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Anxiety sensitivity, fear, and avoidance behavior in headache pain.
Pain. 2004 Sep; 111(1-2):218-23.PAIN

Abstract

Recent research has implicated anxiety sensitivity (AS), the fear of anxiety-related sensations, as a mitigating factor involved in fear and avoidance in patients with chronic back pain [Understanding and treating fear of pain (2004) 3]. Given reported similarities between individuals experiencing chronic pain and those experiencing recurrent headaches, it is theoretically plausible that AS plays a role in influencing fear of pain and avoidance behavior in people with recurrent headache. This has not been studied to date. In the current study we used structural equation modeling to examine the role of AS in fear and avoidance behavior of patients experiencing recurrent headaches. Treatment seeking patients with recurrent headaches completed measures of AS, headache pain severity, pain-related fear, and pain-related escape and avoidance behavior. Structural equation modeling supported the prediction of a direct significant loading of AS on fear of pain. Headache severity also had a direct loading on fear of pain. Results also revealed that AS and headache severity had indirect relationships to pain-related escape and avoidance via their direct loadings on fear of pain. Headache severity also had a small direct loading on escape and avoidance behavior. These results provide compelling evidence that AS may play an important role in pain-related fear and escape and avoidance behavior in patients with recurrent headaches.

Authors+Show Affiliations

Department of Psychology, University of Houston, 128 Heyne Bldg, Houston, TX 77204-5022, USA. peter.norton@mail.uh.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15327826

Citation

Norton, Peter J., and Gordon J G. Asmundson. "Anxiety Sensitivity, Fear, and Avoidance Behavior in Headache Pain." Pain, vol. 111, no. 1-2, 2004, pp. 218-23.
Norton PJ, Asmundson GJ. Anxiety sensitivity, fear, and avoidance behavior in headache pain. Pain. 2004;111(1-2):218-23.
Norton, P. J., & Asmundson, G. J. (2004). Anxiety sensitivity, fear, and avoidance behavior in headache pain. Pain, 111(1-2), 218-23.
Norton PJ, Asmundson GJ. Anxiety Sensitivity, Fear, and Avoidance Behavior in Headache Pain. Pain. 2004;111(1-2):218-23. PubMed PMID: 15327826.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anxiety sensitivity, fear, and avoidance behavior in headache pain. AU - Norton,Peter J, AU - Asmundson,Gordon J G, PY - 2003/12/01/received PY - 2004/06/14/revised PY - 2004/06/28/accepted PY - 2004/8/26/pubmed PY - 2004/11/13/medline PY - 2004/8/26/entrez SP - 218 EP - 23 JF - Pain JO - Pain VL - 111 IS - 1-2 N2 - Recent research has implicated anxiety sensitivity (AS), the fear of anxiety-related sensations, as a mitigating factor involved in fear and avoidance in patients with chronic back pain [Understanding and treating fear of pain (2004) 3]. Given reported similarities between individuals experiencing chronic pain and those experiencing recurrent headaches, it is theoretically plausible that AS plays a role in influencing fear of pain and avoidance behavior in people with recurrent headache. This has not been studied to date. In the current study we used structural equation modeling to examine the role of AS in fear and avoidance behavior of patients experiencing recurrent headaches. Treatment seeking patients with recurrent headaches completed measures of AS, headache pain severity, pain-related fear, and pain-related escape and avoidance behavior. Structural equation modeling supported the prediction of a direct significant loading of AS on fear of pain. Headache severity also had a direct loading on fear of pain. Results also revealed that AS and headache severity had indirect relationships to pain-related escape and avoidance via their direct loadings on fear of pain. Headache severity also had a small direct loading on escape and avoidance behavior. These results provide compelling evidence that AS may play an important role in pain-related fear and escape and avoidance behavior in patients with recurrent headaches. SN - 0304-3959 UR - https://www.unboundmedicine.com/medline/citation/15327826/Anxiety_sensitivity_fear_and_avoidance_behavior_in_headache_pain_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0304-3959(04)00305-7 DB - PRIME DP - Unbound Medicine ER -