Psychological mechanisms in the transition from acute to chronic pain: over- or underrated?

Hasenbring, Monika; Hallner, D.; Klasen, Bernhard

doi:10.1007/s004820100030

Cited by 168 publications

(79 citation statements)

References 25 publications

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“…This relationship exists, even for mild forms of depressivity, and is not limited to psychiatric cases. It is presumed that the resulting passive withdrawal behaviour can foster an atrophy of the musculature in addition to a perceptive focusing on the resulting pains (Flor and Birbaumer 2001;Hasenbring et al 2001). Our analyses operate with a similarly broad definition and substantiate the known correlations-especially the odds ratios for women.…”

Section: Lifestyle Factorsmentioning

confidence: 85%

Workplace stress, lifestyle and social factors as correlates of back pain: a representative study of the German working population

Schneider

Schmitt

Zoller

et al. 2005

Int Arch Occup Environ Health

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This study reports the first representative epidemiological prevalence data for back pain, and its correlates and potential risk factors, for the German working population. To reduce the negative impact of back pain the most promising behavioural and conditional prevention measures in the workplace would be to reduce carrying stress and to vary working posture. In addition, a more active, athletic lifestyle, plus the avoidance of being overweight, should provide an additional protective or preventive effect.

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Section: Lifestyle Factorsmentioning

confidence: 85%

Workplace stress, lifestyle and social factors as correlates of back pain: a representative study of the German working population

Schneider

Schmitt

Zoller

et al. 2005

Int Arch Occup Environ Health

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“…According to the FAM in chronic pain, disuse or a decreased level of physical activity results from fear of pain and subsequent fear and avoidance of activities that are known or believed to exacerbate pain [6,7]. The AvoidanceEndurance Model [8] suggests however, that in addition to patients who are fearful of their pain, a subgroup of patients exists who ignore their pain and therefore persist with activity despite pain. Therefore, the commonly held belief that all patients with CLBP are less active than healthy individuals is challenged by this model.…”

Section: E-mail Address: Derekgriffin@ulie (Dw Griffin)mentioning

confidence: 99%

“…Hasenbring et al [8] proposed that, in addition to patients who fear their pain and avoid activity ('avoiders'), a sub-group of patients exists who ignore their pain and suppress pain-related thoughts. The latter group have been termed 'persisters' and persist with physical activity despite pain [8]. There is empirical evidence to support this concept [27,28].…”

Section: Main Findingsmentioning

confidence: 99%

“…There is a growing body of evidence which suggests that the level of fear-avoidance beliefs may not be associated with objectively-measured free-living physical activity [24][25][26]. Hasenbring et al [8] proposed that, in addition to patients who fear their pain and avoid activity ('avoiders'), a sub-group of patients exists who ignore their pain and suppress pain-related thoughts. The latter group have been termed 'persisters' and persist with physical activity despite pain [8].…”

Section: Main Findingsmentioning

confidence: 99%

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Do patients with chronic low back pain have an altered level and/or pattern of physical activity compared to healthy individuals? A systematic review of the literature

2012

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Background It is commonly assumed that patients with chronic low back pain are less active than healthy individuals. There has been a recent increase in the number of studies published comparing the physical activity levels of patients with chronic low back pain and healthy individuals. Objectives The aim of this systematic review was to determine, based on the current body of evidence, if patients with chronic low back pain have a lower level and/or altered pattern of physical activity compared with asymptomatic, healthy individuals. Data sources The electronic databases Embase, Medline, ISI Web of Knowledge, Cinahl, Sport Discus and Nursing and Allied Health were searched from the beginning of each database until the end of December 2009. Review methods Studies which compared the level and/or pattern of physical activity of patients with chronic low back pain and healthy controls were included. The quality of the included studies was assessed using an assessment tool based on the Newcastle-Ottawa Scale. The scale was modified for the purposes of this study. Results Seven studies were included in the final review. Four studies recruited adult patients (18-65 years), two studies examined older adults (≥65 years) and one study recruited adolescents (<18 years). Pooled data revealed no significant difference in the overall activity level of adults or adolescents with CLBP, however there is evidence that older adults with chronic low back pain are less active than controls. The results suggest that patients exhibit an altered pattern of physical activity over the course of a day compared to controls. Major methodological limitations were identified and are discussed. Conclusion There is no conclusive evidence that patients with chronic low back pain are less active than healthy individuals. Based on a limited number of studies, there is some evidence that the distribution of activities over the course of a day is different between patients with chronic low back pain and controls.

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“…While on the original survey 100% disagreed with the statement "the mechanism of acute and chronic pain are the same", on the current survey 96.7% opposed the same statement. The literature seems to agree that the mechanism involved in chronic pain present similarities and differences from the one in acute pain (39,40); but the fact that the first is a consequence of the second, may explain why some respondents did not disagree with this specific statement. The other statement presenting significant difference from to the original survey to the current one is "stress management is indicated for many TMD patients".…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Beliefs Regarding TMD: Has Anything Changed After 20 Years?

et al. 2016

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Background: Due to the variety of factors involved in TMDs it is not surprising to see a wide range of treatment modalities being suggested for TMD patients. However, one determinant of treatment for TMD that is often overlooked is the practitioner's knowledge and beliefs about the syndrome itself. Objectives: To evaluate changes in experts' knowledge and beliefs regarding Temporomandibular Disorders (TMD) since the administration of the first such survey by Le Resche, Truelove and Dworkin in 1993. Patients and Methods: A survey invitation was emailed to 62 dentists and 19 psychologists, all determined to be experts in the orofacial pain/TMD field. All dentists selected to be part of this survey were members of the American Academy of Orofacial Pain. Psychologists were selected based on their publications in this field. The Le Resche et al. questionnaire was used with the following adaptations: four new statements were inserted; one statement was removed; and a 6-point Likert agreement scale for each statement was used instead of the original 11-point scale. Reminder emails were sent at one week and one month to maximize the response rate. Changes in responses to each item from the original survey were assessed using z-test. Results: Thirty-four dentists but only three psychologists responded to the survey. Therefore only responses from dentists were used in the analysis. Overall there was a high level of agreement between the original sample and the current sample. Of the 34 original items there was very clear consensus on 24. There was consensus on two new items in the survey on the need for a tomogram and splint therapy. Conclusions: Twenty years after the original survey, the knowledge and beliefs regarding TMDs among experts in this field have not changed significantly.

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Psychological mechanisms in the transition from acute to chronic pain: over- or underrated?

Cited by 168 publications

References 25 publications

Workplace stress, lifestyle and social factors as correlates of back pain: a representative study of the German working population

Workplace stress, lifestyle and social factors as correlates of back pain: a representative study of the German working population

Do patients with chronic low back pain have an altered level and/or pattern of physical activity compared to healthy individuals? A systematic review of the literature

Knowledge and Beliefs Regarding TMD: Has Anything Changed After 20 Years?

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