Amending the fear-avoidance model of chronic pain: What is the role of physiological arousal?

Behavior Therapy

Volumn 34, Issue 1, 2003, Pages 17-30

  Norton, Peter J ^a,c   Asmundson, Gordon J G ^b  

^a UNIVERSITY OF NEBRASKA LINCOLN   (United States)

^b UNIVERSITY OF REGINA   (Canada)

^c NONE   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ANXIETY; AROUSAL; ARTICLE; AUTONOMIC NERVOUS SYSTEM FUNCTION; AVOIDANCE BEHAVIOR; CHRONIC PAIN; COGNITION; COPING BEHAVIOR; ESCAPE BEHAVIOR; FEAR; HEART RATE; HUMAN; MUSCLE BLOOD FLOW; MUSCLE TONE; MYALGIA; RELAXATION TRAINING;

EID: 0037832765     PISSN: 00057894     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0005-7894(03)80019-9     Document Type: Article

References (57)

1. Al Absi, M., & Rokke, P. D. (1991). Can anxiety help us tolerate pain? Pain, 46, 43-51.
2. Arntz, A., Merckelbach, H., Peters, M., & Schmidt, A. J. (1991). Chronic low back pain, response specificity and habituation to painful stimuli. Journal of Psychophysiology, 5, 177-188.
3. Asmundson, G. J. G., & Norton, G. R. (1995). Anxiety sensitivity in patients with physically unexplained chronic back pain: A preliminary report. Behaviour Research and Therapy, 33, 771-777.
4. Asmundson, G. J. G., Norton, P. J., & Norton, G. R. (1999). Beyond pain: The role of fear and avoidance in chronicity. Clinical Psychology Review, 19, 97-119.
5. Asmundson, G. J. G., Norton, P. J., & Veloso, F. (1999). Anxiety sensitivity and fear of pain in patients with recurring headaches. Behaviour Research and Therapy, 37, 703-713.
6. Asmundson, G. J. G., & Taylor, S. (1996). Role of anxiety sensitivity in pain-related fear and avoidance. Journal of Behavioral Medicine, 19, 577-586.
7. Asmundson, G. J. G., Wright, K. D., & Hadjistavropoulos, H. D. (2000). Anxiety sensitivity and disabling chronic health conditions: State of the art and future directions. Scandinavian Journal of Behavior Therapy, 29, 100-117.
8. Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York: Guilford Press.
9. Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias. New York: Basic Books.
10. Bortz, W. M. (1984). The disuse syndrome. Western Journal of Medicine, 141, 691-694.
11. Collins, G. A., Cohen, M. J., Naliboff, B. D., & Schandler, S. L. (1982). Comparative analysis of paraspinal and frontalis EMG, heart rate and skin conductance in chronic low back pain patients and normals to various postures and stress. Scandinavian Journal of Rehabilitation Medicine, 14, 39-46.
12. Craske, M. G. (1999). Anxiety disorders: Psychological approaches to theory and treatment. Boulder, CO: Westview.
13. Craske, M. G., Barlow, D. H., & Meadows, E. A. (2000). Mastery of your anxiety and panicthird edition: Therapist guide for anxiety, panic, and agoraphobia. San Antonio, TX: The Psychological Corporation.
14. Crombez, G., Eccleston, C., Baeyens, F., van Houdenhove, B., & van den Broeck, A. (1999). Attention to chronic pain is dependent upon pain-related fear. Journal of Psychosomatic Research, 47, 403-410.
15. Crombez, G., Vervaet, L., Lysens, R., Baeyens, F., & Eelen, P. (1998). Avoidance and confrontation of painful, back-straining movements in chronic back pain patients. Behavior Modification, 22, 62-77.
16. Crombez, G., Vervaet, L., Lysens, R., Eelen, P., & Baeyens, F. (1996). Do pain expectancies cause pain in chronic low back patients? A clinical investigation. Behaviour Research and Therapy, 34, 919-925.
17. Crombez, G., Vlaeyen, J. W. S., Heuts, P. H. T. G., & Lysens, R. (1999). Pain-related fear is more disabling than pain itself: Evidence on the role of pain-related fear in chronic back pain disability. Pain, 80, 329-339.
18. Flor, H., Birbaumer, N., Schugens, M. M., & Lutzenberger, W. (1992). Symptom-specific psychophysiological responses in chronic pain patients. Psychophysiology, 29, 452-460.
19. Flor, H., Turk, D. C., & Birbaumer, N. (1985). Assessment of stress-related responses in chronic back pain patients. Journal of Consulting and Clinical Psychology, 53, 354-364.
20. Fordyce, W. E. (1976). Behavioral methods for chronic pain and illness. St. Louis: Mosby.
21. Fordyce, W. E., Shelton, J. L., & Dundore, D. E. (1982). The modification of avoidance learning in pain behaviors. Journal of Behavioral Medicine, 5, 405-414.
22. Guyton, A. C., & Hall, J. E. (1996). Textbook of medical physiology (9th ed.). Philadelphia: W. B. Saunders.
23. Hoehn-Saric, R., & McLeod, D. R. (1993). Somatic manifestations of normal and pathological anxiety. In R. Hoehn-Saric & D. R. McLeod (Eds.), Biology of anxiety disorders. Washington, DC: American Psychiatric Press.
24. Hope, D. A., Heimberg, R. G., Turk, C. L., & Juster, H. (2000). Managing social anxiety and social phobia. Albany, NY: Graywind.
25. Lang, P. J. (1968). Fear reduction and fear behavior: Problems in treating a construct. In J. M. Shlien (Ed.), Research in psychotherapy. Washington, DC: American Psychological Association.
