Cognitive factors in the performance level of chronic low back pain patients
Journal of Psychosomatic ResearchPublished 1 January 1985
Anton J.M. Schmidt
Citations63
SJR quartileQ1
SJR score1.31
SNIP1.10
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
An experimental group of chronic low back pain patients and an equal number of controls, matched for age and sex, completed questionnaires of self-concept and performance motivation, revealing a strong tendency for CLBP patients to have a negative self- Concept.
Abstract
An experimental group of 39 chronic low back pain (CLBP) patients and an equal number of controls, matched for age and sex, completed questionnaires of self-concept and performance motivation. SS were also tested on a standardized back-stress physical test carried out with low external information and feedback. The results revealed a strong tendency for CLBP patients to have a negative self-concept, confirming the findings of previous research. Poorer performance of the CLBP patients on the physical test measure of behavioural persistence and on physiological measures were unrelated to reported pain level or to poor physical condition. Compared to the controls, the chronic low back pain group was less able to estimate their physiological level of exertion, being inclined to overrate their actual individual effort. The interaction of a negative self-concept and negative expectations is discussed.
Keywords
PsychologyMedicine
The LancetMEASUREMENT OF PAIN
4,404 Citations1974E.C. HUSKISSON
Of the various methods for measuring pain the visual analogue scale seems to be the most sensitive, and for assessing response to treatment a pain-relief scale has advantages over a pain scale.
PainThe validation of visual analogue scales as ratio scale measures for chronic and experimental pain
3,896 Citations1983Donald D. Price, Patricia McGrath +2 more
Visual analogue scales (VAS) of sensory intensity and affective magnitude were validated as ratio scale measures for both chronic and experimental pain, demonstrating the valid use of VAS for the measurement of and comparison between chronic pain and experimental heat pain.
PainAssessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale
1,857 Citations1983Anna Maria Carlsson
The absolute type of VAS seems to be less sensitive to bias than the comparative one and is therefore preferable for general clinical use and should be paid to several complementary indices of pain relief as well as to the individual's tendency to bias his estimates.
Proceedings of the Royal Society of MedicineA Growing Edge of Measurement of Feelings [ <i>Abridged</i> ]
1,538 Citations1969R. C. B. Aitken
PainMethodological problems in the measurement of pain: A comparison between the verbal rating scale and the visual analogue scale
796 Citations1975E. E. Ohnhaus, Rolf Adler
The distribution of the variances of the values obtained by means of both scales was not homogenous, indicating that the homogeneity of the distribution of variances should always be checked and a Kruskall‐Wallis H‐test used, if they are inhomogenously distributed.
European Journal of Clinical PharmacologyComparison of fixed interval and visual analogue scales for rating chronic pain
540 Citations1975C. R. B. Joyce, D W Zutshi +2 more
The VAS appeared to be more satisfactory than the FPS for patient self-rating of pain intensity in patients suffering from prolonged constant pain due to chronic inflammatory or degenerative arthropathy.
PainPsychological interventions for chronic pain: a critical review. II Operant conditioning, hypnosis, and cognitive-behavioral therapy
211 Citations1982Judith A. Turner, Richard C. Chapman
It is concluded that there is no evidence that biofeedback is superior to relaxation training with these headache populations, and studies to date evaluating the effectiveness of relaxation training and alpha, electromyographic, finger temperature, and other types ofBiofeedback led to this conclusion.
PainCognitive and cognitive-behavioral methods for pain control: A selective review
209 Citations1982Siang‐Yang Tan
Overall, the scientific evidence for the efficacy of cognitive and cognitive‐behavioral methods for clinical pain attenuation is somewhat meager, although some encouraging but still tentative results have been obtained.
Journal of Behavioral MedicineEffects of different cognitive strategies on chronic pain experience
144 Citations1979Etta Rybstein-Blinchik
Results demonstrated that, within a physical rehabilitation hospital setting, patients with a history of persistent pain showed a significant change in their ratings of the quality and intensity of this experience, and in their behavior, through the use of reinterpretive cognitive instructions.
Journal of Personality and Social PsychologyAttention, distraction, and cold-pressor pain.
