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Symposium
Pain, Fear, and Suffering
Sunday, May 27, 2012,
10:30 AM - 11:50 AM
Ontario
Chair:
Ann Meulders
University of Leuven, Belgium
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Fear-avoidance models consider pain-related fear as an important etiological factor in chronic pain and disability. This symposium brings together new insights from experimental (and neuroimaging) research on pain-related fear and avoidance and their impact on pain experience and performance as well as a clinical trial evaluating exposure treatment for chronic pain.
The Acquisition and Generalization of Pain-Related Fear and Anxiety
Ann Meulders
University of Leuven, Belgium
Fear of (movement-related) pain plays a pivotal role in the development of chronic musculoskeletal pain and disability. Recent empirical evidence demonstrates that fear of movement can be acquired through associative learning. I will present new experimental data building on these findings, demonstrating fear generalization to new unique, but related movements.
Co-Author: Johan W.S. Vlaeyen, University of Leuven, Belgium and Maastricht University, The Netherlands
Pain in an Affective-Motivational Context: Avoidance or Persistence?
Petra A. Karsdorp
Utrecht University & Maastricht University
Prevailing fear-avoidance models postulate that avoidance behavior leads to chronic pain. However, these models do not consider pain to occur in a motivational context. We put forward that besides pain-avoidance goals, also other goals may motivate performance duration during painful tasks. Hypotheses are tested with experimental and survey studies.
Co-Author: Saskia Ranson, Maastricht University, The Netherlands
Co-Author: Ken Ceulemans, Maastricht University, The Netherlands
Co-Author: Johan W.S. Vlaeyen, University of Leuven, Belgium and Maastricht University, The Netherlands
How Fear Can Make Pain Worse: An Update on Brain Mechanisms of Fear-Related Pain Modulation
Katja Wiech
University of Oxford
Although there is unequivocal behavioral evidence for the modulatory effect of fear on pain perception, human neuroimaging studies have only recently identified brain regions mediating the effect. I will present new insights from studies focusing on the “how” of the modulation and discuss neural mechanisms involved in top-down pain modulation.
Graded Exposure for Pain-Related Fear in CRPS-I Patients
Marlies den Hollander
Maastricht University, The Netherlands and University Medical Centre Maastricht, The Netherlands
Graded Exposure in Vivo (GEXP) is a treatment to reduce pain-related fear in chronic-pain patients. In a recently conducted trial, patients with Complex Regional Pain Syndrome Type I completed daily measures on catastrophizing, pain-related fear, disability, and pain experience. These data will be used to illustrate the mechanisms involved in GEXP.
Co-Author: Jeroen R. de Jong, Maastricht University, The Netherlands and University Medical Centre Maastricht, The Netherlands
Co-Author: Muriëlle E.J.B. Goossens, Maastricht University, The Netherlands
Co-Author: Rob J.E.M. Smeets, Maastricht University, The Netherlands, University Medical Centre Maastricht, The Netherlands and Adelante (Centre of Expertise in Rehabilitation), The Netherlands
Co-Author: Johan W.S. Vlaeyen, University of Leuven, Beligum and Maastricht University, The Netherlands
Johan W.S. Vlaeyen (Discussant)
University of Leuven, Beligum and Maastricht University, The Netherlands
Subject Area: Clinical
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