26. Lethem, J., Slade, P. D., Troup, J. D. G., & Bentley, G. (1983). Outline of a fear-avoidance model of exaggerated pain perception-I. Behaviour Research and Therapy, 21, 401-408.
27. McCracken, L. M. (1997). "Attention" to pain in persons with chronic pain: A behavioral approach. Behavior Therapy, 28, 271-284.
28. McCracken, L. M., Cross, R. T., Sorg, P. J., & Edmands, T. A. (1993). Prediction of pain in patients with chronic low back pain: Effects of inaccurate prediction and pain-related anxiety. Behaviour Research and Therapy, 31, 647-652.
29. McCracken, L. M., Zayfert, C., & Gross, R. T. (1992). The Pain Anxiety Symptoms Scale: Development and validation of a scale to measure fear of pain. Pain, 50, 67-73.
30. McCracken, L. M., Zayfert, C., & Gross, R. T. (1993). The Pain Anxiety Symptoms Scale (PASS): A multimodal measure of pain-specific anxiety symptoms. Behavior Therapist, 16, 183-184.
31. McEwan, K. L., & Devins, G. M. (1983). Is increased arousal in social anxiety noticed by others? Journal of Abnormal Psychology, 92, 417-421.
32. McNeil, D. W., & Rainwater, A. J., III (1998). Development of the Fear of Pain Questionnaire-III. Journal of Behavioral Medicine, 21, 389-410.
33. Merskey H. (1980). Psychological and psychiatric aspects of pain control. In W. L. Smith, H. Merskey, & S. C. Gross (Eds.), Pain: Meaning and management. New York: SP Medical & Scientific Books.
34. Merskey, H. (1993). Chronic muscular pain: A life stress syndrome? Journal of Musculoskeletal Pain, 1, 61-69.
35. Myrtek, M. (1984). Constitutional psychophysiology. Orlando, FL: Academic Press.
36. Nisbett, R. E., & Schachter, S. (1966). Cognitive manipulation of pain. Journal of Experimental Social Psychology, 2, 227-236.
37. Norton, P. J., Asmundson, G. J. G., Norton, G. R., & Craig, K. D. (1999). Growing pain: Ten-year research trends in the study of chronic pain and headache. Pain, 79, 59-65.
38. Paulett, J. D. (1947). Low back pain. Lancet, 253, 272-276.
39. Philips, H. (1987). Avoidance behavior and its role in sustaining chronic pain. Behaviour Research and Therapy, 25, 273-279.
40. Rachman, S., & Arntz, A. (1991). The overprediction and underprediction of pain. Clinical Psychology Review, 11, 339-355.
41. Reiss, S. (1991). Expectancy theory of fear, anxiety, and panic. Clinical Psychology Review, 11, 141-153.
42. Reiss, S., & McNally, R. J. (1985). The expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy (pp. 107-121). New York: Academic Press.
43. Rowbotham, G. F. (1946). Pain and its underlying pathology. Journal of Mental Science, 92, 595-604.
44. Sharp, T. J. (2001). Chronic pain: A reformulation of the cognitive-behavioural model. Behaviour Research and Therapy, 39, 787-800.
45. Snider, B. S., Asmundson, G. J. G., & Wiese, K. C. (2000). Automatic and strategic processing of threat cues in patients with chronic pain: A modified-Stroop evaluation. Clinical Journal of Pain, 16, 144-154.
46. Taylor, S. (1995). Anxiety sensitivity: Theoretical perspectives and recent findings. Behaviour Research and Therapy, 33, 243-258.
47. Taylor, S., Koch, W. J., Woody, S., & McLean, P. (1996). Anxiety sensitivity and depression: How are they related? Journal of Abnormal Psychology, 105, 474-479.
48. Turk, D. C. (1996a). Psychological aspects of chronic pain and disability. Journal of Musculoskeletal Pain, 4, 145-153.
49. Turk, D. C. (1996b). Cognitive factors in chronic pain and disability. In K. S. Dobson & K. D. Craig (Eds.), Advances in cognitive therapy. Thousand Oaks, CA: Sage.
50. Vlaeyen, J. W. S., de Jong, J., Geilen, M., Heuts, P. H. T. G., & Van Breukelen, G. (2001). Graded exposure in vivo in the treatment of pain-related fear: A replicated single-case experimental design in four patients with chronic low back pain. Behaviour Research and Therapy, 39, 151-166.
51. Vlaeyen, J. W. S., Kole-Snijders, A. M. K., Boeren, R. G. B., & van Eek, H. (1995). Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain, 62, 363-372.
52. Vlaeyen, J. W. S., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain, 85, 317-332.
53. Waddell, G., Newton, M., Henderson, I., Sommerville, D., & Main, C. J. (1993). A fear-avoidance beliefs questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain, 52, 157-168.
54. Wagenmakers, A. J. M., Coakley, J. H., & Edwards, R. H. T. (1988). The metabolic consequences of reduced habitual activities in patients with muscle pain and disease. Ergonomics, 31, 1519-1527.
55. Watson, P. J., Booker, C. K., & Main, C. J. (1997). Evidence for the role of psychological factors in abnormal paraspinal activity in patients with chronic low back pain. Journal of Musculoskeletal Pain, 5, 41-56.
56. Weisenberg, M., Aviram, O., Wolf, Y., & Raphaeli, N. (1984). Relevant and irrelevant anxiety in the reaction to pain. Pain, 20, 371-383.
57. Wilhelm, F. H., & Roth, W. T. (2001). The somatic symptom paradox in DSM-IV anxiety disorders: Suggestions for a clinical focus in psychophysiology. Biological Psychiatry, 57, 105-140.