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Titolo:
The effects of failure feedback and pain-related fear on pain report, paintolerance, and pain avoidance in chronic low back pain patients
Autore:
van den Hout, JHC; Vlaeyen, JWS; Houben, RMA; Soeters, APM; Peters, ML;
Indirizzi:
Maastricht Univ, Dept Med Clin & Expt Psychol, NL-6200 MD Maastricht, Netherlands Maastricht Univ Maastricht Netherlands NL-6200 MD aastricht, Netherlands Inst Rehabil Res, NL-6430 AD Hoensbroek, Netherlands Inst Rehabil Res Hoensbroek Netherlands NL-6430 AD ensbroek, Netherlands Univ Hosp Maastricht, Pain Management & Res Ctr, NL-6201 AZ Maastricht, Netherlands Univ Hosp Maastricht Maastricht Netherlands NL-6201 AZ icht, Netherlands
Titolo Testata:
PAIN
fascicolo: 1-2, volume: 92, anno: 2001,
pagine: 247 - 257
SICI:
0304-3959(200105)92:1-2<247:TEOFFA>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
SECONDARY PREVENTION; NEGATIVE AFFECTIVITY; ANXIETY SENSITIVITY; MOVEMENT (RE)INJURY; FOLLOW-UP; DISABILITY; PERFORMANCE; EXPERIENCE; BELIEFS; STRESS;
Keywords:
pain report; pain tolerance; pain avoidance; failure feedback; pain-related fear; negative affectivity; chronic low back pain patients;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: van den Hout, JHC Maastricht Univ, Dept Med Clin & Expt Psychol, POB 616, NL-6200 MD Maastricht, Netherlands Maastricht Univ POB 616 Maastricht Netherlands NL-6200 MD
Citazione:
J.H.C. van den Hout et al., "The effects of failure feedback and pain-related fear on pain report, paintolerance, and pain avoidance in chronic low back pain patients", PAIN, 92(1-2), 2001, pp. 247-257

Abstract

The aim of this study was to investigate the influence of non-pain-relatedfailure experiences and pain-related fear on pain report, pain tolerance and pain avoidance in chronic low back pain (CLBP) patients. Moreover. the mediating and moderating role of negative affectivity (trait-NA) in the relationship between failure experiences and pain was examined. Seventy-six patients were divided into high and low pain-related fear groups and within each group they were randomly assigned to the failure or success feedback condition. In the first part of the study patients completed a 'social empathytest' and experimenter 1 subsequently delivered false failure or success feedback. A second experimenter, who was blind for the condition, subsequently administered two lifting tasks in order to obtain measures of pain report, tolerance and avoidance. Failure feedback did have an effect on pain avoidance but unexpectedly, and not as hypothesized. pain avoidance was reduced instead of enhanced. With regard to pain report and pain tolerance similar patterns were found, but these were not statistically significant. The effect of failure feedback on pain avoidance was moderated by trait-NA. Only in the subgroup of patients who scored low on trait-NA did failure feedbackdecrease pain avoidance. State-NA did not mediate the effects of feedback. In line with previous findings, pain-related fear resulted in lower pain tolerance. Moreover, this study was the first to show that pain-related fearpredicted higher pain report in CLBP patients. Pain-related fear did not predict pain avoidance when pre-lifting pain and gender were controlled for. Finally, pre-lifting pain turned out to be the strongest predictor with regard to all pain measures. The role of pain-related fear and unexpected findings with regard to feedback are discussed as well as some clinical implications. (C) 2001 International Association for the Study of Pain. Publishedby Elsevier Science B.V. All rights reserved.

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Documento generato il 10/07/20 alle ore 18:07:38