Reduction of pain-related fear and disability in post-traumatic neck pain: a replicated single-case experimental study of exposure in vivo

The Journal of Pain : Official Journal of the American Pain Society
Jeroen de JongJohan W Vlaeyen

Abstract

For patients with acute post-traumatic neck pain (PTNP), pain-related fear has been identified as a potential predictor of chronic disability. If such is the case, fear reduction should enhance the prevention of further pain disability and distress after traumatic neck pain disability. However, exposure-based treatments have not been tested in patients with PTNP. Using a replicated single-case crossover phase design with multiple measurements, this study examined whether the validity of a graded exposure in vivo, as compared with usual graded activity, extends to PTNP. Eight patients who reported substantial pain-related fear were included in the study. Daily changes in pain intensity, pain-related fear, pain catastrophizing, and activity goal achievement were assessed. Before and after each intervention, and at 6-month follow-up, standardized questionnaires of pain-related fear and pain disability were administered, and, to quantify daily physical activity level, patients carried an ambulatory activity monitor. The results showed decreasing levels of self-reported pain-related fear, pain intensity, disability, and improvements in physical activity level only when graded exposure in vivo was introduced, and not in the graded ac...Continue Reading

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Citations

Nov 7, 2012·Journal of Behavioral Medicine·Michael UssherLance M McCracken
Oct 28, 2010·Expert Review of Neurotherapeutics·Marlies den HollanderJohan W S Vlaeyen
Sep 15, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Danielle Perret, Charles Rosen
Dec 20, 2015·European Journal of Pain : EJP·M K KemaniR K Wicksell
Oct 6, 2015·The Journal of Pain : Official Journal of the American Pain Society·Ann MeuldersJohan W S Vlaeyen
Dec 17, 2014·The Clinical Journal of Pain·Stéphanie VoldersJohan W S Vlaeyen
Dec 17, 2014·Behaviour Research and Therapy·Stéphanie VoldersJohan W S Vlaeyen
May 9, 2014·Cephalalgia : an International Journal of Headache·Laura E SimonsAlyssa Lebel
Jul 27, 2018·International Journal of Technology Assessment in Health Care·Marlies den HollanderMariëlle E J B Goossens
Oct 16, 2018·Psychology & Health·Iris M KaneraHanne P J Kindermans
Feb 21, 2019·Pain Management·Akiko Okifuji, Ariel Neikrug
Jun 13, 2019·The Clinical Journal of Pain·Kenneth ChenMichele Sterling
Oct 31, 2020·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·María Camino Gómez-PérezCarlos Suso-Ribera
May 25, 2021·The Journal of Pain : Official Journal of the American Pain Society·Rena GatzounisAnn Meulders

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