Behavioral Mechanisms Explaining Functional Decline

  • Jasmijn F. M. Holla
  • Martijn Pisters
  • Joost DekkerEmail author
Part of the SpringerBriefs in Specialty Topics in Behavioral Medicine book series (BRIEFSSPETOBEME)


This chapter describes the avoidance model. The current scientific evidence for the individual components of the model (i.e. pain during activity, psychological distress, avoidance of activity, and muscle weakness) is reviewed.


Psychological Distress Muscle Strength Muscle Weakness Numeric Rating Scale Pain Coping 
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Copyright information

© The Author(s) 2014

Authors and Affiliations

  • Jasmijn F. M. Holla
    • 1
  • Martijn Pisters
    • 2
  • Joost Dekker
    • 3
    • 4
    Email author
  1. 1.Amsterdam Rehabilitation Research Center ∣ ReadeAmsterdamThe Netherlands
  2. 2.Clinical Health SciencesUniversity Medical Center UtrechtUtrechtThe Netherlands
  3. 3.Department of Rehabilitation MedicineVU University Medical CenterAmsterdamThe Netherlands
  4. 4.Department of PsychiatryVU University Medical CenterAmsterdamThe Netherlands

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