Avoidance behavior in chronic pain research: A cold case revisited

S. Volders, Y. Boddez, S. de Peuter, A. Meulders, J.W.S. Vlaeyen

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

In chronic musculoskeletal pain, avoidance behavior is a prominent behavioral characteristic that can manifest itself in various ways. It is also considered a crucial component" in the development and maintenance of chronic pain-related disability, supposedly fueled by pain-related fear and catastrophic beliefs. Despite the frequent occurrence of avoidance behavior and its potential impact on quality of life, relatively little research has been dedicated to the nature of avoidance in chronic pain and its assessment, leaving its underlying mechanisms poorly understood. In the current paper, we stipulate some of the existing parallels between chronic pain research and more basic fear and anxiety research inspired by modern learning theories. After a brief introduction, we discuss avoidance theories that are likely apt to be applied to chronic pain, including avoidance as a response that can affect fear responding, and the role of avoidant decision making and motivational context. Finally, we will outline how these theories may impact clinical treatment. (C) 2014 Elsevier Ltd. All rights reserved.
Original languageEnglish
Pages (from-to)31-37
Number of pages7
JournalBehaviour Research and Therapy
Volume64
DOIs
Publication statusPublished - Jan 2015

Keywords

  • Avoidance behavior
  • CHRONIC MUSCULOSKELETAL PAIN
  • Chronic pain
  • EXPOSURE IN-VIVO
  • FEAR-AVOIDANCE
  • Fear
  • LEARNING APPROACH
  • LOW-BACK-PAIN
  • Learning
  • MOVEMENT-RELATED PAIN
  • Motivation
  • NEGATIVE OCCASION SETTER
  • RANDOMIZED CONTROLLED-TRIAL
  • SAFETY-SEEKING BEHAVIORS
  • SOCIAL ANXIETY

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