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2019 | OriginalPaper | Hoofdstuk

17. Exposure in vivo

Auteurs: Dr. J. de Jong, Dr. I. Timmers

Gepubliceerd in: Handboek pijnrevalidatie

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Aan pijn gerelateerde angst kan een belangrijke rol spelen in het ontstaan en het blijven bestaan van een chronisch pijnprobleem. ‘Exposure in vivo’-therapie richt zich op het reduceren van deze angst, met als doel de toename van participatie en de afname van ervaren beperkingen. In dit hoofdstuk wordt deze therapievorm uitgebreid besproken. Eerst wordt er ingegaan op de achterliggende theorie, waarna de praktijk aan bod komt aan de hand van drie stappen: (1) afname van de PHODA (photograph series of daily activities), om verwachte schadelijkheid van activiteiten en/of bewegingen in kaart te brengen, alsook om meer inzicht te verkrijgen in catastrofale gedachten en angsten daaromtrent, (2) educatie, waarin er aandacht is voor de neurofysiologie achter pijn en pijngewaarwording, alsook voor het vreesvermijdingsmodel, en (3) Exposure in vivo met gedragsexperimenten, waarbij de patiënt wordt blootgesteld aan situaties die angst oproepen en er gedragsexperimenten worden uitgevoerd om catastrofale cognities uit te dagen. Tot slot worden verscheidene manieren besproken om de behandeling te optimaliseren.

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Literatuur
go back to reference Claes, N., Goossens, M. E. J. B., & Vlaeyen, J. W. S. (2016). De rol van angst bij pijn: Theoretische aspecten. In J. A. Verbunt & R. J. E. M. Smeets (Red.), Graded exposure: Een cognitief gedragsmatige aanpak van chronische pijn (pag. 5–18). Houten: Bohn Stafleu van Loghum – Springer. CrossRef Claes, N., Goossens, M. E. J. B., & Vlaeyen, J. W. S. (2016). De rol van angst bij pijn: Theoretische aspecten. In J. A. Verbunt & R. J. E. M. Smeets (Red.), Graded exposure: Een cognitief gedragsmatige aanpak van chronische pijn (pag. 5–18). Houten: Bohn Stafleu van Loghum – Springer. CrossRef
go back to reference Craske, M. G., Kircanski, K., Zelikowsky, M., Mystkowski, J., Chowdhury, N., & Baker, A. (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46(1), 5–27. CrossRef Craske, M. G., Kircanski, K., Zelikowsky, M., Mystkowski, J., Chowdhury, N., & Baker, A. (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46(1), 5–27. CrossRef
go back to reference Craske, M. G., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research and Therapy, 58, 10–23. CrossRef Craske, M. G., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research and Therapy, 58, 10–23. CrossRef
go back to reference Dubbers, A. T., Vikström, M. H., & Jong, J. R. de (2003). The Photograph series of Daily Activities (PHODA-UE): cervical spine and shoulder. Heerlen/Maastricht, the Netherlands: Zuyd University, Institute for Rehabilitation Research (iRv), Universiteit Maastricht. Dubbers, A. T., Vikström, M. H., & Jong, J. R. de (2003). The Photograph series of Daily Activities (PHODA-UE): cervical spine and shoulder. Heerlen/Maastricht, the Netherlands: Zuyd University, Institute for Rehabilitation Research (iRv), Universiteit Maastricht.
go back to reference Eijssen, I., Hartingsveldt, M. van, & Verkerk, G. (2018). COPM: De nieuwe Nederlandse vertaling. Ergotherapie Magazine, 3, 32–35. Eijssen, I., Hartingsveldt, M. van, & Verkerk, G. (2018). COPM: De nieuwe Nederlandse vertaling. Ergotherapie Magazine, 3, 32–35.
