The role of affect in somatoform and factitious disorders

Fernández, Ephrem

doi:10.1007/s11916-998-0054-x

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…1). Five important dynamic interactions have been emphasized [2,28,35]. As depicted in Figure 1, anger can predispose one to pain, precipitate pain, exacerbate pain, be a consequence of pain, or perpetuate pain.…”

Section: How Do Anger and Pain Interact?mentioning

confidence: 99%

The relationship between anger and pain

Fernández

2005

Current Science Inc

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Anger is defined with reference to a cognitive-motivational perspective. This forms the basis for identifying the variety of reasons why pain sufferers are angry and the many ways in which they react when angry. Statistics are provided for the comorbidity of anger in chronic pain and headache. Going beyond such statistics, five dynamic interactions between anger and pain are emphasized and empirical evidence is provided for each of these interactions.

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Section: How Do Anger and Pain Interact?mentioning

confidence: 99%

The relationship between anger and pain

Fernández

2005

Current Science Inc

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“…Characteristic responses at this Stage include learned helplessness, anger, and distress. These affective consequences of chronic pain can perpetuate and even exacerbate the perception of pain (Fernandez, 1998), which then leads to a pain-stress cycle and increased somatization (Gatchel & Oordt, 2003).…”

Section: Development Of Pain: From Acute To Chronicmentioning

confidence: 99%

Cost-Effectiveness of Early Versus Delayed Functional Restoration for Chronic Disabling Occupational Musculoskeletal Disorders

2014

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“…This rela-tionship between affect and pain is both dynamic and complex. For example, Fernandez (1998) described this as a six-factor relationship:…”

Section: Major Psychosocial Variables Associated With Painmentioning

confidence: 99%

Acute and chronic pain conditions.

Gathchel¹,

Oordt²

Clinical Health Psychology and Primary Care: Practical Advice and Clinical Guidance for Successful Collaboration.

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As Gatchel and Turk (1996) have indicated, pain accounts for more than 80% of all physician visits, affecting more than 50 million Americans and costing more than $70 billion annually in health care costs and lost productivity. Traditionally, the main focus in medicine was simply on the cause of the pain reported, with the assumption that the pain had a physical basis and that, once that basis was identified, the source of it could be either eliminated or blocked by medical interventions. As a result, assessment was focused almost entirely on identifying the physical basis for the pain. In the absence of such a physical basis, psychological causation was often suggested and, hence, the term psychogenic pain was coined. This is now an outdated, traditional viewpoint of pain, in which complaints were categorized by a simple dichotomy: The pain reported either had a physical basis or a psychological basis.Fortunately, this view of pain is no longer accepted. Rather, a biopsychosocial perspective of pain is beginning to be more widely embraced (Gatchel & Turk, 1996), although some administrators of health care plans and physicians in primary care settings still need to be "converted." Psychosocial factors, along with biological factors, need to be considered when determining how to treat medical problems. Indeed, as discussed throughout this book, such a biopsychosocial approach is the most heuristic

show abstract

The role of affect in somatoform and factitious disorders

Cited by 4 publications

References 21 publications

The relationship between anger and pain

The relationship between anger and pain

Cost-Effectiveness of Early Versus Delayed Functional Restoration for Chronic Disabling Occupational Musculoskeletal Disorders

Acute and chronic pain conditions.

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