Do clinicians think that pain can be a classically conditioned response to a non-noxious stimulus?

Manual Therapy
Victoria J Madden, G Lorimer Moseley

Abstract

Anecdotally, clinical presentations in which pain seems to be elicited by non-noxious stimuli are often explained using a classical conditioning framework. We were primarily interested in whether (a) clinicians think that pain can be a classically conditioned response to a non-noxious stimulus, and (b) clinicians think that there is evidence to support that idea. Practising healthcare clinicians participated anonymously in an online survey. The information collected included descriptive demographics, clinical experience, personal experience of chronic pain, beliefs about pain, and beliefs about classical conditioning and pain. Responses to the pre-requisite question - whether pain can occur without nociception - were compared to a historical data set from 2004. 1090 people from 57 countries and eight distinct types of health profession completed the survey. 86% stated that pain can occur without nociception; 96% of those believed that pain can be a classically conditioned response to a non-noxious stimulus; 98% of those believed that there is evidence to support that statement. The 2004 data showed that 44% of participants distinguished between pain and nociception. This broad sample overwhelmingly endorsed the ideas that clini...Continue Reading

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Citations

Jan 28, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Victoria J MaddenTasha R Stanton
Jul 28, 2016·The Journal of Pain : Official Journal of the American Pain Society·Victoria J MaddenG Lorimer Moseley
Sep 12, 2016·Behaviour Research and Therapy·Johan W S VlaeyenGeert Crombez
Oct 1, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Victoria J MaddenG Lorimer Moseley
Apr 8, 2017·The Journal of Pain : Official Journal of the American Pain Society·Daniel S HarvieAnn Meulders
Nov 23, 2016·Pain·G Lorimer Moseley
Mar 15, 2019·PeerJ·Juliane TraxlerJohan W S Vlaeyen
Mar 13, 2020·The South African Journal of Physiotherapy·Romy Parker, Victoria J Madden
Dec 11, 2019·Annual Review of Clinical Psychology·Johan W S Vlaeyen, Geert Crombez
Feb 3, 2021·The Journal of Pain : Official Journal of the American Pain Society·Thais Cristina ChavesG Lorimer Moseley
Jul 30, 2021·Behaviour Research and Therapy·Stephan KoenigJulia Anna Glombiewski

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