Chronic pain treatment: from psychological predictors to implementation.
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Publication year
2008Author(s)
Publisher
[S.l.] : [S.n.]
ISBN
9789090229546
Number of pages
192 p.
Annotation
RU Radboud Universiteit Nijmegen, 17 oktober 2008
Promotores : Kraaimaat, F.W., Crul, B.J.P. Co-promotor : Evers, A.W.M.
Publication type
Dissertation

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Organization
Anesthesiology
Medical Psychology
Subject
EBP 1: Determinants of Health and Disease; NCEBP 8: Psychological determinants of chronic illnessAbstract
In this thesis, cognitive-behavioural factors were studied based on the Fear-avoidance model (catastrophizing, fear of pain and avoidance behaviour) and, based on recent literature, helplessness and acceptance. All were studied as predictors of chronic pain outcomes (pain intensity, functional disability and depression) and medical, paramedical and multidisciplinary chronic pain treatment effectivity. The results indicate that helplessness and acceptance are important coping factors as they appear to predict chronic pain outcomes and treatment effectivity beyond fear-avoidance factors. Also, the studies indicate that cognitive-behavioural factors predict the intensity of pain experience, functional disability and depression and the effectivity of medical, paramedical as well as multidisciplinary treatment. Based on these results, three recommendations may be formulated: 1. The fear-avoidance model may be extended by including helplessness and acceptance cognitions 2. pre-treatment screening procedures should include cognitive-behavioural factors of fear of pain, catastrophizing, avoidance behaviour, helplessness and acceptance. 3. Chronic pain treatment may benefit by including helplessness and acceptance oriented treatment modules.
This item appears in the following Collection(s)
- Academic publications [227881]
- Dissertations [12963]
- Electronic publications [107344]
- Faculty of Medical Sciences [86219]
- Open Access publications [76465]
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