Psychosocial Factors of Pain Flashcards
1
Q
Mind vs Body
A
- Problem is either in the mind of in the body, is now known to be true
2
Q
Beliefs vs Coping
A
- Good outcome
- Bad outcome
3
Q
Good Outcome
A
- People who feel they’ve control over pain
4
Q
Bad Outcome
A
- People who feel the pain is controlled by someone other than themselves
5
Q
Anxiety / Fear Avoidance
A
- Good and Bad
6
Q
Good (Anxiety / Fear Avoidance)
A
- If it results in prevention of tissue damage
7
Q
Bad (Anxiety / Fear Avoidance)
A
- When people have a fear of pain, even though a cause cannot be found
8
Q
Castastrophizing
A
- Pessimism, helplessness, magnification, maladaptive
- ” I can’t take this anymore”
- ” I know there is something wrong with me”
9
Q
Depression vs Grieving
A
- Can both cause and be caused by pain
10
Q
Stress
A
- Acutely
- Prolonged
11
Q
Acutely “stress”
A
- Can allow a proper response to a threat
12
Q
Prolonged “Stress”
A
- Can cause multiple adverse effects on the body
- Atrophy
- Changes in brain function
13
Q
Nonorganic Findings (Waddell Signs)
A
- Based on five tests on indicate if a subject is malingering or wants some type of secondary gain
- Indicates possible psychological testing needs, if 3 of 5 tests are positive
- 60% of Chronic LBP patients present with at least one psychiatric diagnosis
- Tenderness
- Simulation Tests
- Distraction
14
Q
Personality Disorders
A
- Are not risk factors for developing CPS, however, are associated with a poor prognosis if CPS develops
15
Q
Social Support
A
- Lack of support is correlated with CPS
- Punishment or a negative response to an individual’s “claim to pain” can increase pain and depression symptoms
