Patients with pain are not all the same: considering fear of pain and other individual factors in treatment
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Pain ManagementVol. 3, No. 2 EditorialPatients with pain are not all the same: considering fear of pain and other individual factors in treatmentLaura E Simons, Christine B Sieberg & Rachael M CoakleyLaura E Simons* Author for correspondenceDivision of Pain Medicine, Department of Anesthesiology, Perioperative & Pain Medicine, Boston Children's Hospital, 21 Autumn Street, Boston, MA 02115, USA. .Department of Psychiatry, Harvard Medical School, Boston, MA, USA, Christine B SiebergDivision of Pain Medicine, Department of Anesthesiology, Perioperative & Pain Medicine, Boston Children's Hospital, 21 Autumn Street, Boston, MA 02115, USADepartment of Psychiatry, Harvard Medical School, Boston, MA, USA & Rachael M CoakleyDivision of Pain Medicine, Department of Anesthesiology, Perioperative & Pain Medicine, Boston Children's Hospital, 21 Autumn Street, Boston, MA 02115, USADepartment of Psychiatry, Harvard Medical School, Boston, MA, USAPublished Online:28 Feb 2013https://doi.org/10.2217/pmt.12.85AboutSectionsView ArticleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinkedInReddit View articleReferences1 Williams AC, Eccleston C, Morley S. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst. Rev.11,CD007407 (2012).Google Scholar2 Eccleston C, Palermo TM, Williams AC, Lewandowski A, Morley S. Psychological therapies for the management of chronic and recurrent pain in children and adolescents. Cochrane Database Syst. Rev. (2),CD003968 (2009).Medline, Google Scholar3 Palermo TM, Eccleston C, Lewandowski AS, Williams AC, Morley S. Randomized controlled trials of psychological therapies for management of chronic pain in children and adolescents: an updated meta-analytic review. Pain148,387–397 (2010).Crossref, Medline, Google Scholar4 Turk DC, Wilson HD, Cahana A. Treatment of chronic non-cancer pain. Lancet377,2226–2235 (2011).Crossref, Medline, CAS, Google Scholar5 Turk DC. The potential of treatment matching for subgroups of patients with chronic pain: lumping versus splitting. Clin. J. Pain21,44–55; discussion 69–72 (2005).Crossref, Medline, Google Scholar6 Logan DE, Carpino EA, Chiang G et al. A day-hospital approach to treatment of pediatric complex regional pain syndrome: initial functional outcomes. Clin. J. Pain28,766–774 (2012).Crossref, Medline, Google Scholar7 Vlaeyen JW, Linton SJ. Fear-avoidance model of chronic musculoskeletal pain: 12 years on. Pain153,1144–1147 (2012).Crossref, Medline, Google Scholar8 Simons LE, Kaczynski KJ. The fear avoidance model of chronic pain: examination for pediatric application. J. Pain13,827–835 (2012).Crossref, Medline, Google Scholar9 Simons LE, Kaczynski KJ, Conroy C, Logan DE. Fear of pain in the context of intensive pain rehabilitation among children and adolescents with neuropathic pain: associations with treatment response. J. Pain13,1151–1161 (2012).Crossref, Medline, Google Scholar10 Vlaeyen JW, De Jong JR, Onghena P, Kerckhoffs-Hanssen M, Kole-Snijders AM. Can pain-related fear be reduced? The application of cognitive–behavioural exposure in vivo. Pain Res. Manag.7,144–153 (2002).Crossref, Medline, Google Scholar11 Bailey KM, Carleton RN, Vlaeyen JW, Asmundson GJ. Treatments addressing pain-related fear and anxiety in patients with chronic musculoskeletal pain: a preliminary review. Cogn. Behav. Ther.39,46–63 (2010).Crossref, Medline, Google Scholar12 Claar RL, Simons LE, Logan DE. Parental response to children's pain: the moderating impact of children's emotional distress on symptoms and disability. Pain138,172–179 (2008).Crossref, Medline, Google Scholar13 Simons LE, Claar RL, Logan DL. Chronic pain in adolescence: parental responses, adolescent coping, and their impact on adolescent's pain behaviors. J. Pediatr. Psychol.33,894–904 (2008).Crossref, Medline, Google Scholar14 Coakley RM, Barber BN. Overcoming common barriers to engagement in psychological services for chronic pain: a one-day intensive pain management workshop for youth and parents. Pediatric Pain Lett.14,10–15 (2012).Google ScholarFiguresReferencesRelatedDetailsCited ByGraded exposure treatment for adolescents with chronic pain (GET Living): Protocol for a randomized controlled trial enhanced with single case experimental designContemporary Clinical Trials Communications, Vol. 16Evidence-Based Psychological Interventions for the Management of Pediatric Chronic Pain: New Directions in Research and Clinical Practice4 February 2017 | Children, Vol. 4, No. 2Cognitive-Behavioral Therapy: How Medical Providers Can Increase Patient and Family Openness and Access to Evidence-Based Multimodal Therapy for Pediatric Migraine21 July 2015 | Headache: The Journal of Head and Face Pain, Vol. 55, No. 10 Vol. 3, No. 2 Follow us on social media for the latest updates Metrics Downloaded 120 times History Published online 28 February 2013 Published in print March 2013 Informati
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Effective treatment for chronic pain likely requires focusing on mechanisms that perpetuate the persistent pain state, rather than treating all patients with chronic pain as 'the same'.
