0000000000001111","article-title":"Fear-avoidance and patients\u2019 reported outcomes are strongly correlated with biomechanical gait parameters in cervical spondylotic myelopathy patients","volume":"34","author":"Haddas","year":"2021","journal-title":"Clinical Spine Surgey"},{"issue":"12","key":"10.1016\/j.pmn.2026.06.002_bib0011","doi-asserted-by":"crossref","first-page":"2827","DOI":"10.1007\/s00586-013-2822-5","article-title":"Negative beliefs and psychological disturbance in spine surgery patients: A cause or consequence of a poor treatment outcome?","volume":"22","author":"Havakeshian","year":"2013","journal-title":"European Spine Journal"},{"issue":"10","key":"10.1016\/j.pmn.2026.06.002_bib0012","doi-asserted-by":"crossref","first-page":"2291","DOI":"10.1016\/j.spinee.2025.04.010","article-title":"Health literacy and patient-reported outcomes in preoperative patients undergoing lumbar spine surgery: A cross-sectional study","volume":"25","author":"Higashino","year":"2025","journal-title":"The Spine Journal"},{"key":"10.1016\/j.pmn.2026.06.002_bib0013","doi-asserted-by":"crossref","DOI":"10.1155\/2022\/4147497","article-title":"Validation of a model predicting that physical activities improve health-related quality of life in older Japanese adults with pain, dysesthesia, and kinesiophobia after lumbar surgery: Structural equation modeling","volume":"2022","author":"Higuchi","year":"2022","journal-title":"Pain Research & Management"},{"issue":"1","key":"10.1016\/j.pmn.2026.06.002_bib0014","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1186\/s12891-023-06980-z","article-title":"Fear of movement was associated with sedentary behaviour 12 months after lumbar fusion surgery in patients with low back pain and degenerative disc disorder","volume":"24","author":"Jakobsson","year":"2023","journal-title":"BMC Musculoskeletal Disorders"},{"issue":"1","key":"10.1016\/j.pmn.2026.06.002_bib0015","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1186\/s12955-023-02188-w","article-title":"Scale agreement, ceiling and floor effects, construct validity, and relative efficiency of the PROPr and EQ\u20115D\u20113L in low back pain patients","volume":"21","author":"Klapproth","year":"2023","journal-title":"Health and Quality of Life Outcomes"},{"issue":"5","key":"10.1016\/j.pmn.2026.06.002_bib0016","doi-asserted-by":"crossref","first-page":"E271","DOI":"10.1097\/BSD.0000000000001183","article-title":"Fear avoidance beliefs and outcome after surgery for degenerative lumbar spine","volume":"34","author":"Knafo","year":"2021","journal-title":"Clinical Spine Surgery"},{"issue":"6","key":"10.1016\/j.pmn.2026.06.002_bib0017","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1097\/j.pain.0000000000002170","article-title":"Fear-avoidance beliefs are associated with reduced lumbar spine flexion during object lifting in pain-free adults","volume":"162","author":"Knechtle","year":"2021","journal-title":"Pain"},{"issue":"4","key":"10.1016\/j.pmn.2026.06.002_bib0018","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1097\/JNN.0000000000000446","article-title":"The effect of low back pain on daily activities and sleep quality in patients with lumbar disc herniation: A pilot study","volume":"51","author":"Kose","year":"2019","journal-title":"Journal of Neuroscience Nursing"},{"issue":"6","key":"10.1016\/j.pmn.2026.06.002_bib0019","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1097\/JNN.0000000000000730","article-title":"Effects of pain beliefs on postoperative pain and analgesic consumption in spine surgery patients","volume":"55","author":"Kose","year":"2023","journal-title":"Journal of Neuroscience Nursing"},{"issue":"8","key":"10.1016\/j.pmn.2026.06.002_bib0020","doi-asserted-by":"crossref","first-page":"29","DOI":"10.3928\/00989134-20210624-05","article-title":"Fear of falling and related factors in older adults with spinal diseases","volume":"47","author":"Lee","year":"2021","journal-title":"Journal of Gerontological Nursing"},{"issue":"1","key":"10.1016\/j.pmn.2026.06.002_bib0021","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1186\/s12891-025-08306-7","article-title":"Kinesiophobia and associated factors among people with musculoskeletal disorders in Ethiopia: A multicenter cross-sectional study","volume":"26","author":"Mekonnen","year":"2025","journal-title":"BMC Musculoskeletal Disorders"},{"issue":"1","key":"10.1016\/j.pmn.2026.06.002_bib0022","first-page":"135","article-title":"Korku-ka\u00e7\u0131nma inan\u0131\u015flar anketi\u2019nin T\u00fcrk\u00e7e\u2019ye uyarlanmas\u0131, g\u00fcvenirli\u011fi ve ge\u00e7erli\u011fi (In Turkish)\u201d","volume":"24","author":"\u00d6zcan Bing\u00f6l","year":"2013","journal-title":"Fizyoterapi Rehabilitasyon"},{"key":"10.1016\/j.pmn.2026.06.002_bib0023","doi-asserted-by":"crossref","first-page":"1707","DOI":"10.2147\/JPR.S348146","article-title":"Is there a difference in fear-avoidance, beliefs, anxiety and depression between post-surgery and non-surgical persistent spinal pain syndrome patients?","volume":"15","author":"Rodrigues","year":"2022","journal-title":"Journal of Pain Research"},{"key":"10.1016\/j.pmn.2026.06.002_bib37","unstructured":"Sertel Berk, H.\u00d6. (2006). The experience of chronic pain and pain beliefs: The Turkish validation study of the pain beliefs questionnaire. PhD Thesis. Istanbul University Social Sciences Institude Psychology Department. https:\/\/avesis.istanbul.edu.tr\/yayin\/4356d360-e289-45bf-b7c7-69b21f641f1d\/experience-of-chronic-pain-and-pain-beliefs-the-turkish-validation-study-of-the-pain-beliefs-questionnaire."