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To control or not? A motivational perspective on coping with pain

Emelien Lauwerier UGent, Stefaan Van Damme UGent, Liesbet Goubert UGent, Koen Paemeleire UGent, Jacques Devulder UGent and Geert Crombez UGent (2012) ACTA NEUROLOGICA BELGICA. 112(1). p.3-7
abstract
Pain relief is often the primordial treatment objective in pain patients. However, an exclusive focus upon pain relief may have costs. Evidence is accumulating that persistent attempts to gain control over pain may, paradoxically, hinder successful adaptation to pain and increase frustration and limitations due to pain. To better understand these apparently paradoxical findings, we propose to adopt a motivational perspective on coping with pain. Within this perspective, pain control is recast as an attempt to protect and restore valued life goals threatened by pain. This framework explains why some patients engage excessively in pain control strategies despite the costs associated with this, such as overuse of medication. A clinical implication is that cautiousness is warranted in promoting strategies exclusively aimed at pain relief. Beyond standard medical care, interventions should also be aimed at the improvement of functioning despite pain. Certainly those patients for whom there is no definite or sound cure to pain and who increasingly experience emotional and physical problems due to pain might benefit from paramedical help by psychologists and/or physiotherapists.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (review)
publication status
published
subject
keyword
MUSCULOSKELETAL PAIN, GENERAL-POPULATION, CLINICAL-PRACTICE, CURRENT STATE, QUESTIONNAIRE, ACCEPTANCE, BEHAVIOR, Pain, Chronic pain, Coping, Pain relief, Acceptance, Motivation, FEAR-AVOIDANCE, QUALITY-OF-LIFE, LOW-BACK-PAIN
journal title
ACTA NEUROLOGICA BELGICA
Acta Neurol. Belg.
volume
112
issue
1
pages
3 - 7
Web of Science type
Review
Web of Science id
000305226100002
JCR category
CLINICAL NEUROLOGY
JCR impact factor
0.466 (2012)
JCR rank
177/190 (2012)
JCR quartile
4 (2012)
ISSN
0300-9009
DOI
10.1007/s13760-012-0020-6
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2967125
handle
http://hdl.handle.net/1854/LU-2967125
date created
2012-08-02 16:22:41
date last changed
2015-06-17 10:12:21
@article{2967125,
  abstract     = {Pain relief is often the primordial treatment objective in pain patients. However, an exclusive focus upon pain relief may have costs. Evidence is accumulating that persistent attempts to gain control over pain may, paradoxically, hinder successful adaptation to pain and increase frustration and limitations due to pain. To better understand these apparently paradoxical findings, we propose to adopt a motivational perspective on coping with pain. Within this perspective, pain control is recast as an attempt to protect and restore valued life goals threatened by pain. This framework explains why some patients engage excessively in pain control strategies despite the costs associated with this, such as overuse of medication. A clinical implication is that cautiousness is warranted in promoting strategies exclusively aimed at pain relief. Beyond standard medical care, interventions should also be aimed at the improvement of functioning despite pain. Certainly those patients for whom there is no definite or sound cure to pain and who increasingly experience emotional and physical problems due to pain might benefit from paramedical help by psychologists and/or physiotherapists.},
  author       = {Lauwerier, Emelien and Van Damme, Stefaan and Goubert, Liesbet and Paemeleire, Koen and Devulder, Jacques and Crombez, Geert},
  issn         = {0300-9009},
  journal      = {ACTA NEUROLOGICA BELGICA},
  keyword      = {MUSCULOSKELETAL PAIN,GENERAL-POPULATION,CLINICAL-PRACTICE,CURRENT STATE,QUESTIONNAIRE,ACCEPTANCE,BEHAVIOR,Pain,Chronic pain,Coping,Pain relief,Acceptance,Motivation,FEAR-AVOIDANCE,QUALITY-OF-LIFE,LOW-BACK-PAIN},
  language     = {eng},
  number       = {1},
  pages        = {3--7},
  title        = {To control or not? A motivational perspective on coping with pain},
  url          = {http://dx.doi.org/10.1007/s13760-012-0020-6},
  volume       = {112},
  year         = {2012},
}

Chicago
Lauwerier, Emelien, Stefaan Van Damme, Liesbet Goubert, Koen Paemeleire, Jacques Devulder, and Geert Crombez. 2012. “To Control or Not? A Motivational Perspective on Coping with Pain.” Acta Neurologica Belgica 112 (1): 3–7.
APA
Lauwerier, E., Van Damme, S., Goubert, L., Paemeleire, K., Devulder, J., & Crombez, G. (2012). To control or not? A motivational perspective on coping with pain. ACTA NEUROLOGICA BELGICA, 112(1), 3–7.
Vancouver
1.
Lauwerier E, Van Damme S, Goubert L, Paemeleire K, Devulder J, Crombez G. To control or not? A motivational perspective on coping with pain. ACTA NEUROLOGICA BELGICA. 2012;112(1):3–7.
MLA
Lauwerier, Emelien, Stefaan Van Damme, Liesbet Goubert, et al. “To Control or Not? A Motivational Perspective on Coping with Pain.” ACTA NEUROLOGICA BELGICA 112.1 (2012): 3–7. Print.