Operant Learning Theory in Pain and Chronic Pain Rehabilitation

被引：72

作者：

Gatzounis, Rena ^{[1
]}

Schrooten, Martien G. S. ^{[1
,2
]}

Crombez, Geert ^{[3
]}

Vlaeyen, Johan W. S. ^{[1
,2
]}

机构：

[1] Katholieke Univ Leuven, Res Grp Hlth Psychol, B-3000 Louvain, Belgium

[2] Maastricht Univ, Dept Clin Psychol Sci, NL-6200 MD Maastricht, Netherlands

[3] Univ Ghent, Dept Expt Clin & Hlth Psychol, B-9000 Ghent, Belgium

来源：

CURRENT PAIN AND HEADACHE REPORTS | 2012年 / 16卷 / 02期

关键词：

Operant learning; Operant conditioning; Chronic pain; Operant behavioral treatment; BT; Pain management; Pain intervention; LOW-BACK-PAIN; COGNITIVE-BEHAVIORAL TREATMENT; GRADED ACTIVITY; FEAR-AVOIDANCE; MUSCULOSKELETAL PAIN; COMMITMENT THERAPY; MUSCULAR RESPONSES; FATIGUE; ACCEPTANCE; PATIENT;

D O I：

10.1007/s11916-012-0247-1

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The application of operant learning theory on chronic pain by Fordyce has had a huge impact on chronic pain research and management. The operant model focuses on pain behaviors as a major component of the pain problem, and postulates that they are subject to environmental contingencies. The role of operant learning in pain behaviors generally has been supported by experimental studies, which are reviewed in the present article. Subsequently, the rationale, goals, and methods of operant behavioral treatment of chronic pain are outlined. Special attention is paid to three therapeutic techniques (graded activity, activity pacing, and time-contingent medication management), which are discussed in detail with regard to their operationalization, effectiveness, and (possible) mechanisms of action. Criticisms of the operant model are presented, as are suggestions for the optimization of (operant) behavioral treatment efficacy.

引用

页码：117 / 126

页数：10

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