Behavioural science and chronic pain

Fordyce, Wilbert E.

doi:10.1136/pgmj.60.710.865

Cited by 49 publications

(32 citation statements)

References 20 publications

(15 reference statements)

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“…The concept of pain behaviour was originally framed in a behavioural perspective (e.g. Fordyce, 1984) and can be defined as a strategy activated in response to pain that includes overt behaviours that signify an individual is experiencing pain and are contingent on reinforcement schedules as prescribed by operant conditioning. Pain behaviours may consist of avoidance (see Leeuw et al, 2007 for a review), overt means of communication, such as facial displays and vocalisations (Sullivan et al, 2004), and a heightened vigilance to threatening bodily sensations (Aldrich, Eccleston, & Crombez, 2000).…”

Section: Introductionmentioning

confidence: 99%

Meta‐cognitive beliefs about worry and pain catastrophising as mediators between neuroticism and pain behaviour

Spada

Nikčević

Fernie

et al. 2016

Clinical Psychologist

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Background The present study explored the relationship between neuroticism, meta‐cognitive beliefs about worry, pain catastrophising, and pain behaviour. Methods A non‐clinical convenience sample of 308 participants completed the following four measures in this cross‐sectional study: Neo Five‐Factor Inventory, Meta‐Cognitions Questionnaire 30, Pain Catastrophising Scale, and the Pain Behaviour Checklist. Results A multiple‐step multiple mediator analysis was employed to test a model in which (1) positive meta‐cognitive beliefs about worry would mediate the relationship between neuroticism and pain catastrophising and (2) negative meta‐cognitive beliefs about worry would mediate the relationship between pain catastrophising and self‐reported pain behaviour. We also hypothesised that the combined effects of meta‐cognitive beliefs about worry and pain catastrophising on self‐reported pain behaviour would be independent of neuroticism. Results supported the proposed structure with pain catastrophising and meta‐cognitive beliefs about worry mediating fully the effect of neuroticism on self‐reported pain behaviour. Conclusions These findings identify, for the first time in the literature, a link between meta‐cognitive beliefs about worry and both self‐reported pain behaviour and pain catastrophising. The implications of these findings are discussed.

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Section: Introductionmentioning

confidence: 99%

Meta‐cognitive beliefs about worry and pain catastrophising as mediators between neuroticism and pain behaviour

Spada

Nikčević

Fernie

et al. 2016

Clinical Psychologist

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“…A fájdalom miatti funckióvesztésben szerepet játszó tényezők is elegendő [10]. A félelem miatti elkerülő magatartás-nak a fizikai aktivitás csökkenése miatt számos negatív következménye van: romlik a fizikai terhelhetőség, csök-ken a szellemi frissesség, erősödik a betegszerep, a családi kapcsolatok minősége romlik.…”

Section: áBraunclassified

A félelem és elkerülési hiedelmek krónikus fájdalomban. A FABQ kérdőív magyar változatának fordítása és validálása

Simoncsics

Stauder

2017

Orvosi Hetilap

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Bevezetés: A krónikus deréktáji fájdalom az egyik leggyakoribb panasz, amivel a betegek orvoshoz fordulnak. A funkcióromlás hátterében, a testi tünetek mellett, a beteg diszfunkcionális gondolatai, érzelmi lehangoltsága és szociális, kapcsolati problémái azonosíthatók. Az egyik jelentős tényező a mozgástól való félelem, amely elkerülő viselkedésben nyilvánul meg. Célkitűzés: A kutatás célja a "Fear Avoidance Beliefs Questionnaire" magyar nyelvű változatának (jelölése: FABQ-H) kidolgozása és validálása. Fear and avoidance beliefs in chronic pain. The translation and validation of the Hungarian version of the FABQ questionnaireIntroduction: Chronic low back pain is one of the top reasons for seeking medical advice. In the background of the dysfunction besides the somatic pain dysfunctional thinking, negative emotional states, or interpersonal problems can be identified as well. One of the most important factors making the rehabilitation difficult is the fear and avoidance of physical activity. Aim: The aim of the study was to adapt and validate the Fear Avoidance Beliefs Questionnaire (FABQ-H) in Hungarian. Methods: The FABQ (16 items) was translated into Hungarian and filled in by 90 patients suffering from low back pain for at least three months. For cross validation the FABQ-H results of 43 patients were compared with pain intensity the Oswestry Low Back Pain Questionnaire (ODI), the Roland-Morris Disability Questionnaire (RDQ), the Zung Depression Scale (Zung) and the Pain Catastrophising Scale (PCS). Results: The internal consistency of the FABQ-H was good: the Cronbach's alpha was 0.8. Correlation analysis revealed that the FABQ showed significant correlation only with the Pain Catastrophising Scale (r = 0.373, p = 0.014). Conclusion: Our results confirm that the FABQ-H is a valid questionnaire that can be well implemented.

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“…32,33 This controversy largely ended with introduction of the gate control theory by Wall and Melzack in 1965. [35][36][37] This biopsychosocial approach to the pain experience encourages the realization that pain is a complex perceptual experience modulated by a wide range of biopsychosocial factors, including emotions, social and environmental contexts, and cultural background, as well as beliefs, attitudes, and expectations. Further elaboration of the psychological aspects of the pain experience includes the three psychological dimensions of pain: sensory-discriminative, motivational-affective, and cognitive-evaluative.…”

Section: Pain and The Impact Of Psychologymentioning

confidence: 99%