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Understanding and Treating Fear of Pain -

Understanding and Treating Fear of Pain

Buch | Hardcover
288 Seiten
2004
Oxford University Press (Verlag)
978-0-19-852514-1 (ISBN)
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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. This book details the theory, research and clinically applicable issues of a condition - fear of pain - one known to cause significant suffering and functional disability.
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 fear of 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 is thought 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 along with 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.

PART I - THEORETICAL FOUNDATIONS AND EMPIRICAL FINDINGS ; 1. Fear-avoidance models of chronic pain: an overview ; 2. Pain-related fear and avoidance: a conditioning perspective ; 3. A behavioural analysis of pain-related fear responses ; 4. The role of hypervigilance in the experience of pain ; 5. Negative affectivity, catastrophising and anxiety sensitivity ; 6. Attitudes towards physical activity: the role of implicit versus explicit associations ; 7. Disuse and physical deconditioning in chronic low back pain ; PART II - ASSESSMENT ; 8. The object of fear in pain ; 9. Assessment of fear and anxiety associated with pain: conceptualisation, methods and measures ; 10. The role of fear-avoidance in the early identification of patients risking the development of disability ; 11. Patient-therapist relationships among patients with pain-related fear ; PART III - TREATMENT ; 12. The management of pain-related fear in primary care ; 13. Cognitive behavioural therapy for chronic pain: an overview with specific reference to fear and avoidance ; 14. Fear reduction in chronic pain: graded exposure in vivo with behavioural experiments ; PART IV - CONCLUSIONS AND FUTURE DIRECTIONS ; 15. Future challenges and research directions in fear of pain

Erscheint lt. Verlag 29.7.2004
Verlagsort Oxford
Sprache englisch
Maße 174 x 246 mm
Gewicht 738 g
Themenwelt Geisteswissenschaften Psychologie Klinische Psychologie
Medizin / Pharmazie Gesundheitswesen
Medizin / Pharmazie Medizinische Fachgebiete Psychiatrie / Psychotherapie
Medizin / Pharmazie Medizinische Fachgebiete Schmerztherapie
Medizin / Pharmazie Zahnmedizin
ISBN-10 0-19-852514-1 / 0198525141
ISBN-13 978-0-19-852514-1 / 9780198525141
Zustand Neuware
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