go back to reference Hofmann, S. G. (2008). Cognitive processes during fear acquisition and extinction in animals and humans: Implications for exposure therapy of anxiety disorders. Clinical Psychology Review, 28(2), 199–210. CrossRef Hofmann, S. G. (2008). Cognitive processes during fear acquisition and extinction in animals and humans: Implications for exposure therapy of anxiety disorders. Clinical Psychology Review, 28(2), 199–210. CrossRef
go back to reference Hollander, M. den, Goossens, M. E. J. B., Jong, J. R. de, Ruijgrok, J., Oosterhof, J., Onghena, P., et al. (2016). Expose or protect? A randomized controlled trial of exposure in vivo versus physiotherapy in patients with complex regional pain syndrome type 1. Pain, 157(10), 2318–2329. CrossRef Hollander, M. den, Goossens, M. E. J. B., Jong, J. R. de, Ruijgrok, J., Oosterhof, J., Onghena, P., et al. (2016). Expose or protect? A randomized controlled trial of exposure in vivo versus physiotherapy in patients with complex regional pain syndrome type 1. Pain, 157(10), 2318–2329. CrossRef
go back to reference Jelinek, S., Germes, D., Leyckes, N., & Jong, J. R. de (2003). The photograph series of daily activities (PHODA-LE): Lower extremities. Heerlen/Maastricht, the. Netherlands: Zuyd University, Institute for Rehabilitation Research (iRv), Universiteit Maastricht. Jelinek, S., Germes, D., Leyckes, N., & Jong, J. R. de (2003). The photograph series of daily activities (PHODA-LE): Lower extremities. Heerlen/Maastricht, the. Netherlands: Zuyd University, Institute for Rehabilitation Research (iRv), Universiteit Maastricht.
go back to reference Jong, J. R. de, Vangronsveld, K., Peters, M. L., Goossens, M. E. J. B., Onghena, P., Bulté, I., et al. (2008). Reduction of pain-related fear and disability in post-traumatic neck pain: A replicated single-case experimental study of exposure in vivo. Journal of Pain, 9(12), 1123–1134. CrossRef Jong, J. R. de, Vangronsveld, K., Peters, M. L., Goossens, M. E. J. B., Onghena, P., Bulté, I., et al. (2008). Reduction of pain-related fear and disability in post-traumatic neck pain: A replicated single-case experimental study of exposure in vivo. Journal of Pain, 9(12), 1123–1134. CrossRef
go back to reference Jong, J. R. de, Vlaeyen, J. W. S., Eijsden, M. van, Loo, C., & Onghena, P. (2012). Reduction of pain-related fear and increased function and participation in work-related upper extremity pain (WRUEP): Effects of exposure in vivo. Pain, 153, 2109–2118. CrossRef Jong, J. R. de, Vlaeyen, J. W. S., Eijsden, M. van, Loo, C., & Onghena, P. (2012). Reduction of pain-related fear and increased function and participation in work-related upper extremity pain (WRUEP): Effects of exposure in vivo. Pain, 153, 2109–2118. CrossRef
go back to reference Jong, J. R. de, Vlaeyen, J. W. S., Onghena, P., Cuypers, C., Hollander, M. den, & Ruijgrok, J. (2005a). Reduction of pain-related fear in complex regional pain syndrome type I: the application of graded exposure in vivo. Pain, 116, 264–275. CrossRef Jong, J. R. de, Vlaeyen, J. W. S., Onghena, P., Cuypers, C., Hollander, M. den, & Ruijgrok, J. (2005a). Reduction of pain-related fear in complex regional pain syndrome type I: the application of graded exposure in vivo. Pain, 116, 264–275. CrossRef
go back to reference Jong, J. R. de, Vlaeyen, J. W. S., Onghena, P., Goossens, M. E. J. B., Geilen, M., & Mulder, H. (2005b). Fear of movement/(re)injury in chronic low back pain: Education or exposure in vivo as mediator to fear reduction? Clinical Journal of Pain, 21, 9–17. CrossRef Jong, J. R. de, Vlaeyen, J. W. S., Onghena, P., Goossens, M. E. J. B., Geilen, M., & Mulder, H. (2005b). Fear of movement/(re)injury in chronic low back pain: Education or exposure in vivo as mediator to fear reduction? Clinical Journal of Pain, 21, 9–17. CrossRef
