Beyond pain: The role of fear and avoidance in chronicity
Beyond pain: The role of fear and avoidance in chronicity
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DOI：
10.1016/s0272-7358(98)00034-8
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发表时间：
1999-01-01
影响因子：
12.8
通讯作者：
Norton, GR
中科院分区：
文献类型：
--
作者：
Asmundson, GJG;Norton, PJ;Norton, GR
本文的目的是将慢性疼痛和恐惧症文献中一些有些不同的主题统一起来。首先，我们对关于回避在慢性疼痛维持中的作用的早期著作和当前的理论观点进行了总结性回顾。其次，我们对慢性肌肉骨骼疼痛患者的恐惧和回避的近期实证研究进行了综合综述，并将研究结果与现有的认知行为理论立场联系起来。我们还讨论了一些新的和新兴的研究方向，特别是与信息处理和焦虑敏感性相关的方向，它们似乎与疼痛相关的回避行为密切相关。最后，我们讨论了近期实证研究结果对评估和治疗患有致残性慢性肌肉骨骼疼痛的个体的意义，并提出了未来研究的可能途径。（C）1999年爱思唯尔科学有限公司
The purpose of the present article is to provide unification to a number of somewhat disparate themes in the chronic pain and phobia literature. First, we present a summary review of the early writings and current theoretical perspectives regarding the role of avoidance in the maintenance of chronic pain. Second, we present an integrative review of recent empirical investigations of fear and avoidance in patients with chronic musculoskeletal pain, relating the findings to existing cognitive-behavioral theoretical positions. We also discuss several new and emerging lines of investigation, specifically related to information processing and anxiety sensitivity, which appear to be closely linked to pain-related avoidance behavior. Finally, we discuss the implications of the recent empirical findings for the assessment and treatment of individuals who experience disabling chronic musculoskeletal pain and suggest possible avenues for future investigation. (C) 1999 Elsevier Science Ltd.