Problem: The Fear Avoidance Model of pain specifies that one either recovers from an injury or succumbs to a downward spiral of depression and disability. The recovery side of the model lacks reasoning on how recovery is achieved. We hypothesized a similar sequence of cognition, affect, and behavior would lead to recovery.
Method: Analyses were conducted on an existing data set, consisting of 110 patients undergoing knee arthroplasty. Patients completed surveys before, during, and after surgery. Regression analyses control for¬†gender and baseline pain.
Results: Analyses revealed significant paths from self efficacy to positive affect and vitality-vigor facilitating recovery (p<.05).
Conclusion: The current findings suggest that positive cognition, affect, and behaviors lead to recovery. Interventions designed to enhance these resilience factors should facilitate optimal recovery.