Prediction of pain in patients with chronic low back pain: Effects of inaccurate prediction and pain-related anxiety
Abstract
This study investigated predictions of pain intensity, reports of pain and anxiety, frequency of pain-related anxiety symptoms, and range of motion, in 43 patients exposed to pain during a physical examination. All patients had primary complaints of low back pain. The pain stimuli used for this study included back and/or leg pain produced by repeatedly raising the extended leg of the patient to the point of pain tolerance. Generally, findings demonstrated that (a) predictions of pain were a function of discrepancies between previous predictions and experiences of pain, (b) patients reporting greater pain-related anxiety showed a tendency to overpredict new pain events, but corrected their predictions readily, (c) patients reporting less pain-related anxiety displayed a persistent tendency to underpredict pain, and (d) higher predictions of pain, independent of pain reports, related to less range of motion during a procedure that involved painful movement. Discussion focuses on differences between these results and those of previous studies and the implications of inaccurate prediction for continued pain and disability.
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Patients scoring high on pain-related anxiety and fear measures overpredict the amount of pain they will experience during a physical examination.
“and overpredict the amount of pain they will experience during a physical examination.75”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [75]
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- Authors
- McCracken, L. M., Gross, R. T., Sorg, P. J., & Edmands, T. A.
- Affiliations
- West Virginia University (US)
- Corresponding author
- McCracken, Lance M.
- ORCID
- McCracken, Lance M.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 1993-09
- Volume
- 31
- Issue
- 7
- Pages
- 647-652
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W1995992378
- Cited by
- 254
- References
- 15
- Citations by year
- 2025: 3 · 2022: 2 · 2021: 4 · 2020: 12 · 2019: 4 · 2018: 8 · 2017: 5 · 2016: 4 · 2015: 7 · 2014: 5 · 2013: 12 · 2012: 9
- FWCI
- 3.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- chronic low back pain, pain prediction, pain-related anxiety, range of motion, pain tolerance, disability
- MeSH terms
- Adult, Anxiety, Avoidance Learning, Female, Humans, Male, Middle Aged, Pain Measurement, Patient Care Team, Sick Role, Range of Motion, Articular, Low Back Pain, Pain Threshold
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