Cognitive bias in back pain patients attending osteopathy: testing the enmeshment model in reference to future thinking

Read, Jessica; Pincus, Tamar

doi:10.1016/j.ejpain.2003.12.002

Cited by 12 publications

(7 citation statements)

References 20 publications

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“…That the provision of pain relief can be a starting point for healthy lifestyle changes should be addressed as a goal when planning treatment for such patients, and the seed can be planted early. The fact that smokers who smoke to relieve pain are more likely to exhibit depressive symptoms and be disabled than those who do not use smoking for pain relief is consistent with the literature (Jamison et al, 1991;Lépine & Briley, 2004;Mossey & Gallagher, 2004;Read & Pincus, 2004). Our findings point to the importance of treating comorbid conditions concurrent with smoking cessation efforts.…”

Section: Discussionsupporting

confidence: 90%

“…Smokers with chronic pain may have a difficult time quitting smoking for a variety of reasons. People who experience chronic pain are prone to depression (Lépine & Briley, 2004;Mossey & Gallagher, 2004;Read & Pincus, 2004), and they often use cigarette smoking as a pain reliever, a stress reliever, and even as an antidepressant (Jamison, Stetson, & Parris, 1991). Thus they may find it particularly hard to give up smoking as a source of gratification.…”

Section: Introductionmentioning

confidence: 98%

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Brief report: Pain and readiness to quit smoking cigarettes

Hahn

Rayens

Kirsh

et al. 2006

Nicotine & Tobacco Research

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This study explored the relationship between smoking and significant pain. It was hypothesized that readiness to quit smoking would be negatively affected by pain issues. A cross-sectional design was used in this phone-based survey with randomly selected adult smokers. A total of 307 adult participants in the control group from a larger Quit and Win Study participated in the interview. Participants were contacted at home and completed a 20-min phone survey including measures of pain, stress, depressive symptoms, social support, tobacco use status, and readiness to quit smoking. A total of 28% reported significant pain in the past week. Participants who experienced significant pain smoked more cigarettes per day than those who did not report significant pain. However, pain was not associated with readiness to quit. More than half (58%) of those with significant pain were in the contemplation stage of change or higher. The fact that smokers with pain were just as likely as those without significant pain to be ready to quit demands that each individual patient with pain be assessed for readiness to quit so that a tailored approach can be adopted either to motivate the patient to quit or to assist the patient with evidence-based tobacco dependence treatment strategies if he or she wants such treatment. Placing formal tobacco dependence treatment programs within pain clinics and addressing pain in smoking cessation programs is recommended.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 98%

Brief report: Pain and readiness to quit smoking cigarettes

Hahn

Rayens

Kirsh

et al. 2006

Nicotine & Tobacco Research

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“…The rationale for this is that given that all individuals in this study had documented CAD and ischemia on the ETT their reports of anginal history are arguably less important diagnostically than cognitively as a measure of prior anginal pain experience. In prior research, increased memory for endorsed pain-related words have been considered to represent cognitive bias for pain (48). Accordingly, presence of a memory of pain during exertion is here taken to indicate a cognitive-interpretational process that will influence subsequent interpretations of chest sensations during exertion.…”

Section: Methodsmentioning

confidence: 99%

Psychological and Physiological Predictors of Angina During Exercise-Induced Ischemia in Patients With Coronary Artery Disease

Bekkouche

Wawrzyniak

Whittaker

et al. 2013

Psychosomatic Medicine

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Objective This study compares sensory-biological, cognitive-emotional, and cognitive-interpretational factors in predicting angina on an exercise treadmill test (ETT). Methods 163 patients with ETT-induced ischemia and coronary artery disease (CAD) in the NHLBI Psychophysiological Investigations of Myocardial Ischemia (PIMI) study were given an ETT, and 79 patients reported angina during the ETT. We assessed the following as predictors of self-reported anginal pain: sensory-biological factors (β-endorphin reactivity, hot pain threshold, and maximum ST-segment depression), cognitive-emotional factors (negative affect and symptom perception), and cognitive-interpretation (self-reported history of exercise-induced angina). Models were covariate-adjusted with predictors examined individually and as part of component blocks. Results Logistic regression revealed that history of angina (OR=17.41, 95% CI=7.16–42.34) and negative affect (OR=1.65, 95% CI=1.17–2.34), but not maximum ST-segment depression, hot pain threshold, β-endorphin reactivity, nor symptom perception were significant predictors of angina on the ETT. The component block of sensory-biological variables was not significantly predictive of anginal pain (chi2block = 5.15, p = 0.741). However, the cognitive-emotional block (chi2block = 11.19, p = 0.004) and history of angina (cognitive-interpretation) (chi2block = 54.87, p < 0.001) were predictive of ETT angina. A model including all variables revealed that only history of angina was predictive of ETT pain (OR = 16.39, p < 0.001), although negative affect approached significance (OR = 1.45, p = 0.07). Conclusion These data suggest that in patients with ischemia, cognitive-emotional and cognitive-interpretational factors are important predictors of exercise angina.

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“…In a clinical setting, it is especially important that the assessment and screening tools are brief. Another issue with the existing assessment instruments is that they are not designed for nonpsychiatric populations, 15,16 such as patients with musculoskeletal pain in an out patient setting.…”

mentioning

confidence: 98%

Cross-validation of the Depression, Anxiety, and Positive Outlook Scale (DAPOS) for Clinical Use

Olaya‐Contreras

Styf²,

Lundberg³

et al. 2011

The Clinical Journal of Pain

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Cognitive bias in back pain patients attending osteopathy: testing the enmeshment model in reference to future thinking

Abstract: Results extend understanding of future thinking in chronic pain within the context of the SEMP.

Cited by 12 publications

References 20 publications

Brief report: Pain and readiness to quit smoking cigarettes

Brief report: Pain and readiness to quit smoking cigarettes

Psychological and Physiological Predictors of Angina During Exercise-Induced Ischemia in Patients With Coronary Artery Disease

Cross-validation of the Depression, Anxiety, and Positive Outlook Scale (DAPOS) for Clinical Use

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