Exposure-based Treatment for Avoidant Back Pain Patients

Exposure Therapy in Chronic Low Back Pain Patients

Chronic low back pain often results in psychosocial and physical disability. A subgroup of these patients shows fear of (re)injury and avoidance behaviour leading to higher disability. The purpose of this study is to determine whether exposure in vivo is more effective in the treatment of fear avoidant chronic back pain patients than psychological treatment as usual (cognitive behavioural psychotherapy).

Inclusion Criteria:

• Having at least 3 months back pain
• Sufficient level on fear avoidance scores (TSK, Phoda)
• Being German-speaking
• Agreeing to participate, verified by completion of informed consent

Exclusion Criteria:

• Red flags
• Pregnancy
• Illiteracy
• Psychoses
• Alcohol addiction
• surgeries during the last 6 months or planed surgeries
• Specific medical disorders or cardiovascular diseases preventing participation in physical exercise
• Participating in another psychotherapy