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Increased use of safety-seeking behaviors in chronic back pain patients with high health anxiety
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Tang, Nicole K. Y., Salkovskis, Paul M., Poplavskaya, Elena, Wright, Kelly J., Hanna, Magdi and Hester, Joan (2007) Increased use of safety-seeking behaviors in chronic back pain patients with high health anxiety. Behaviour Research and Therapy, Volume 45 (Number12). pp. 2821-2835. doi:10.1016/j.brat.2007.05.004 ISSN 0005-7967.
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Official URL: http://dx.doi.org/10.1016/j.brat.2007.05.004
Abstract
Many patients with chronic pain also exhibit elevated levels of health anxiety. This study examined the effect of health anxiety on the use of safety-seeking behaviors (SSBs) in pain-provoking situations. Participants were 20 chronic back pain patients with high health anxiety (Group H), 20 with low health anxiety (Group L) and 20 pain-free controls (Group C). Two physical tasks were video recorded, and compared both for overt pain behavior (identified by blind observers following a standardized procedure) and for the occurrence of SSB (identified by showing the participants video playback and asking them to specify motivation for all actions/behaviors displayed during the tasks). While there were no differences in the display of overt pain behaviors, Group H deployed a greater number of SSBs than Groups L and C. This finding held true for both tasks and remained significant when concurrent pain and mood ratings were statistically controlled for. SSB was correlated with catastrophizing thoughts but not pain intensity; pain intensity was correlated with overt pain behavior but not catastrophizing. Taken together, these findings suggest that SSB is distinct from overt pain behavior and may be a defining characteristic of chronic pain patients reporting high levels of health anxiety.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Science > Psychology | ||||
Journal or Publication Title: | Behaviour Research and Therapy | ||||
Publisher: | Elsevier | ||||
ISSN: | 0005-7967 | ||||
Official Date: | December 2007 | ||||
Dates: |
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Volume: | Volume 45 | ||||
Number: | Number12 | ||||
Page Range: | pp. 2821-2835 | ||||
DOI: | 10.1016/j.brat.2007.05.004 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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