scholarly journals Anxiety sensitivity and fear of pain in paediatric headache patients

2014 ◽  
Vol 19 (2) ◽  
pp. 246-252 ◽  
Author(s):  
S. Cappucci ◽  
L.E. Simons
Keyword(s):  
Anxiety Sensitivity ◽  
Fear Of Pain ◽  
Paediatric Headache ◽  
Headache Patients

scholarly journals Fear of pain in pediatric headache

Cephalalgia ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 36-44 ◽  
Author(s):  
Laura E Simons ◽  
Melissa Pielech ◽  
Stefanie Cappucci ◽  
Alyssa Lebel
Keyword(s):  
Anxiety Sensitivity ◽  
Functional Disability ◽  
Pain Catastrophizing ◽  
School Functioning ◽  
Fear Of Pain ◽  
Cross Sectional ◽  
Pain Acceptance ◽  
Pediatric Headache ◽  
Activity Avoidance ◽  
Headache Patients

Objective The current study provides the first measure of pain-related fear for pediatric headache patients. Methods From a large pediatric headache clinic, a cross-sectional cohort of 206 children and adolescents completed measures of pain-related fear, anxiety sensitivity, catastrophizing, pain acceptance, functional disability, and school functioning. Results The two-factor solution of the Fear of Pain Questionnaire (FOPQ) was confirmed from the originally derived structure with pediatric headache patients. Simultaneously regressing FOPQ subscales fear of pain and activity avoidance on theorized construct validity measures demonstrated that fear of pain was more closely linked with anxiety sensitivity and pain catastrophizing while activity avoidance had a strong negative association with pain acceptance (activity engagement and pain willingness). Pain-related fear was not significantly associated with pain level. After controlling for demographic factors and pain, fear of pain and activity avoidance accounted for an additional 26% of the variance in functional disability and school functioning outcomes, with activity avoidance accounting for much of this relationship. Conclusions Although typically considered an influential construct among musculoskeletal patients, pain-related fear is also an important factor influencing functioning among pediatric headache patients, with the dimension of activity avoidance particularly salient.

Anxiety sensitivity, body vigilance and fear of pain

2008 ◽  
Vol 46 (6) ◽  
pp. 715-727 ◽  
Author(s):  
M. Rosa Esteve ◽  
Laura Camacho
Keyword(s):  
Anxiety Sensitivity ◽  
Fear Of Pain ◽  
Body Vigilance

Anxiety Sensitivity and Fear of Pain in Children

2001 ◽  
Vol 92 (2) ◽  
pp. 456-458 ◽  
Author(s):  
Peter Muris ◽  
Johan W. S. Vlaeyen ◽  
Cor Meesters ◽  
Sonja Vertongen
Keyword(s):  
Anxiety Sensitivity ◽  
Fear Of Pain

Anxiety sensitivity and fear of pain in patients with recurring headaches

1999 ◽  
Vol 37 (8) ◽  
pp. 703-713 ◽  
Author(s):  
Gordon J.G. Asmundson ◽  
Peter J. Norton ◽  
Felix Veloso
Keyword(s):  
Anxiety Sensitivity ◽  
Fear Of Pain

scholarly journals Dispositional Affect in Unique Subgroups of Patients with Rheumatoid Arthritis

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Danielle B. Rice ◽  
Swati Mehta ◽  
Janet E. Pope ◽  
Manfred Harth ◽  
Allan Shapiro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Anxiety Sensitivity ◽  
Experiential Avoidance ◽  
Pain Catastrophizing ◽  
Analysis Of Covariance ◽  
Fear Of Pain ◽  
Pain Anxiety ◽  
Pain Disability

Background. Patients with rheumatoid arthritis may experience increased negative outcomes if they exhibit specific patterns of dispositional affect.Objective. To identify subgroups of patients with rheumatoid arthritis based on dispositional affect. The secondary objective was to compare mood, pain catastrophizing, fear of pain, disability, and quality of life between subgroups.Methods. Outpatients from a rheumatology clinic were categorized into subgroups by a cluster analysis based on dispositional affect. Differences in outcomes were compared between clusters through multivariate analysis of covariance.Results. 227 patients were divided into two subgroups. Cluster 1 (n=85) included patients reporting significantly higher scores on all dispositional variables (experiential avoidance, anxiety sensitivity, worry, fear of pain, and perfectionism; allp<0.001) compared to patients in Cluster 2 (n=142). Patients in Cluster 1 also reported significantly greater mood impairment, pain anxiety sensitivity, and pain catastrophizing (allp<0.001). Clusters did not differ on quality of life or disability.Conclusions. The present study identifies a subgroup of rheumatoid arthritis patients who score significantly higher on dispositional affect and report increased mood impairment, pain anxiety sensitivity, and pain catastrophizing. Considering dispositional affect within subgroups of patients with RA may help health professionals tailor interventions for the specific stressors that these patients experience.

