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The concepts of control and self-efficacy in the context of cognitive-behavioral therapy for pain.
Pain Stages of Change Questionnaire (PSOCQ) and other instruments must be found in order to understand what these constructs are. Chronic Pain Acceptance Questionnaire (CPAQ) composed of Activities Engagement and Pain Willingness
People with chronic pain who feel little personal control over their pain are also likely to catastrophize about the impact of situations that trigger or worsen pain, as well as catastrophize about the impact of pain flare-ups. In contrast, people who believe that they are able to control the situations that contribute....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 262
In chronic pain patients, several studies have been conducted to examine the two different cognitive components of the pain experience proposed by the cognitive–behavioral perspective. For example, in a study using causal modeling, Turk and colleagues (1995) demonstrated the important relationship between perceptions of....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 261
Closely related to the sense of control over aversive stimulation is the concept of self-efficacy. A self-efficacy expectation is defined as a personal conviction that one can successfully execute a course of action (perform required behavior) to produce a desired outcome in a given situation (Bandura 1977b). This vari....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 260
[Sixty percent of the subjects were excluded because their tolerance to pain pre-treatment was judged too high. Perceived efficacy to tolerate pain was based on asking subjects how long they could tolerate the cold pressor bath.]
The items in the scale measuring pain reduction efficacy described four severities....
Bandura, Albert; O'Leary, Ann; Taylor, C. Barr; Gauthier, Janel; Gossard, Denis, "Perceived self-efficacy and pain control: Opioid and nonopioid mechanisms. ", Journal of Personality and Social Psychology, Vol 53(3), Sep 1987, 563-571.: 1987 (Self-efficacy and pain control.pdf)
Expectancies and functional impairment in chronic low back pain.
Abstract
Perceived self-efficacy [2] and pain response expectancies [13] were examined as correlates of movement limitations and impaired functioning in a sample of 40 patients with chronic low back pain. Self-efficacy was operationalized as p....
Council, J. R., Ahern, D. K., Follick, M. J., and Kline, C. L., "Expectancies and functional impairment in chronic low back pain.", Pain 33: 1988
With learning, neutral contextual cues acquire the power to either increase or decrease the activity of nociceptive dorsal horn neurons in the absence of a noxious stimulus. In situations in which subjects are conditioned with specific cues that predict either painful or neutral stimuli, the cues come to have a signifi....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 141-2
Rats, like people, are more disturbed by pain they cannot control. In one study, two groups of rats were shocked while they were eating. One group could 'control' (or terminate) the shock by jumping up, while the animals in the other groups received the shock regardless of what they did. Although both groups received th....
Melzack, R. and Wall, P. D., "The Challenge of Pain (Reprint of 1988 edition)", Penguin Books, 2008, 24
Just as it is important to understand how our client's learning history led to problem development....
Dobson, D. and Dobson, K. S., "Evidence-Based Practice of Cognitive-Behavioral Therapy", Guildford Press, 2009, 3
...[For humans,] active exercise of personal efficacy can attenuate conscious pain, but in so doing it can promote even more taxing pursuits that heighten the level and duration of pain stimulation. Indeed, a strong sense of coping efficacy often increases engagement in pain-generating activities to the point where it....
Bandura, Albert; O'Leary, Ann; Taylor, C. Barr; Gauthier, Janel; Gossard, Denis, "Perceived self-efficacy and pain control: Opioid and nonopioid mechanisms. ", Journal of Personality and Social Psychology, Vol 53(3), Sep 1987, 563-571.: 1987 (Self-efficacy and pain control.pdf), 564
Given sufficient motivation to engage in a behavior, it is a person’s self-efficacy beliefs that determine the choice of activities to be initiated, the amount of effort that will be expended, and how long the individual will persist in the face of obstacles and aversive experiences. Efficacy judgments are based on four....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 260
Patients [about to undergo abdominal surgery] were given detailed information about the pain they would feel after the operation and how they could best cope with it. They were told where they would feel pain, how severe it could be, how long it could last, and that such pain is normal after an operation. They were also....
Melzack, R. and Wall, P. D., "The Challenge of Pain (Reprint of 1988 edition)", Penguin Books, 2008, 25
Changes in readiness to self-manage pain are associated with improvement in multidisciplinary pain treatment and pain coping.
Abstract
A patient's readiness to adopt a self-management approach to pain has been hypothesized to increase during multidisciplinary pain treatment and to impact pain coping responses....
Jensen MP1, Nielson WR, Turner JA, Romano JM, Hill ML., "Changes in readiness to self-manage pain are associated with improvement in multidisciplinary pain treatment and pain coping.", Pain 111: 2004
In a longitudinal study Costa and co-workers (2011) found self-efficacy to be the best predictor of long-term disability in chronic back pain patients. Thus, maladaptive appraisals about the situation and personal efficacy may reinforce the experience of demoralization, inactivity, and over-reaction to the nociceptive s....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 260
Self-efficacy beliefs not only affect coping efforts related to pain and pain behavior but also have a direct influence on physiological variables related to the processing of pain. As Bandura and associates (1987) demonstrated, opioid-mediated pain inhibitory mechanisms are activated by enhanced self-efficacy beliefs a....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 260
Self-efficacy is more important than fear of movement in mediating the relationship between pain and disability in chronic low back pain.
Abstract
Pain self-efficacy and fear of movement have been proposed to explain how pain can lead to disability for patients with chronic low back pain. However the extent t....
Costa, Lda C., Maher CG, McAuley JH, Hancock MJ, Smeets RJ., "Self-efficacy is more important than fear of movement in mediating the relationship between pain and disability in chronic low back pain.", European Journal of Pain 13: 2011
End of included memoes/notes