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Treatment of pain-related fear in chronic (persistent) pain: the role of safety-seeking behaviour and imagery

Published online by Cambridge University Press:  01 April 2008

Nicole Jamani  and
Zoe Clyde
Nicole Jamani*
Affiliation:
INPUT Pain Management Unit, St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust, UK
Zoe Clyde
Affiliation:
INPUT Pain Management Unit, St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust, UK
*
*Author for correspondence: Dr N. Jamani, Psychological Therapies Service, 6th Floor, Premier House, 112 Station Road, Edgware HA8 7EH, UK. (email: nicolejamani@beh-mht.nhs.uk)
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Abstract

It is widely recognized that psychological factors play a central role in the adjustment process and subsequent management of chronic pain. The role of anxiety, and specifically pain-related fear, has received particular attention. Paralleling developments in the anxiety disorders literature, psychological models of pain-related fear now highlight the importance of cognitive processes in its maintenance and treatment. However, theoretical and treatment advances in the anxiety disorders literature have not been widely applied to the pain field. In particular, certain cognitive processes, specifically safety-seeking behaviours and imagery, which appear to be involved in the maintenance of pain-related fear. This paper explores how these concepts may apply to pain-related fear and demonstrates how they may aid conceptualization and be used to guide a more cognitively orientated and efficacious treatment.

Keywords

Chronic painimagerypain-related fearsafety-seeking behaviours
Type
Practice article
Information
the Cognitive Behaviour Therapist , Volume 1 , Issue 1 , April 2008 , pp. 3 - 15
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2008

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