Week 13 Flashcards
Pain catastrophising:
an exaggerated negative interpretation of pain
Fear Avoidance:
How individuals develop and maintain chronic musculoskeletal pain as a result of attentional processes and avoidant behaviour based on pain-related fear
Hypervigilance:
- A perceptual tendency to focus attention on threatening stimulation
- Heightened attention to the body and an increase in symptom reporting, even in healthy people
- Attention to pain at the expense of the rest of the life
- An individual constantly scanning their body for signs of physical threats
Self-efficacy:
An individuals confidence in their ability to engage in behaviours that will yield a desirable outcome
Functional somatic syndromes:
Clients who report a range of symptoms that have no specific biomedical causation
Relationship between pain intensity and disability was shown to be explain by 4 of the same factors:
- Fear
- Catatrophizing
- depression
- anxiety
Chronic pain: The more treatments someone engages with in the last month, the stronger the relationship between ____ and ___
pain and fear (more treatment –> more fearful)
The effect of pain on fear and catastrophizing is higher for people doing specific _____ exercises (i.e. pilates, core strengthening, back stretching) and those who seek health consultations
trunk
We don’t know whether or not the act of performing the exercise that is reinforcing negative beliefs about pain, or the ___________ that goes along with these types of trunk exercise programs
advice/reasoning
- i.e. the ‘scary’ words often used to justify ‘trunk and core’ exercises
Chronic pain patients - what should you measure? (EXAM)
- Disability
- Pain
- Catastrophizing
- If use this and multiple categories scored at maximum then need psychological help
- Fear
- biggest predictor of returned to work is fear avoidance about work related activities (EXAM Q)
- Self efficacy
What is the biggest predictor of returned to work issues?
Fear avoidance about work related activities
Efficacy “cut off scores” as screening tool:
- Unsupervised (>80%)
- Supervised exercise programmes (50-80%)
- Manipulation of self efficacy (<50%)
- Mastery Accomplishments
- Social modelling
- Social persuasion
- Physiological Arousal
Top 3 barriers to exercise:
- Lack of time
- Lack of motivation
- Minor barriers (child care, programs etc)
Top 2 determinants of exercise adherence: (EXAM)
- Self efficacy
- and self motivation
Intrinsic motivation:
Extrinsic motivation:
inherent pleasure from task
reward, punishment, result etc