go back to reference Leeuw, M., Goossens, M. E., Breukelen, G. J. van, Boersma, K., & Vlaeyen, J. W. S. (2007). Measuring perceived harmfulness of physical activities in patients with chronic low back pain: The photograph series of daily activities-short electronic version. Journal of Pain, 8(11), 840–849. CrossRef Leeuw, M., Goossens, M. E., Breukelen, G. J. van, Boersma, K., & Vlaeyen, J. W. S. (2007). Measuring perceived harmfulness of physical activities in patients with chronic low back pain: The photograph series of daily activities-short electronic version. Journal of Pain, 8(11), 840–849. CrossRef
go back to reference Leeuw, M., Goossens, M. E. J. B., Breukelen, G. J. P. van, Jong, J. R. de, Heuts, P. H. T. G., Smeets, R. J. E. M., et al. (2008). Exposure in vivo versus operant graded activity in chronic low back pain patients: Results of a randomized controlled trial. Pain, 138, 192–207. CrossRef Leeuw, M., Goossens, M. E. J. B., Breukelen, G. J. P. van, Jong, J. R. de, Heuts, P. H. T. G., Smeets, R. J. E. M., et al. (2008). Exposure in vivo versus operant graded activity in chronic low back pain patients: Results of a randomized controlled trial. Pain, 138, 192–207. CrossRef
go back to reference Lethem, J., Slade, P. D., Troup, J. D., & Bentley, G. (1983). Outline of a fear-avoidance model of exaggerated pain perception-I. Behaviour Research and Therapy, 21(4), 401–408. CrossRef Lethem, J., Slade, P. D., Troup, J. D., & Bentley, G. (1983). Outline of a fear-avoidance model of exaggerated pain perception-I. Behaviour Research and Therapy, 21(4), 401–408. CrossRef
go back to reference Lissek, S., Powers, A. S., McClure, E. B., Phelps, E. A., Woldehawariat, G., Grillon, C., et al. (2005). Classical fear conditioning in the anxiety disorders: A meta-analysis. Behaviour Research and Therapy, 43(11), 1391–1424. CrossRef Lissek, S., Powers, A. S., McClure, E. B., Phelps, E. A., Woldehawariat, G., Grillon, C., et al. (2005). Classical fear conditioning in the anxiety disorders: A meta-analysis. Behaviour Research and Therapy, 43(11), 1391–1424. CrossRef
go back to reference Meuret, A. E., Seidel, A., Rosenfield, B., Hofmann, S. G., & Rosenfield, D. (2012). Does fear reactivity during exposure predict panic symptom reduction? Journal of Consulting and Clinical Psychology, 80(5), 773–785. CrossRef Meuret, A. E., Seidel, A., Rosenfield, B., Hofmann, S. G., & Rosenfield, D. (2012). Does fear reactivity during exposure predict panic symptom reduction? Journal of Consulting and Clinical Psychology, 80(5), 773–785. CrossRef
go back to reference Slade, P. D., Troup, J. D., Lethem, J., & Bentley, G. (1983). The fear-avoidance model of exaggerated pain perception-II. Behaviour Research and Therapy, 21(4), 409–416. CrossRef Slade, P. D., Troup, J. D., Lethem, J., & Bentley, G. (1983). The fear-avoidance model of exaggerated pain perception-II. Behaviour Research and Therapy, 21(4), 409–416. CrossRef
go back to reference Trost, Z., France, C. R., & Thomas, J. S. (2008). Exposure to movement in chronic back pain: Evidence of successful generalization across a reaching task. Pain, 137(1), 26–33. CrossRef Trost, Z., France, C. R., & Thomas, J. S. (2008). Exposure to movement in chronic back pain: Evidence of successful generalization across a reaching task. Pain, 137(1), 26–33. CrossRef
go back to reference Verbunt, J. A., Nijhuis, A., Vikstrom, M., Stevens, A., Haga, N., Jong, J. R. de, et al. (2015). The psychometric characteristics of an assessment instrument for perceived harmfulness in adolescents with musculoskeletal pain (PHODA-youth). European Journal of Pain, 19(5), 695–705. CrossRef Verbunt, J. A., Nijhuis, A., Vikstrom, M., Stevens, A., Haga, N., Jong, J. R. de, et al. (2015). The psychometric characteristics of an assessment instrument for perceived harmfulness in adolescents with musculoskeletal pain (PHODA-youth). European Journal of Pain, 19(5), 695–705. CrossRef
go back to reference Verbunt, J. A., & Smeets, R. J. E. M. (Eds.). (2016). Graded exposure. Houten: Bohn Stafleu van Loghum. Verbunt, J. A., & Smeets, R. J. E. M. (Eds.). (2016). Graded exposure. Houten: Bohn Stafleu van Loghum.
