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Cited by 358Musculoskeletal pain and rehabilitationPain Management and TreatmentAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 104 of the 105 references it cites were found in a registry or an index.

Chronic pain: a reformulation of the cognitive-behavioural model

Sharp, Timothy J·2001·Behaviour Research and Therapy
DOI 10.1016/s0005-7967(00)00061-9
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Abstract

The last few decades has seen psychological theories of chronic pain dominated by behavioural concepts and particularly, by the operant model as described by Fordyce et al. (1968: Fordyce, W., Fowler, R., & DeLateur, B. (1968) An application of behavior modification technique to a problem of chronic pain. Behaviour Research and Therapy, 6, 105-107, 1976: Fordyce, W.E. (1976) Behavioral methods for chronic pain and illness. St Louis, MO: C. V Moseby). More recently, cognitive constructs have been included, giving the impression that the operant theory of chronic pain has been replaced by a cognitive-behavioural theory (CBT). Given the fact that CBTs were introduced essentially to overcome some inherent problems with operant theory, it is notable that they are still very much based on operant theory and continue to be founded upon operant principles. Further, the extent to which CBTs (at this stage) have included contemporary cognitive research has been limited. This paper argues that it is of questionable validity to continue to include problematic concepts (e.g., operant principles) into a revised theory (e.g., CBT). Instead, consistent with research from other areas (particularly the anxiety disorders), chronic pain and the problems associated with it may be better explained by a reformulated cognitive-behavioural theory which although not ignoring the observable behaviours of pain patients and their associations with social reinforcers, interprets these phenomena from a cognitive perspective. Thus, a modified CBT is proffered, focusing more directly on patients' thoughts about, and appraisals of, their pain. Evidence in support of such a theory is provided, as are suggestions for further research and the implications such a theory has for treatment.

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Citations

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Research works printed but not linked: 1

  1. Sharp, T. (1997). Chronic pain patients and their spouses: an analysis of their interactions. Unpublished Doctoral Dissertation

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Metadata

Authors
Sharp, T. J.
Corresponding author
Sharp, Timothy J
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2001-07
Volume
39
Issue
7
Pages
787-800
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/s0005-7967(00)00061-9
OpenAlex
W1994874583
Cited by
356
References
105
Citations by year
2025: 4 · 2024: 5 · 2023: 5 · 2022: 12 · 2021: 3 · 2020: 10 · 2019: 16 · 2018: 14 · 2017: 13 · 2016: 19 · 2015: 35 · 2014: 23 · 2013: 12 · 2012: 11
FWCI
11.80
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
chronic pain, cognitive-behavioral model, cognitive behavioral therapy, pain appraisal, social reinforcement, pain management
MeSH terms
Chronic Disease, Humans, Models, Psychological, Pain, Cognitive Science

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