The effects of anxiety sensitivity, pain hypervigilance, and pain catastrophizing on quality of life outcomes of patients with chronic pain: a preliminary, cross-sectional analysis

Wong, Wing Sze; Lam, John H. M.; Chow, Yu Fat; Chen, P. P.; Lim, Huey Sing; Wong, Shawn; Fielding, Richard

doi:10.1007/s11136-014-0683-y

Cited by 35 publications

(39 citation statements)

References 34 publications

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“…La activación del SIC haría que la atención se redirigiera a las señales relacionadas con el dolor (que se asemejan a un "castigo"), con el propósito de anticiparlo y evitarlo lo que, sin embargo, provoca un aumento del nivel percibido del mismo (1,39,40). Esta percepción conllevaría la activación negativa del SAC (puesto que este sistema se activa ante señales de refuerzo y recompensa, no de castigo) y/o su hipoactivación (no desactivación total), debido a la existencia de una influencia bidireccional entre ambos sistemas (41).…”

Section: La Teoría De La Sensibilidad Al Reforzamiento Como Marco Expunclassified

El papel de los sistemas de aproximación e inhibición conductual (SAC/SIC) en la adaptación psicológica al dolor crónico

Serrano‐Ibáñez¹,

López‐Martínez²,

Ramírez‐Maestre³

et al. 2017

Rev. Soc. Esp. Dolor.

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Section: La Teoría De La Sensibilidad Al Reforzamiento Como Marco Expunclassified

El papel de los sistemas de aproximación e inhibición conductual (SAC/SIC) en la adaptación psicológica al dolor crónico

Serrano‐Ibáñez¹,

López‐Martínez²,

Ramírez‐Maestre³

et al. 2017

Rev. Soc. Esp. Dolor.

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“…Indeed, chronic pain patients have reported greater levels of anhedonia and decreased responsiveness to rewards, relative to healthy controls (Elvemo, Landrø, Borchgrevink, & Håberg, 2015), and distress tolerance has been implicated in emotion regulation and coping among persons with chronic pain (Hamilton, Karoly, & Kitzman, 2004). Moreover, decades of research have consistently demonstrated that greater levels of anxiety sensitivity predict a range of negative pain-related outcomes, including greater use of analgesic medications, greater cognitive bias toward pain experiences, and greater activation of fear-avoidance mechanisms (e.g., pain-related fear) that contribute to the development and maintenance of pain-related disability (e.g., Asmundson & Norton, 1995; Keogh & Cochrane, 2002; Wong et al, 2014). Thus, we suggest that transdiagnostic factors relevant to anxiety/depression should also be considered when addressing complex interrelations among affect, pain, and tobacco smoking.…”

Section: Anxiety and Depression In Bidirectional Pain–smoking Relationsmentioning

confidence: 99%

Anxiety and Depression in Bidirectional Relations Between Pain and Smoking

2015

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Pain and tobacco smoking are highly prevalent and comorbid conditions that impose considerable burdens on individuals and health care systems. A recently proposed reciprocal model suggests that these conditions interact in a bidirectional manner, resulting in greater pain and the maintenance of tobacco addiction. Anxiety and depression are common among smokers in pain and have been identified as central mechanisms of interest. There is emerging evidence that smokers with anxiety/depression may experience more severe pain and functional impairment, greater pain-induced motivation to smoke, and increased sensitivity to pain during periods of smoking abstinence. Based on empirical findings, we hypothesize that these experiences may engender expectations that abstaining from smoking will exacerbate both pain and negative affect, thus eroding self-efficacy for smoking cessation and increasing perceived barriers to quitting. The goal of this narrative review is to examine the role of anxiety/depression in complex pain–smoking relations so as to advance evolving theoretical perspectives and inform the development of tailored interventions.

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“…It is well known that the way a person is attending to pain can have a direct effect not only on the experience of pain at that given moment but might also contribute to the development of chronic pain [1–3]. Moreover, pain patients who are highly attentive to pain have been found to engage in fewer productive activities and report greater levels of distress, disability, anxiety, and depression [1].…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the German Version of the Pain Vigilance and Awareness Questionnaire (PVAQ) in Pain-Free Samples and Samples with Acute and Chronic Pain

et al. 2016

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PurposeThe way individuals attend to pain is known to have a considerable impact on the experience and chronification of pain. One method to assess the habitual “attention to pain” is the Pain Vigilance and Awareness Questionnaire (PVAQ). With the present study, we aimed to test the psychometric properties of the German version of the PVAQ across pain-free samples and across patients with acute and chronic pain.MethodTwo samples of pain-free individuals (student sample (N = 255)/non-student sample (N = 362)) and two clinical pain samples (acute pain patients (N = 105)/chronic pain patients (N = 36)) were included in this cross-sectional evaluation of the German PVAQ. Factor structure was assessed using exploratory and confirmatory factor analyses. Reliability was assessed using internal consistency (Cronbach’s alpha). Construct validity was tested by assessing correlations between PVAQ and theoretically related constructs.ResultsExploratory factor analysis (non-student sample) and confirmatory factor analysis (student sample, acute pain patient sample) suggested that a two-factor solution best fitted our data (“attention to pain,” “attention to changes in pain”). Internal consistency ranged from acceptable to good in all four samples. As hypothesized, the PVAQ correlated significantly with theoretically related constructs in all four samples, suggesting good construct validity in pain-free individuals and in pain patients.ConclusionThe German PVAQ shows good psychometric properties across samples of pain-free individuals and patients suffering from pain that are comparable to PVAQ versions of other languages. Thus, the German PVAQ seems to be a measure of pain vigilance equally valid as found in other countries.

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The effects of anxiety sensitivity, pain hypervigilance, and pain catastrophizing on quality of life outcomes of patients with chronic pain: a preliminary, cross-sectional analysis

Cited by 35 publications

References 34 publications

El papel de los sistemas de aproximación e inhibición conductual (SAC/SIC) en la adaptación psicológica al dolor crónico

El papel de los sistemas de aproximación e inhibición conductual (SAC/SIC) en la adaptación psicológica al dolor crónico

Anxiety and Depression in Bidirectional Relations Between Pain and Smoking

Psychometric Properties of the German Version of the Pain Vigilance and Awareness Questionnaire (PVAQ) in Pain-Free Samples and Samples with Acute and Chronic Pain

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