Increased use of safety-seeking behaviors in chronic back pain patients with high health anxiety

Tang, Nicole K. Y.; Šalkovskis, Paul M.; Poplavskaya, Elena; Wright, Kelly J.; Hanna, Magdi; Hester, Joan

doi:10.1016/j.brat.2007.05.004

Cited by 71 publications

(41 citation statements)

References 38 publications

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“…In the future, the HM could be used to measure and quantify clinically relevant indicators of protective behaviour such as guarding (van der Hulst et al, 2010), safety seeking behaviour (Tang et al, 2007) or avoidance/ escape behaviour (Dannecker and George, 2009). To our knowledge, this was one of the first studies to directly assess changes in motor behaviour following acquisition of pain-related fear.…”

Section: Discussionmentioning

confidence: 99%

Fear of pain changes movement: Motor behaviour following the acquisition of pain‐related fear

Karos

Meulders

Gatzounis

et al. 2017

European Journal of Pain

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Section: Discussionmentioning

confidence: 99%

Fear of pain changes movement: Motor behaviour following the acquisition of pain‐related fear

Karos

Meulders

Gatzounis

et al. 2017

European Journal of Pain

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“…This subscale was not administered in this study, a practice consistent with other research (e.g., Tang et al, 2007), because this subscale does not directly measure health anxiety and is not appropriate for medical populations.…”

Section: Methodsmentioning

confidence: 96%

Core cognitions related to health anxiety in self-reported medical and non-medical samples

et al. 2011

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The cognitive-behavioural model of health anxiety hypothesizes that the degree of health threat experienced by an individual is a function of the perceived: (1) likelihood of illness; (2) awfulness of illness; (3) difficulty coping with illness; and (4) inadequacy of medical services. While research has examined cognitions in health anxiety, it is not known whether these cognitions predict health anxiety in individuals who do or do not report medical conditions and whether these cognitions are uniquely related to health anxiety. After developing the Health Cognitions Questionnaire to assess these specific cognitions, we examined the extent to which the cognitions predicted health anxiety and poor response to reassurance in a healthy community sample (n = 273) and a sample who self-reported various medical conditions (n = 208). Supporting the cognitive-behavioural model, these cognitions predicted health anxiety and poor response to reassurance in both samples, with some differences observed between those who did or did not report medical conditions. The cognitions were uniquely related to health anxiety even after controlling for depression and general anxiety. Clinical and theoretical implications are discussed. Overall, the Health Cognitions Questionnaire has potential to facilitate further research on the development, maintenance, and treatment of health anxiety.

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“…Another limitation is that, for some experts, the very concept of some of these constructs such as catastrophizing has been criticized, suggesting the need of new tools to assess them [45]. …”

Section: Discussionmentioning

confidence: 99%

Correlational analysis and predictive validity of psychological constructs related with pain in fibromyalgia

Maurel

Rodero²,

López‐Del‐Hoyo

et al. 2011

BMC Musculoskelet Disord

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BackgroundFibromyalgia (FM) is a prevalent and disabling disorder characterized by a history of widespread pain for at least three months. Pain is considered a complex experience in which affective and cognitive aspects are crucial for prognosis. The aim of this study is to assess the importance of pain-related psychological constructs on function and pain in patients with FM.MethodsDesignMulticentric, naturalistic, one-year follow-up study.Setting and study sample. Patients will be recruited from primary care health centres in the region of Aragon, Spain. Patients considered for inclusion are those aged 18-65 years, able to understand Spanish, who fulfil criteria for primary FM according to the American College of Rheumatology, with no previous psychological treatment.MeasurementsThe variables measured will be the following: main variables (pain assessed with a visual analogue scale and with sphygmomanometer and general function assessed with Fibromyalgia Impact Questionnaire, and), psychological constructs (pain catastrophizing, pain acceptance, mental defeat, psychological inflexibility, perceived injustice, mindfulness, and positive and negative affect), and secondary variables (sociodemographic variables, anxiety and depression assessed with Hospital Anxiety and Depression Scale, and psychiatric interview assessed with MINI). Assessments will be carried at baseline and at one-year follow-up.Main outcomePain Visual Analogue Scale.AnalysisThe existence of differences in socio-demographic, main outcome and other variables regarding pain-related psychological constructs will be analysed using Chi Square test for qualitative variables, or Student t test or variance analysis, respectively, for variables fulfilling the normality hypothesis. To assess the predictive value of pain-related psychological construct on main outcome variables at one-year follow-up, use will be made of a logistic regression analysis adjusted for socio-demographic and clinical variables. A Spearman Rho non-parametric correlation matrix will be developed to determine possible overlapping between pain-related psychological constructs.DiscussionIn recent years, the relevance of cognitive and affective aspects for the treatment of chronic pain, not only in FM but also in other chronic pain diseases, has been widely acknowledged. However, the relative importance of these psychological constructs, the relationship and possible overlapping between them, or the exact meaning of them in pain are not enough known.

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Increased use of safety-seeking behaviors in chronic back pain patients with high health anxiety

Cited by 71 publications

References 38 publications

Fear of pain changes movement: Motor behaviour following the acquisition of pain‐related fear

Fear of pain changes movement: Motor behaviour following the acquisition of pain‐related fear

Core cognitions related to health anxiety in self-reported medical and non-medical samples

Correlational analysis and predictive validity of psychological constructs related with pain in fibromyalgia

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