Operant Learning Theory in Pain and Chronic Pain Rehabilitation

被引：0
作者：
Rena Gatzounis
Martien G. S. Schrooten
Geert Crombez
Johan W. S. Vlaeyen
机构：
[1] University of Leuven,Research Group Health Psychology
[2] Maastricht University,Department of Clinical Psychological Science
[3] Ghent University,Department of Experimental
来源：
Current Pain and Headache Reports | 2012年 / 16卷
关键词：
Operant learning; Operant conditioning; Chronic pain; Operant behavioral treatment; BT; Pain management; Pain intervention;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The application of operant learning theory on chronic pain by Fordyce has had a huge impact on chronic pain research and management. The operant model focuses on pain behaviors as a major component of the pain problem, and postulates that they are subject to environmental contingencies. The role of operant learning in pain behaviors generally has been supported by experimental studies, which are reviewed in the present article. Subsequently, the rationale, goals, and methods of operant behavioral treatment of chronic pain are outlined. Special attention is paid to three therapeutic techniques (graded activity, activity pacing, and time-contingent medication management), which are discussed in detail with regard to their operationalization, effectiveness, and (possible) mechanisms of action. Criticisms of the operant model are presented, as are suggestions for the optimization of (operant) behavioral treatment efficacy.
引用
收藏
页码：117 / 126
页数：9
相关论文
共 224 条
[1]  
Flor H(2002)Pavlovian conditioning of opioid and nonopioid pain inhibitory mechanisms in humans Eur J Pain 6 395-402
[2]  
Birbaumer N(2010)Unconditioned and conditioned muscular responses in patients with chronic back pain and chronic tension-type headaches and in healthy controls Pain 150 66-74
[3]  
Schulz R(2004)Pavlovian conditioning of muscular responses in chronic pain patients: central and peripheral correlates Pain 112 239-247
[4]  
Klinger R(2005)Opponent appetitive-aversive neural processes underlie predictive learning of pain relief Nat Neurosci 8 1234-1240
[5]  
Matter N(2011)Learning about pain from others: an observational learning account J Pain 12 167-174
[6]  
Kothe R(2008)Toward a biopsychomotor conceptualization of pain: implications for research and intervention Clin J Pain 24 281-290
[7]  
Schneider C(2002)Facial expression of pain: an evolutionary account Behav Brain Sci 25 439-456
[8]  
Palomba D(2009)Active avoidance but not activity pacing is associated with disability in fibromyalgia Pain 147 29-35
[9]  
Flor H(2007)Pain behavior and the development of pain-related disability: the importance of guarding Clin J Pain 23 270-277
[10]  
Seymour B(2006)The influence of communication goals and physical demands on different dimensions of pain behavior Pain 125 270-277
12345678910