- Preface
- List of Contributors
- List of abbreviations
- Chapter 1 Epidemiology of Back Pain, from the Laboratory to the Bus Stop: Psychosocial Risk Factors, Biological Mechanisms, and Interventions in Population-Based Research
- Chapter 2 Defining Chronic Pain by Prognosis
- Chapter 3 Genetic Factors Modulating Chronic Back Pain
- Chapter 4 Peripheral and Central Sensitization as Risk Factors of Low Back Pain
- Chapter 5 Dysfunction of the Hypothalamic–Pituitary–Adrenal Axis and Associated Stress Axes in the Development of Chronic Low Back Pain
- Chapter 6 Central Imaging of Pain and the Process of Chronicity
- Chapter 7 Structural Brain Changes in Patients with Chronic Back Pain
- Chapter 8 The Psychophysiology of Chronic Back Pain Patients
- Chapter 9 Electromyographically-Determined Muscular Fatigue in Low Back Pain
- Chapter 10 Unmasking the Deconditioning Paradigm for Chronic Low Back Pain Patients
- Chapter 11 Screening of Psychosocial Risk Factors (Yellow Flags) for Chronic Back Pain and Disability
- Chapter 12 Dispositional Fear, Anxiety Sensitivity, and Hypervigilance
- Chapter 13 Processes Underlying the Relation between Catastrophizing and Chronic Pain: Implications for Intervention
- Chapter 14 Fear-Avoidance as a Risk Factor for the Development of Chronic Back Pain and Disability
- Chapter 15 Endurance-Related Pain Responses in the Development of Chronic Back Pain
- Chapter 16 Cognitive Processing and Self-Pain Enmeshment in Chronic Back Pain
- Chapter 17 Significant Others in the Chronicity of Pain and Disability
- Chapter 18 Effects of Workers’ Compensation Systems on Recovery from Disabling Injuries
- Chapter 19 Work-Related Risk Factors for Transition to Chronic Back Pain and Disability
- Chapter 20 The Physician as Disability Advisor for Back Pain Patients
- Chapter 21 The Attitudes and Beliefs of Clinicians Treating Back Pain: Do They Affect Patients’ Outcome?
- Chapter 22 International Guidelines for the Diagnostics and Treatment of Acute, Subacute, and Chronic Back Pain
- Chapter 23 Engaging Patients in their Own Care for Back Care: The Role of Education and Advice in the Prevention of Chronic Pain and Disability
- Chapter 24 Motivational Issues in Pain Management
- Chapter 25 Pharmacotherapy of Low Back Pain
- Chapter 26 Reviewing the Concept of Subgroups in Subacute and Chronic Pain and the Potential of Customizing Treatments
- Chapter 27 Risk Factor-Based Cognitive-Behavioural Therapy for Acute and Subacute Back Pain
- Chapter 28 Physical Exercise Interventions and Low Back Pain
- Chapter 29 Contextual Cognitive-Behavioural Therapy for Chronic Pain (Including Back Pain)
- Chapter 30 Rehabilitation Programmes to Prevent Severely Disabling Chronic Back Pain
- Index
(p. 315) Cognitive Processing and Self-Pain Enmeshment in Chronic Back Pain
- Chapter:
- (p. 315) Cognitive Processing and Self-Pain Enmeshment in Chronic Back Pain
- Author(s):
Adina C. Rusu
and Tamar Pincus
- DOI:
- 10.1093/med/9780199558902.003.0091
Given the detrimental effect of chronic pain on the individual and his or her surrounding environment, research into the factors and mechanisms that contribute to the aetiology, persistence, and effective management of chronic pain has increased significantly in the last decades (Morley et al. 1999; McCracken and Turk 2002; Turk and Okifuji 2002). This growing research interest has (amongst other outcomes) resulted in the identification of a number of psychological factors and mechanisms that may predispose persons toward, or conversely protect them against the development of persistent pain. This chapter contributes to this line of research by focusing on the specific contribution of some of these proposed vulnerability factors. The present chapter focuses on cognitive mechanisms and processes occurring at strategic and automatic levels that constitute a mediating or moderating role in pain and pain-related disability. Before introducing the precise research questions that have been explored in this context, in the following paragraphs a brief overview of cognitive processing theories will be provided. The main part of this chapter will focus on the theoretical background against which the current research was conducted. Furthermore, empirical evidence on cognitive processing biases in chronic pain will be reviewed. Finally, this chapter will end with perspectives on the main clinical implications of this line of research and future research directions.
Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.
Please subscribe or login to access full text content.
If you have purchased a print title that contains an access token, please see the token for information about how to register your code.
For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.
- Preface
- List of Contributors
- List of abbreviations
- Chapter 1 Epidemiology of Back Pain, from the Laboratory to the Bus Stop: Psychosocial Risk Factors, Biological Mechanisms, and Interventions in Population-Based Research
- Chapter 2 Defining Chronic Pain by Prognosis
- Chapter 3 Genetic Factors Modulating Chronic Back Pain
- Chapter 4 Peripheral and Central Sensitization as Risk Factors of Low Back Pain
- Chapter 5 Dysfunction of the Hypothalamic–Pituitary–Adrenal Axis and Associated Stress Axes in the Development of Chronic Low Back Pain
- Chapter 6 Central Imaging of Pain and the Process of Chronicity
- Chapter 7 Structural Brain Changes in Patients with Chronic Back Pain
- Chapter 8 The Psychophysiology of Chronic Back Pain Patients
- Chapter 9 Electromyographically-Determined Muscular Fatigue in Low Back Pain
- Chapter 10 Unmasking the Deconditioning Paradigm for Chronic Low Back Pain Patients
- Chapter 11 Screening of Psychosocial Risk Factors (Yellow Flags) for Chronic Back Pain and Disability
- Chapter 12 Dispositional Fear, Anxiety Sensitivity, and Hypervigilance
- Chapter 13 Processes Underlying the Relation between Catastrophizing and Chronic Pain: Implications for Intervention
- Chapter 14 Fear-Avoidance as a Risk Factor for the Development of Chronic Back Pain and Disability
- Chapter 15 Endurance-Related Pain Responses in the Development of Chronic Back Pain
- Chapter 16 Cognitive Processing and Self-Pain Enmeshment in Chronic Back Pain
- Chapter 17 Significant Others in the Chronicity of Pain and Disability
- Chapter 18 Effects of Workers’ Compensation Systems on Recovery from Disabling Injuries
- Chapter 19 Work-Related Risk Factors for Transition to Chronic Back Pain and Disability
- Chapter 20 The Physician as Disability Advisor for Back Pain Patients
- Chapter 21 The Attitudes and Beliefs of Clinicians Treating Back Pain: Do They Affect Patients’ Outcome?
- Chapter 22 International Guidelines for the Diagnostics and Treatment of Acute, Subacute, and Chronic Back Pain
- Chapter 23 Engaging Patients in their Own Care for Back Care: The Role of Education and Advice in the Prevention of Chronic Pain and Disability
- Chapter 24 Motivational Issues in Pain Management
- Chapter 25 Pharmacotherapy of Low Back Pain
- Chapter 26 Reviewing the Concept of Subgroups in Subacute and Chronic Pain and the Potential of Customizing Treatments
- Chapter 27 Risk Factor-Based Cognitive-Behavioural Therapy for Acute and Subacute Back Pain
- Chapter 28 Physical Exercise Interventions and Low Back Pain
- Chapter 29 Contextual Cognitive-Behavioural Therapy for Chronic Pain (Including Back Pain)
- Chapter 30 Rehabilitation Programmes to Prevent Severely Disabling Chronic Back Pain
- Index