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Behavioral conceptualization and treatment of chronic pain

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Abstract
Pain is considered a hardwired signal of bodily disturbance belonging to a basic motivational system that urges the individual to act and to restore the body's integrity, rather than just a sensory and emotional experience. Given its eminent survival value, pain is a strong motivator for learning. Response to repeated pain increases when harm risks are high (sensitization) and decreases in the absence of such risks (habituation). Discovering relations between pain and other events provides the possibility to predict (Pavlovian conditioning) and control (operant conditioning) harmful events. Avoidance is adaptive in the short term but paradoxically may have detrimental long-term effects. Pain and pain-related responses compete with other demands in the environment. Exposure-based treatments share the aim of facilitating or restoring the pursuit of individual valued life goals in the face of persistent pain, and further improvements in pain treatment may require a paradigm shift toward more personalized approaches.
Keywords
Clinical Psychology, Psychiatry and Mental health, General Medicine, chronic pain, behavior, motivation, learning, conditioning, fear avoidance, LOW-BACK-PAIN, FEAR-AVOIDANCE MODEL, MOVEMENT-RELATED PAIN, EXPOSURE IN-VIVO, RANDOMIZED CONTROLLED-TRIAL, CENTRAL SENSITIZATION, MUSCULAR RESPONSES, GRADED EXPOSURE, LEARNING-THEORY, GOAL CONFLICT

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MLA
Vlaeyen, Johan W. S., and Geert Crombez. “Behavioral Conceptualization and Treatment of Chronic Pain.” ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, vol. 16, 2020, pp. 187–212, doi:10.1146/annurev-clinpsy-050718-095744.
APA
Vlaeyen, J. W. S., & Crombez, G. (2020). Behavioral conceptualization and treatment of chronic pain. ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, 16, 187–212. https://doi.org/10.1146/annurev-clinpsy-050718-095744
Chicago author-date
Vlaeyen, Johan W. S., and Geert Crombez. 2020. “Behavioral Conceptualization and Treatment of Chronic Pain.” ANNUAL REVIEW OF CLINICAL PSYCHOLOGY 16: 187–212. https://doi.org/10.1146/annurev-clinpsy-050718-095744.
Chicago author-date (all authors)
Vlaeyen, Johan W. S., and Geert Crombez. 2020. “Behavioral Conceptualization and Treatment of Chronic Pain.” ANNUAL REVIEW OF CLINICAL PSYCHOLOGY 16: 187–212. doi:10.1146/annurev-clinpsy-050718-095744.
Vancouver
1.
Vlaeyen JWS, Crombez G. Behavioral conceptualization and treatment of chronic pain. ANNUAL REVIEW OF CLINICAL PSYCHOLOGY. 2020;16:187–212.
IEEE
[1]
J. W. S. Vlaeyen and G. Crombez, “Behavioral conceptualization and treatment of chronic pain,” ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, vol. 16, pp. 187–212, 2020.
@article{8665438,
  abstract     = {Pain is considered a hardwired signal of bodily disturbance belonging to a basic motivational system that urges the individual to act and to restore the body's integrity, rather than just a sensory and emotional experience. Given its eminent survival value, pain is a strong motivator for learning. Response to repeated pain increases when harm risks are high (sensitization) and decreases in the absence of such risks (habituation). Discovering relations between pain and other events provides the possibility to predict (Pavlovian conditioning) and control (operant conditioning) harmful events. Avoidance is adaptive in the short term but paradoxically may have detrimental long-term effects. Pain and pain-related responses compete with other demands in the environment. Exposure-based treatments share the aim of facilitating or restoring the pursuit of individual valued life goals in the face of persistent pain, and further improvements in pain treatment may require a paradigm shift toward more personalized approaches.},
  author       = {Vlaeyen, Johan W. S. and Crombez, Geert},
  issn         = {1548-5943},
  journal      = {ANNUAL REVIEW OF CLINICAL PSYCHOLOGY},
  keywords     = {Clinical Psychology,Psychiatry and Mental health,General Medicine,chronic pain,behavior,motivation,learning,conditioning,fear avoidance,LOW-BACK-PAIN,FEAR-AVOIDANCE MODEL,MOVEMENT-RELATED PAIN,EXPOSURE IN-VIVO,RANDOMIZED CONTROLLED-TRIAL,CENTRAL SENSITIZATION,MUSCULAR RESPONSES,GRADED EXPOSURE,LEARNING-THEORY,GOAL CONFLICT},
  language     = {eng},
  pages        = {187--212},
  title        = {Behavioral conceptualization and treatment of chronic pain},
  url          = {http://dx.doi.org/10.1146/annurev-clinpsy-050718-095744},
  volume       = {16},
  year         = {2020},
}

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