},{"issue":"3","key":"10.1016\/j.pmn.2026.06.002_bib0024","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1080\/08990220.2021.1958774","article-title":"Investigation of the relationship between physical activity, kinesiophobia and fear of falling in older adults with chronic pain","volume":"38","author":"Sertel","year":"2021","journal-title":"Somatosensory & Motor Research"},{"issue":"2","key":"10.1016\/j.pmn.2026.06.002_bib0025","doi-asserted-by":"crossref","first-page":"E64","DOI":"10.1097\/BRS.0000000000004266","article-title":"The function assessment scale for spinal deformity","volume":"47","author":"Severijns","year":"2022","journal-title":"Spine"},{"key":"10.1016\/j.pmn.2026.06.002_bib0026","series-title":"Using multivariate statistics","author":"Tabachnick","year":"2001"},{"issue":"3","key":"10.1016\/j.pmn.2026.06.002_bib0027","first-page":"e365","article-title":"Factors affecting postoperative pain beliefs among surgical patients in T\u00fcrkiye: A cross-sectional study","volume":"25","author":"Tuna","year":"2024","journal-title":"Pain Management Nursing"},{"issue":"5","key":"10.1016\/j.pmn.2026.06.002_bib0028","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1016\/j.gerinurse.2021.06.010","article-title":"Examining the relationship between elderly patients\u2019 fear of falling after spinal surgery and pain, kinesiophobia, anxiety, depression and the associated factors","volume":"42","author":"Turhan Damar","year":"2021","journal-title":"Geriatric Nursing"},{"issue":"Pt A","key":"10.1016\/j.pmn.2026.06.002_bib0029","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.gerinurse.2025.02.017","article-title":"Investigation of the relationship between mobility levels of older patients undergoing spinal surgery and fear of pain and fear of falling, and the affecting factors","volume":"62","author":"Turhan Damar","year":"2025","journal-title":"Geriatric Nursing"},{"issue":"3","key":"10.1016\/j.pmn.2026.06.002_bib0030","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.archger.2011.06.010","article-title":"Reliability and validity of the Turkish version of the falls efficacy scale international (FES-I) in community-dwelling older persons","volume":"54","author":"Ulus","year":"2012","journal-title":"Archives of Gerontology and Geriatrics"},{"key":"10.1016\/j.pmn.2026.06.002_bib0034","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.puhe.2022.08.012","article-title":"Fear of falling and associated factors among older adults in Southeast Asia: A systematic review","volume":"222","author":"Vo","year":"2023","journal-title":"Public Health"},{"issue":"2","key":"10.1016\/j.pmn.2026.06.002_bib40","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/0304-3959(93)90127-B","article-title":"A Fear- Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low-back pain and disability","volume":"52","author":"Waddell","year":"1993","journal-title":"Pain"},{"issue":"5","key":"10.1016\/j.pmn.2026.06.002_bib0035","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1016\/j.spinee.2013.09.036","article-title":"The role of fear avoidance beliefs as a prognostic factor for outcome in patients with nonspecific low back pain: A systematic review","volume":"14","author":"Wertli","year":"2014","journal-title":"The Spine Journal"},{"issue":"5","key":"10.1016\/j.pmn.2026.06.002_bib0031","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1097\/01.BRS.0000113869.13209.03","article-title":"Validation of the Turkish version of the Oswestry disability index for patients with low back pain","volume":"29","author":"Yakut","year":"2004","journal-title":"Spine"},{"key":"10.1016\/j.pmn.2026.06.002_bib38","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1093\/ageing\/afi196","article-title":"Development and initial validation of the Falls Efficacy Scale-International (FES-I)","volume":"34","author":"Yardley","year":"2005","journal-title":"Age Ageing"},{"issue":"5","key":"10.1016\/j.pmn.2026.06.002_bib0032","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1080\/01942638.2020.1720054","article-title":"The tampa scale of kinesiophobia: structural validation among adolescents with idiopathic scoliosis undergoing spinal fusion surgery","volume":"40","author":"Ye","year":"2020","journal-title":"Physical & Occupational Therapy in Pediatrics"},{"issue":"6","key":"10.1016\/j.pmn.2026.06.002_bib0033","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/j.pmn.2018.07.007","article-title":"Relations among pain, pain beliefs, and psychological well-being in patients with chronic pain","volume":"19","author":"Yildizeli Topcu","year":"2018","journal-title":"Pain Management Nursing"}],"container-title":["Pain Management Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1524904226002043?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1524904226002043?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T11:25:32Z","timestamp":1783682732000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1524904226002043"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":39,"alternative-id":["S1524904226002043"],"URL":"https:\/\/doi.org\/10.1016\/j.pmn.2026.06.002","relation":{},"ISSN":["1524-9042"],"issn-type":[{"value":"1524-9042","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effect of Pain, Pain-Related Beliefs, and Fear-Avoidance Beliefs on Functional Disability and Fear of Falling in Patients With Degenerative Spinal Diseases: A Path Analysis Study","name":"articletitle","label":"Article Title"},{"value":"Pain Management Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pmn.2026.06.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}