The relationship between anxiety sensitivity and fear of pain in healthy adolescents

2001 ◽  
Vol 39 (11) ◽  
pp. 1357-1368 ◽  
Author(s):  
Peter Muris ◽  
Johan Vlaeyen ◽  
Cor Meesters
Keyword(s):  
Anxiety Sensitivity ◽  
Fear Of Pain ◽  
The Relationship

scholarly journals The Role of Anxiety Sensitivity, Fear of Pain and Experiential Avoidance in Experimental Pain

Psychology ◽  
2011 ◽  
Vol 02 (08) ◽  
pp. 817-830 ◽  
Author(s):  
Ana Isabel Masedo Gutiérrez ◽  
María Rosa Esteve Zarazaga ◽  
Stefaan Van Damme
Keyword(s):  
Anxiety Sensitivity ◽  
Experiential Avoidance ◽  
Experimental Pain ◽  
Fear Of Pain

scholarly journals Anxiety Sensitivity, Fear of Pain and Pain-Related Disability in Children and Adolescents with Chronic Pain

2007 ◽  
Vol 12 (4) ◽  
pp. 267-272 ◽  
Author(s):  
Andrea L Martin ◽  
Patricia A McGrath ◽  
Stephen C Brown ◽  
Joel Katz
Keyword(s):  
Chronic Pain ◽  
Children And Adolescents ◽  
Anxiety Sensitivity ◽  
Functional Disability ◽  
Depression Scale ◽  
Childhood Anxiety ◽  
Pain Clinic ◽  
Sensitivity Index ◽  
Fear Of Pain ◽  
Pain Disability

BACKGROUND: Converging lines of evidence suggest that anxiety sensitivity and fear of pain may be important vulnerability factors in the development of avoidance behaviours and disability in adults with chronic pain. However, these factors have not been evaluated in children with chronic pain.OBJECTIVES: To examine the relationships among anxiety sensitivity, fear of pain and pain-related disability in children and adolescents with chronic pain.METHODS: An interview and five questionnaires (Childhood Anxiety Sensitivity Index, Pain Anxiety Symptoms Scale, Functional Disability Inventory, Multidimensional Anxiety Scale for Children, and Reynolds Child or Adolescent Depression Scale) were administered to 21 children and adolescents eight to 17 years of age (mean ± SD 14.24±2.21 years) who continued to experience pain an average of three years after discharge from a specialized pain clinic for children.RESULTS: Anxiety sensitivity accounted for 38.6% of the variance in fear of pain (F[1,20]=11.30; P=0.003) and fear of pain accounted for 39.9% of the variance in pain-related disability (F[1,20]=11.95; P=0.003), but anxiety sensitivity was not significantly related to pain disability (R2=0.09; P>0.05).CONCLUSIONS: These findings indicate that children with high levels of anxiety sensitivity had a higher fear of pain, which, in turn, was linked to increased pain disability. The results of this study suggest that anxiety sensitivity and fear of pain may play important and distinct roles in the processes that maintain chronic pain and pain-related disability in children.

scholarly journals Dental Care–Related Fear and Anxiety: Distress Tolerance as a Possible Mechanism

2017 ◽  
Vol 2 (3) ◽  
pp. 304-311 ◽  
Author(s):  
S.H. Addicks ◽  
D.W. McNeil ◽  
C.L. Randall ◽  
A. Goddard ◽  
L.M. Romito ◽  
...  
Keyword(s):  
Health Care ◽  
Anxiety Sensitivity ◽  
Dental Care ◽  
Distress Tolerance ◽  
Comparison Group ◽  
Dental Fear ◽  
Fear Of Pain ◽  
Pain Anxiety ◽  
Dental Phobia ◽  
Fear And Anxiety

Distress tolerance, the degree to which one is able to cope with and endure negative emotional states, has been broadly applied to understand and treat a variety of health (including behavioral) problems, but little is known about its role in oral health care and specifically dental care–related fear and anxiety, making it a novel construct in the oral health care literature. This cross-sectional study examined distress tolerance as a possible predictor of dental fear and anxiety among a sample of adults with and without diagnoses of dental phobia, investigated possible differences in levels of distress tolerance between adults with and without dental phobia, and determined possible associations between distress tolerance and fear of pain, anxiety sensitivity, and depression. Using 52 volunteers ( n = 31, dental phobia group; n = 21, healthy comparison group), this investigation used self-report measures of distress tolerance, fear of pain, anxiety sensitivity, dental fear, and depression. The Anxiety Disorders Interview Schedule, a semi-structured interview, was used to assess for dental phobia and other psychological disorders. Distress tolerance significantly predicted dental fear and anxiety, even after controlling for age, sex, fear of pain, anxiety sensitivity, and depression. In addition, the dental phobia group had lower distress tolerance than the healthy comparison group. Distress tolerance was significantly associated with fear of pain, anxiety sensitivity, and depression. Findings indicate that low distress tolerance plays a unique and distinct role as a possible mechanism in the genesis of dental care–related fear and anxiety and phobia and may exacerbate the experience of other states, including fear of pain and anxiety sensitivity. Knowledge Transfer Statement: Results indicate that patients who have a lower ability to tolerate emotional and physical distress may have higher levels of dental care–related fear and anxiety and even dental phobia, as well as associated sequelae (e.g., avoidance of dental care). Treatment of highly fearful dental patients may helpfully include a focus on increasing distress tolerance.

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