Understanding and Treating Fear of Pain

Hardcover | August 12, 2004

EditorGordon Asmundson, Johan Vlaeyen, Geert Crombez

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People who suffer from chronic pain are typically found to be more anxious and fearful of pain than those who do not. Recent evidence has shown that the fear itself serves as a mechanism through which chronic pain is maintained over time. Even once the muscle or tissue damage is healed, a fearof further pain can lead to avoidance behaviour, which over time, leads to deconditioning (e.g. decreased mobility, weight gain). This in turn leads to further pain experiences, negative expectancies, and strengthened avoidance. It is the reciprocal relationship between fear and avoidance that isthought to be responsible for maintaining pain behaviour and disability. With fear of pain known to cause significant suffering and functional disability, there is a need for a greater understanding of this condition. This is the first book to explore this topic. It starts by introducing the current theoretical positions regarding pain-related fear and anxiety alongwith relevant empirical findings. It then provides comprehensive coverage of assessment issues and treatment strategies. Finally, the book suggests further areas for investigation. Pain-related fear and anxiety are now receiving considerable attention, and efficient and effective treatments are fast becoming available. This book will help guide and extend our understanding of a condition that has been shown to be associated with substantial suffering and disability.

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People who suffer from chronic pain are typically found to be more anxious and fearful of pain than those who do not. Recent evidence has shown that the fear itself serves as a mechanism through which chronic pain is maintained over time. Even once the muscle or tissue damage is healed, a fearof further pain can lead to avoidance behav...

Gordon Asmundson is at the Faculty of Kinesiology and Health Studies, University of Regina, Canada. Johan Vlaeyen is in the Department of Experimental Psychology, University of Maastricht, The Netherlands.

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Format:HardcoverDimensions:390 pages, 9.45 × 6.61 × 1.06 inPublished:August 12, 2004Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0198525141

ISBN - 13:9780198525141

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Table of Contents

Part I - Theoretical Foundations and Empirical Findings1. G.J.G. Asmundson, P.J. Norton and J.W.S. Vlaeyen: Fear-avoidance models of chronic pain: an overview2. L. Goubert, G. Crombez and M. Peters: Pain-related fear and avoidance: a conditioning perspective3. L.M. McCracken: A behavioural analysis of pain-related fear responses4. S. van Damme, G. Crombez, C. Eccleston and J. Roelofs: The role of hypervigilance in the experience of pain5. E. Keogh and G.J.G. Asmundson: Negative affectivity, catastrophising and anxiety sensitivity6. E.L.M. Gheldof, P.J. de Jong, J. Vinck and R.M.A. Houben: Attitudes towards physical activity: the role of implicit versus explicit associations7. J.A. Verbunt, H.A. Seelen and J.W.S. Vlaeyen: Disuse and physical deconditioning in chronic low back painPart II - Assessment8. S. Morley and C. Eccleston: The object of fear in pain9. D.W. McNeil and K.E. Vowles: Assessment of fear and anxiety associated with pain: conceptualisation, methods and measures10. S.J. Linton and K. Boersma: The role of fear-avoidance in the early identification of patients risking the development of disability11. H.D. Hadjistavropoulos and K.M. Kowalyk: Patient-therapist relationships among patients with pain-related fearPart III - Treatment12. B.H.K. Balderson, E.H.B. Lin and M. Von Korff: The management of pain-related fear in primary care13. A A. de C Williams and L. McCracken: Cognitive behavioural therapy for chronic pain: an overview with specific reference to fear and avoidance14. J.W.S. Vlaeyen, J. de Jong, M. Leeuw and G. Crombez: Fear reduction in chronic pain: graded exposure in vivo with behavioural experimentsPart IV - Conclusions and Future Directions15. G.J.G. Asmundson, J.W.S. Vlaeyen, G. Crombez and M.J. Coons: Future challenges and research directions in fear of pain