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Fear reduction in patients with chronic pain: a learning theory perspective.
Expert Rev Neurother. 2010 Nov; 10(11):1733-45.ER

Abstract

Acute pain informs the individual that there is an imminent threat of body damage, and is associated with the urge to escape and avoid. Fear learning takes place when neutral stimuli receive the propensity to predict the occurrence of pain, and when defensive responses are initiated in anticipation of potential threats to the integrity of the body. Fear-avoidance models have been put forward featuring the role of individual differences in catastrophic interpretations of pain in the modulation of learning and avoidance. Based on extensive literature on fear reduction in anxiety disorders; cognitive-behavioral treatments have been developed and applied to patients with chronic pain reporting substantial pain-related fear. In this article, we discuss mechanisms underlying the acquisition, the assessment and extinction of pain-related fear through the cognitive-behavioral treatment of pain-related fear. Finally, we provide a number of critical notes and directions for future research in the field of chronic pain and pain-related fear.

Authors+Show Affiliations

University Medical Centre Maastricht, and Department of Clinical Psychological Science, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands. marlies.denhollander@maastrichtuniversity.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

20977330

Citation

den Hollander, Marlies, et al. "Fear Reduction in Patients With Chronic Pain: a Learning Theory Perspective." Expert Review of Neurotherapeutics, vol. 10, no. 11, 2010, pp. 1733-45.
den Hollander M, de Jong JR, Volders S, et al. Fear reduction in patients with chronic pain: a learning theory perspective. Expert Rev Neurother. 2010;10(11):1733-45.
den Hollander, M., de Jong, J. R., Volders, S., Goossens, M. E., Smeets, R. J., & Vlaeyen, J. W. (2010). Fear reduction in patients with chronic pain: a learning theory perspective. Expert Review of Neurotherapeutics, 10(11), 1733-45. https://doi.org/10.1586/ern.10.115
den Hollander M, et al. Fear Reduction in Patients With Chronic Pain: a Learning Theory Perspective. Expert Rev Neurother. 2010;10(11):1733-45. PubMed PMID: 20977330.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fear reduction in patients with chronic pain: a learning theory perspective. AU - den Hollander,Marlies, AU - de Jong,Jeroen R, AU - Volders,Stéphanie, AU - Goossens,Mariëlle E J B, AU - Smeets,Rob J E M, AU - Vlaeyen,Johan W S, PY - 2010/10/28/entrez PY - 2010/10/28/pubmed PY - 2011/2/5/medline SP - 1733 EP - 45 JF - Expert review of neurotherapeutics JO - Expert Rev Neurother VL - 10 IS - 11 N2 - Acute pain informs the individual that there is an imminent threat of body damage, and is associated with the urge to escape and avoid. Fear learning takes place when neutral stimuli receive the propensity to predict the occurrence of pain, and when defensive responses are initiated in anticipation of potential threats to the integrity of the body. Fear-avoidance models have been put forward featuring the role of individual differences in catastrophic interpretations of pain in the modulation of learning and avoidance. Based on extensive literature on fear reduction in anxiety disorders; cognitive-behavioral treatments have been developed and applied to patients with chronic pain reporting substantial pain-related fear. In this article, we discuss mechanisms underlying the acquisition, the assessment and extinction of pain-related fear through the cognitive-behavioral treatment of pain-related fear. Finally, we provide a number of critical notes and directions for future research in the field of chronic pain and pain-related fear. SN - 1744-8360 UR - https://www.unboundmedicine.com/medline/citation/20977330/Fear_reduction_in_patients_with_chronic_pain:_a_learning_theory_perspective_ L2 - https://www.tandfonline.com/doi/full/10.1586/ern.10.115 DB - PRIME DP - Unbound Medicine ER -