136 Citations1982Kevin D. McCaul, Curt Haugtvedt
PainPersonality changes associated with reduction of pain
115 Citations1975Richard A. Sternbach, Gretchen Timmermans
The hypothesis that the neuroticism associated with chronic pain is the result of it, and may be reversible when the pain is reduced or abolished, is supported.
Behavior TherapyComparison of verbal reinforcement and feedback in the operant treatment of disability due to chronic low back pain
100 Citations1977Douglas Cairns, James A. Pasino
Hospitalized patients who were diagnosed as suffering chronic organic and nonorganic low back pain and did not participate in a physical therapy program received operant treatment to increase daily walking and exercycle distance to show significant increases in performance.
Cognitive Therapy and ResearchCoping with pain: A component analysis of stress inoculation
99 Citations1977John J. Horan, Gail Hackett +3 more
PainA comprehensive treatment approach to chronic low back pain
97 Citations1976Douglas Cairns, Lynn Thomas +2 more
By use of an organized team approach, a significant number of patients can be processed; and an overall reduction in use of alternative medical resources has occurred.
Journal of Abnormal PsychologyIndividual differences in self-control behaviors and tolerance of painful stimulation.
96 Citations1980Michael Rosenbaum
Psychosomatic MedicineResults of Behavior Modification in the Treatment of Chronic Pain
95 Citations1979David W. Swanson, Toshihiko Maruta +1 more
PubMedComprehensive rehabilitation of patients having chronic low back pain.
94 Citations1977H Gottlieb, Strite Lc +5 more
Seventy-two patients having chronic back pain, representative of high-risk demographic and personality populations, received a broad range of therapeutic modalities designed around the theme of self-regulation, demonstrating unimpaired physical functioning levels and at success levels of vocational restoration.
PainChronic pain and depression: Universal or personal helplessness?
83 Citations1983Suzanne M. Skevington
Higher beliefs in chance, lack of self‐blame and correlations between chance, depression and pain support the presence of universal helplessness in those with chronic pain.
PainDoes the MMPI differentiate chronic illness from chronic pain?
61 Citations1982Bruce D. Naliboff, Michael J. Cohen +1 more
The data do not support attempts at defining a low back pain or chronic pain personality profile apart from the emotional disturbance associated with chronic limitation and disruption of activity.
Journal of Behavior Therapy and Experimental PsychiatryCognitive strategies in the control of pain tolerance
48 Citations1978Matt E. Jaremko
Journal of Clinical PsychologyThe impact of chronic pain on the self-concept
40 Citations1979David P. Armentrout
Compared self-concepts of three groups, medical patients, chronic low back pain patients and chronic head pain patients to determine whether chronic pain patients have self-perceptions that differ from other medical patients and whether persons who suffer different types of chronic pain would have differing self- concepts.
Journal of Psychosomatic ResearchThe effects of vicarious and cognitive rehearsal on pain tolerance
35 Citations1971Richard W. J. Neufeld, Park O. Davidson
Several aspects of rehearsing an aversive experience were investigated in relation to subsequent tolerance of the experience, and results showed no differences in effectiveness between vicarious and cognitive rehearsal, but after the first exposure to the pain, Ss who rehearsal was relevant had significantly higher pain tolerance than those whose rehearsal was irrelevant.
Behaviour Research and TherapyCognitive therapy and behavioural practice
34 Citations1980John Marzillier
The central role of cognition is explored, and three distinct usages are described: cognitive events, cognitive processes, and cognitive structures.
Journal of Behavior Therapy and Experimental PsychiatryThe use of covert conditioning in modifying pain behavior
30 Citations1977Joseph R. Cautela
PubMedReinterpretative cognitive strategies in chronic pain management.
22 Citations1979Blinchik Er, Grzesiak Rc
Results suggest that cognitive strategies can effectively alter the experience of clinical pain, and pain as a cognitive label for a nonspecific state of arousal is suggested.
PainActivities as indices of illness behaviour in chronic pain
17 Citations1983Suzanne M. Skevington
Activity reported by pain sufferers over a 7 day period was categorised on the basis of social context, and sleep, passive and recreational activities were found to differentiate between groups when dimensions of illness behaviour, mood and pain intensity were taken into account.
Perceptual and Motor SkillsStability/Instability and Change of Expectancy, a Test for Cognitive Determinants of Psychomotor Performance
9 Citations1978L. R. McCaughan