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Observations of pain behavior have distinct §advantages over self-report measures of pain. This §is especially critical in a chronic lower back pain §population where self-report of pain is unusually §high. The goal of the current study was to §investigate whether a streamlined behavior §observation adapted from Keefe and Block s (1982) 10-§minute observation is effective in identifying §somatic amplification in a sample of Chronic Low §Back Pain (CLBP) sufferers. We examined the §relationship between a 4-minute behavior observation §and the Somatic Amplification Rating Scale (SARS), a §physiological exam measuring incongruent physical §symptoms. Somatic amplification describes the §tendency to report physical symptoms that are out of §proportion to medical findings. Ninety-seven §participants were recruited to take part in a study §that examined levels of somatic amplification, §affective distress, and frequency of pain behaviors.