Role of anxiety sensitivity in pain-related fear and avoidance

被引:155
作者
Asmundson, GJG [1 ]
Taylor, S [1 ]
机构
[1] UNIV BRITISH COLUMBIA, DEPT PSYCHIAT, VANCOUVER, BC, CANADA
关键词
anxiety sensitivity; avoidance; fear; pain;
D O I
10.1007/BF01904905
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Anxiety sensitivity (AS) is the fear of anxiety-related bodily sensations, arising front beliefs that the sensations have harmful consequences. There has been a good deal of research on the role of AS in anxiety disorders, and only recently have investigators begun to assess its role in other conditions In a preliminary report, Asmundson and Norton (1995) found that chronic back-pain patients with high AS (n = 14), compared to those with lower AS (n = 56), reported greater pain-related fear and tended to have greater avoidance. The present study further investigated the role of AS in pain-related fear and escape/avoidance. Patients with chronic musculoskeletal pain (N = 259) completed measures of AS, pain severity, and pain-related fear and escape/avoidance. Structural equation modeling supported the prediction that AS directly exacerbates fear of pain, even after controlling for the effects of pain severity on fear of pain. Support also was found for the prediction that AS indirectly promotes pain-related escape/avoidance via its influence on fear of pain. This indirect effect was significant even when controlling for the direct influence of pain severity on pain-related escape/avoidance. These results suggest that AS plays an important role in pain-related fear and escape/avoidance in people with chronic pain.
引用
收藏
页码:577 / 586
页数:10
相关论文
共 25 条
[1]   A different paradigm for the initial colonisation of Sahul [J].
Allen, Jim ;
O'Connell, James F. .
ARCHAEOLOGY IN OCEANIA, 2020, 55 (01) :1-14
[2]  
[Anonymous], 1993, BEHAV THER
[3]   ANXIETY SENSITIVITY IN PATIENTS WITH PHYSICALLY UNEXPLAINED CHRONIC BACK PAIN - A PRELIMINARY-REPORT [J].
ASMUNDSON, GJG ;
NORTON, GR .
BEHAVIOUR RESEARCH AND THERAPY, 1995, 33 (07) :771-777
[4]  
CRASKE MG, 1989, THERAPISTS GUIDE MAS
[5]   THE MODIFICATION OF AVOIDANCE-LEARNING PAIN BEHAVIORS [J].
FORDYCE, WE ;
SHELTON, JL ;
DUNDORE, DE .
JOURNAL OF BEHAVIORAL MEDICINE, 1982, 5 (04) :405-414
[6]  
Gorsuch R. L., 1983, Factor analysis, V2nd
[7]   GOODNESS-OF-FIT INDEXES IN CONFIRMATORY FACTOR-ANALYSIS - THE EFFECT OF SAMPLE-SIZE [J].
MARSH, HW ;
BALLA, JR ;
MCDONALD, RP .
PSYCHOLOGICAL BULLETIN, 1988, 103 (03) :391-410
[8]   THE PAIN ANXIETY SYMPTOMS SCALE - DEVELOPMENT AND VALIDATION OF A SCALE TO MEASURE FEAR OF PAIN [J].
MCCRACKEN, LM ;
ZAYFERT, C ;
GROSS, RT .
PAIN, 1992, 50 (01) :67-73
[9]   PREDICTION OF PAIN IN PATIENTS WITH CHRONIC LOW-BACK-PAIN - EFFECTS OF INACCURATE PREDICTION AND PAIN-RELATED ANXIETY [J].
MCCRACKEN, LM ;
GROSS, RT ;
SORG, PJ ;
EDMANDS, TA .
BEHAVIOUR RESEARCH AND THERAPY, 1993, 31 (07) :647-652
[10]  
McDonald R. P., 1985, FACTOR ANAL RELATED