Prediction of pain in patients with chronic low back pain: Effects of inaccurate prediction and pain-related anxiety

McCracken, Lance M.; Gross, Richard T.; Sorg, P.J.; Edmands, Theresa A.

doi:10.1016/0005-7967(93)90117-d

Cited by 224 publications

(129 citation statements)

References 13 publications

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“…Avoidance behavior is reinforced in the short-term, through the reduction of suffering associated with noxious stimulation (McCracken, Gross, Sorg, & Edmands, 1993). Avoidance, however, can be a maladaptive response if it persists and leads to increased fear, limited activity, and other physical and psychological consequences that contribute to disability and persistence of pain.…”

Section: Anxietymentioning

confidence: 99%

The biopsychosocial approach to chronic pain: Scientific advances and future directions.

Gatchel¹,

Peng²,

Peters³

et al. 2007

Psychological Bulletin

2,594

1,903

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The prevalence and cost of chronic pain is a major physical and mental health care problem in the United States today. As a result, there has been a recent explosion of research on chronic pain, with significant advances in better understanding its etiology, assessment and treatment. The purpose of the present article is to provide a review of the most noteworthy developments in the field. The biopsychosocial model is now widely accepted as the most heuristic approach to chronic pain. With this model in mind, a review of the basic neuroscience processes of pain (the bio part of biopsychosocial), as well as the psychosocial factors is presented. This spans research on how psychological and social factors can interact with brain processes to influence health and illness, to the development of new technologies, such as brain imaging, that provide new insights into brain-pain mechanisms.KEY WORDS: biopsychosocial; chronic pain; neuroscience of pain; pain and cognition; pain and emotion Biopsychosocial Approach to Chronic Pain 3The Biopsychosocial Approach to Chronic Pain: Scientific Advances and Future Directions During the past decade, there has been an explosion of research on chronic pain, with significant advances in understanding its etiology, assessment and treatment (Gatchel, 2004; Turk & Monarch, 2002). This research has important health care implications Epidemiological research has shown that chronic pain (loosely defined as prolonged and persistant pain of at least 3-months duration) and chronic recurrent pain (recurrent episodes of pain interspersed with pain free periods extending over months or years) affects 10% -20% of adults in the general population (Blyth et al., 2001; Gureje, Von Korff, Simon & Gater, 1998; Vehaak, Kerssens, Dekker, Sorbi & Bensing, 1998). For example, in a large-scale epidemiological study, Von Korff, Crane, Lane et al. (2005) estimated a 19% prevalence for chronic spinal pain (neck and back) in the U.S. in the previous year, and a 29% lifetime rate. The American Academy of Pain Management (2003) asserted that approximately 57% of all adult Americans reported experiencing recurrent or chronic pain in the past year. About 62% of those individuals reporting being in pain for more than 1 year, and 40% noted that they were constantly in pain. Indeed, as Gatchel (2004) has summarized that pain is a pervasive medical problem: it affects over 50 million Americans and costs more than $70 billion annually in health care costs and lost productivity; it accounts for more than 80% of all physician visits. Moreover, chronic pain is often associated with major comorbid psychiatric disorders and emotional suffering.As the above factors attest, the prevalence and cost of chronic pain is a major physical and mental health care problem in the United States. Moreover, individuals 50 years of age and older are twice as likely to have been diagnosed with chronic pain (Gatchel, 2004;. Currently, there are approximately 35 million Americans aged 65 years or older, accounting for 12.4% of t...

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Section: Anxietymentioning

confidence: 99%

The biopsychosocial approach to chronic pain: Scientific advances and future directions.

Gatchel¹,

Peng²,

Peters³

et al. 2007

Psychological Bulletin

2,594

1,903

View full text Add to dashboard Cite

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“…Since its introduction in 1992, the PASS has garnered significant evidence for validity as a measure of pain-related anxiety and fear (1,7,(9)(10)(11)(12)(13)(14). To summarize some pertinent findings, scores from the PASS have been shown to correlate with general measures of pain severity, anxiety and depression (1,14,15); disability (1,12); passive range of motion and anxiety ratings during a physical examination (11); greater catastrophizing responses to pain (4,10), and fewer pain coping responses (10,15); anxiety sensitivity (16,17), hypervigilance and preoccupation with pain (13); and general physical complaints (8), and reduced lifting and carrying capacity (14).…”

Section: Version Abrégée De L'échelle Des Symptômes D'anxiété à L'égamentioning

confidence: 99%

“…To summarize some pertinent findings, scores from the PASS have been shown to correlate with general measures of pain severity, anxiety and depression (1,14,15); disability (1,12); passive range of motion and anxiety ratings during a physical examination (11); greater catastrophizing responses to pain (4,10), and fewer pain coping responses (10,15); anxiety sensitivity (16,17), hypervigilance and preoccupation with pain (13); and general physical complaints (8), and reduced lifting and carrying capacity (14). We have shown that PASS scores predict disability better than, and beyond variance attributed to, depression, general anxiety or pain (1).…”

Section: Version Abrégée De L'échelle Des Symptômes D'anxiété à L'égamentioning

confidence: 99%

A Short Version of the Pain Anxiety Symptoms Scale (PASS‐20): Preliminary Development and Validity

McCracken

Dhingra

2002

Pain Research and Management

544

428

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BACKGROUND:Research has shown significant relations between fear and avoidance of pain and the suffering and disability of chronic pain. Effective measurement tools have formed the foundation for studying these relations. METHODS: The present article describes the initial development and validation of the PASS-20, a short form version of the Pain Anxiety Symptoms Scale (PASS). Like the original inventory, the PASS-20 measures fear and anxiety responses specific to pain. Items were selected for the short version based on item variance, item intercorrelation and reliability analyses. RESULTS:The PASS-20 shows strong internal consistency, reliability, and good predictive and construct validity. Item reduction appears to result in minimal shrinkage of validity correlations. CONCLUSIONS: Overall, the results suggest that the short form retains adequate psychometric properties. Possible research

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“…Newly identified feedback loops involving tissue inflammation, nociceptive sensory nerve stimulation, and central nervous system or endocrine amplification (58-62) have been identified in fibro~nyalgia patients. Chronic back-pain patients may be experiencing a similar, poorly understood vicious cycle of pain perpetuation, sometimes exacerbated by medical and social labeling of their problem as "psychogenic" (49,(63)(64)(65)(66)(67). Considering the complex natural history of chronic pain development in back-pain patients receiving compensation payments, the use of the simplistic and victim-blaming term "compensation neurosis" would now appear to be unjustified (66).…”

Section: How Is the Severity Of Back Pain Determined?mentioning

confidence: 99%

Occupational back pain -- an unhelpful polemic

Frank¹,

Pulcins²,

Kerr³

et al. 1995

Scand J Work Environ Health

103

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Prediction of pain in patients with chronic low back pain: Effects of inaccurate prediction and pain-related anxiety

Cited by 224 publications

References 13 publications

The biopsychosocial approach to chronic pain: Scientific advances and future directions.

The biopsychosocial approach to chronic pain: Scientific advances and future directions.

A Short Version of the Pain Anxiety Symptoms Scale (PASS‐20): Preliminary Development and Validity

Occupational back pain -- an unhelpful polemic

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