Worrying about chronic pain: vigilance to threat and misdirected problem solving

被引:146
作者
Aldrich, S
Eccleston, C [1 ]
Crombez, G
机构
[1] Univ Bath, Pain Management Unit, Bath BA2 7AY, Avon, England
[2] State Univ Ghent, Ghent, Belgium
关键词
D O I
10.1016/S0005-7967(99)00062-5
中图分类号
B849 [应用心理学];
学科分类号
040203 [应用心理学];
摘要
Worry is reviewed to inform a cognitive-behavioural understanding of chronic pain. How worry comes to dominate is discussed as 'vigilance' and why worry comes to dominate is discussed as 'problem solving'. These two aspects are applied to worrying about chronic pain. Chronic pain is re-presented as chronic Vigilance to threat that may lead to a perseveration of attempts at solving the problem of achieving escape from pain. Attempts will be frustrated by the insolubility of the problem of chronic pain. The clinical and theoretical implications of this application are discussed. (C) 2000 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:457 / 470
页数:14
相关论文
共 106 条
[1]
ALLPORT A, 1987, PERSPECTIVES PERCEPT, V15, P395
[2]
THE DIFFERENTIAL-EFFECTS OF INDUCTIONS OF WORRY, SOMATIC ANXIETY, AND DEPRESSION ON EMOTIONAL EXPERIENCE [J].
ANDREWS, VH ;
BORKOVEC, TD .
JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY, 1988, 19 (01) :21-26
[3]
[Anonymous], 1991, Chronic anxiety: Generalized anxiety disorder and mixed anxiety-depression
[4]
[Anonymous], 1979, ORIENTING REFLEX HUM
[5]
[Anonymous], RESISTING REPRESENTA
[6]
[Anonymous], 1982, The challenge of pain
[7]
[Anonymous], WORRYING PERSPECTIVE
[8]
Asmundson GJG, 1996, ANXIETY, V2, P28, DOI 10.1002/(SICI)1522-7154(1996)2:1<28::AID-ANXI4>3.0.CO
[9]
2-9
[10]
SOMATIZATION SYMPTOMS IN CHRONIC LOW-BACK-PAIN PATIENTS [J].
BACON, NMK ;
BACON, SF ;
ATKINSON, JH ;
SLATER, MA ;
PATTERSON, TL ;
GRANT, I ;
GARFIN, SR .
PSYCHOSOMATIC MEDICINE, 1994, 56 (02) :118-127