go back to reference Vlaeyen, J. W. S., Crombez, G., & Linton, S. J. (2016). The fear-avoidance model of pain. Pain, 157(8), 1588–1589. CrossRef Vlaeyen, J. W. S., Crombez, G., & Linton, S. J. (2016). The fear-avoidance model of pain. Pain, 157(8), 1588–1589. CrossRef
go back to reference Vlaeyen, J. W. S., Jong, J. R. de, Geilen, M., Heuts, P. H., & Breukelen, G. van (2001). Graded exposure in vivo in the treatment of pain-related fear: A replicated single-case experimental design in four patients with chronic low back pain. Behaviour Research and Therapy, 39(2), 151–166. CrossRef Vlaeyen, J. W. S., Jong, J. R. de, Geilen, M., Heuts, P. H., & Breukelen, G. van (2001). Graded exposure in vivo in the treatment of pain-related fear: A replicated single-case experimental design in four patients with chronic low back pain. Behaviour Research and Therapy, 39(2), 151–166. CrossRef
go back to reference Vlaeyen, J. W. S., Jong, J. R. de, Geilen, M., Heuts, P. H., & Breukelen, G. van (2002a). The treatment of fear of movement/(re)injury in chronic low back pain: Further evidence on the effectiveness of exposure in vivo. Clinical Journal of Pain, 18(4), 251–261. CrossRef Vlaeyen, J. W. S., Jong, J. R. de, Geilen, M., Heuts, P. H., & Breukelen, G. van (2002a). The treatment of fear of movement/(re)injury in chronic low back pain: Further evidence on the effectiveness of exposure in vivo. Clinical Journal of Pain, 18(4), 251–261. CrossRef
go back to reference Vlaeyen, J. W. S., Jong, J. R. de, Onghena, P., Kerckhoffs-Hanssen, M., & Kole-Snijders, A. M. (2002b). Can pain-related fear be reduced? The application of cognitive-behavioural exposure in vivo. Pain Research and Management, 7(3), 144–153. CrossRef Vlaeyen, J. W. S., Jong, J. R. de, Onghena, P., Kerckhoffs-Hanssen, M., & Kole-Snijders, A. M. (2002b). Can pain-related fear be reduced? The application of cognitive-behavioural exposure in vivo. Pain Research and Management, 7(3), 144–153. CrossRef
go back to reference Vlaeyen, J. W. S., Kole-Snijders, A. M., Rotteveel, A. M., Ruesink, R., & Heuts, P. H. (1995). The role of fear of movement/(re)injury in pain disability. Journal of Occupational Rehabilitation, 5, 235–252. CrossRef Vlaeyen, J. W. S., Kole-Snijders, A. M., Rotteveel, A. M., Ruesink, R., & Heuts, P. H. (1995). The role of fear of movement/(re)injury in pain disability. Journal of Occupational Rehabilitation, 5, 235–252. CrossRef
Metagegevens
Titel
Exposure in vivo
Auteurs
Dr. J. de Jong
Dr. I. Timmers
Copyright
2019
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2230-5_17