Cognitive dimensions of chronic pain

Ciccone, Donald S.; Grzesiak, Roy C.

doi:10.1016/0277-9536(84)90022-4

Cited by 47 publications

(8 citation statements)

References 13 publications

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“…Several clinical disorders, such as hypochondriasis, are assumed to be reflective of catastrophizing cognitions in combination with a strong internal focus (Barsky and Klerman 1983;Cioffi 1991). A 3rd explanation could be that catastrophizing cognitions trigger unnecessary sympathetic arousal wich resuits in the subjective feeling of anxiety (Ciccone and Grzesiak 1984). Of course, positive correlations may not be confused with causal effects.…”

Section: Discussionmentioning

confidence: 99%

Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance

Vlaeyen

Kole-Snijders²,

Boeren³

et al. 1995

Pain

2,028

1,393

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SummaryTwo studies are presented that investigated 'fear of movement/(re)injury' in chronic musculoskeletal pain and its relation to behavioral performance. The 1st study examines the relation among fear of movement/(re)injury (as measured with the Dutch version of the Tampa Scale for Kinesiophobia (TSK-DV)) (Kori et al. 1990), biographical variables (age, pain duration, gender, use of supportive equipment, compensation status), pain-related variables (pain intensity, pain cognitions, pain coping) and affective distress (fear and depression) in a group of 103 chronic low back pain (CLBP) patients. In the 2nd study, motoric, psychophysiologic and self-report measures of fear are taken from 33 CLBP patients who are exposed to a single and relatively simple movement. Generally, findings demonstrated that the fear of movement/(re)injury is related to gender and compensation status, and more closely to measures of catastrophizing and depression, but in a much lesser degree to pain coping and pain intensity. Furthermore, subjects who report a high degree of fear of movement/(re)injury show more fear and escape/avoidance when exposed to a simple movement. The discussion focuses on the clinical relevance of the construct of fear of movement/(re)injury and research questions that remain to be answered.

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Section: Discussionmentioning

confidence: 99%

Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance

Vlaeyen

Kole-Snijders²,

Boeren³

et al. 1995

Pain

2,028

1,393

View full text Add to dashboard Cite

show abstract

“…It involves identifying those dysfunctional thought processes and irrational beliefs that lead to emotional distress and which increase pain perception and experience. Cognitive events which amplify pain syndromes have been found to include catastrophizing, over‐generalization, low frustration tolerance, external locus of control and mislabelling of somatic sensations (Ciccone & Grzesiak 1984). Thus the focus of the cognitive approach to treatment is to change the way individuals think about their pain.…”

Section: Cognitive–behavioural Approachesmentioning

confidence: 99%

Psychological approaches to chronic pain management: part 1

Adams¹,

Poole²,

Richardson³

2006

Journal of Clinical Nursing

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“…Radical cognitive. Ciccone and Grzesiak's (1984) view of pain as an experience subject to rational thinking and related sorts of cognitive activity dates back to at least the ancient, Stoic Greek philosophers (cf. Turk et al, 1983).…”

Section: Restrictive Perspectivesmentioning

confidence: 99%

Perspectives of chronic pain: An evaluative comparison of restrictive and comprehensive models.

Novy

Nelson

Francis

et al. 1995

Psychological Bulletin

105

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The authors compare theoretical perspectives of chronic pain using a restrictive comprehensive categorization. Four of the perspectives (mind-body dualism, psychological, radical operant--behavioral, and radical cognitive) are categorized as restrictive. The other 4 perspectives (International Association for the Study of Pain, gate control, nonradical operant--behavioral, and cognitive-behavioral) that incorporate multiple facets are categorized as comprehensive. On the basis of empirical support, practical application, and issues concerning potential research design problems, the restrictive perspectives could be rejected for not providing a model in which chronic pain can be thoroughly investigated. The comprehensive perspectives, however, demonstrate greater potential for serving that role. Nonetheless, the need for additional theory development by the comprehensive perspectives is noted.

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Cognitive dimensions of chronic pain

Cited by 47 publications

References 13 publications

Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance

Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance

Psychological approaches to chronic pain management: part 1

Perspectives of chronic pain: An evaluative comparison of restrictive and comprehensive models.

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