“Effective treatment for chronic pain likely requires focusing on mechanisms that perpetuate the persistent pain state, rather than treating all patients with chronic pain as ‘the same’ [67].”
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Cites
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Eccleston, C., & Morley, S. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub3 · Cited by 1,634 · see citing works
Fear-avoidance model of chronic musculoskeletal pain: 12 years on
Vlaeyen, J. W. S., & Linton, S. J. (2012) · Pain · doi:10.1016/j.pain.2011.12.009 · Cited by 1,281 · see citing works
Psychological therapies for the management of chronic and recurrent pain in children and adolescents
Eccleston, C., Palermo, T. M., Williams, A. C. D. C., Lewandowski Holley, A., Morley, S., Fisher, E., & Law, E. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003968.pub4 · Cited by 745 · see citing works
Treatment of chronic non-cancer pain
Turk, D. C., Wilson, H. D., & Cahana, A. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60402-9 · Cited by 716 · see citing works
Palermo, T. M., Eccleston, C., Lewandowski, A. S., de C. Williams, A. C., & Morley, S. (2010) · Pain · doi:10.1016/j.pain.2009.10.004 · Cited by 489 · see citing works
The fear avoidance model of chronic pain: Examination for pediatric application
Simons, L. E., & Kaczynski, K. J. (2012) · The Journal of Pain · doi:10.1016/j.jpain.2012.05.002 · Cited by 250 · see citing works
Self-citationThe Potential of Treatment Matching for Subgroups of Patients With Chronic Pain
Turk, D. C. (2004) · Clinical Journal of Pain · doi:10.1097/00002508-200501000-00006 · Cited by 246 · see citing works
Bailey, K. M., Carleton, R. N., Vlaeyen, J. W. S., & Asmundson, G. J. G. (2010) · Cognitive Behaviour Therapy · doi:10.1080/16506070902980711 · Cited by 181 · see citing works
Claar, R. L., Simons, L. E., & Logan, D. E. (2008) · Pain · doi:10.1016/j.pain.2007.12.005 · Cited by 173 · see citing works
Self-citationLogan, D. E., Carpino, E. A., Chiang, G., Condon, M., Firn, E., Gaughan, V. J., Hogan, M., Leslie, D. S., Olson, K., Sager, S., et al. (2012) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e3182457619 · Cited by 152 · see citing works
Self-citationSimons, L., Claar, R., & Logan, D. (2008) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsn029 · Cited by 150 · see citing works
Can Pain‐Related Fear Be Reduced? The Application of Cognitive‐Behavioural Exposure in Vivo
Vlaeyen, J. W., de Jong, J. R., Onghena, P., Kerckhoffs-Hanssen, M., & Kole-Snijders, A. M. (2002) · Pain Research and Management · doi:10.1155/2002/493463 · Cited by 149 · see citing works
Simons, L. E., Kaczynski, K. J., Conroy, C., & Logan, D. E. (2012) · The Journal of Pain · doi:10.1016/j.jpain.2012.08.007 · Cited by 80 · see citing works
Psychological therapies for the management of chronic and recurrent pain in children and adolescents
Eccleston, C., Palermo, T. M., Williams, A. C. D. C., Lewandowski, A., & Morley, S. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003968.pub2 · Cited by 78 · see citing works
Coakley, R., & Barber, B. N. (2012) · Cited by 9 · see citing works
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Coakley, R., & Wihak, T. (2017) · Children · doi:10.3390/children4020009 · Cited by 100 · see citing works
Ernst, M. M., O’Brien, H. L., & Powers, S. W. (2015) · Headache The Journal of Head and Face Pain · doi:10.1111/head.12605 · Cited by 62 · see citing works
Simons, L. E., Harrison, L. E., O'Brien, S. F., Heirich, M. S., Loecher, N., Boothroyd, D. B., Vlaeyen, J. W. S., Wicksell, R. K., Schofield, D., Hood, K. K., et al. (2019) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2019.100448 · Cited by 24 · see citing works
“Effective treatment for chronic pain likely requires focusing on mechanisms that perpetuate the persistent pain state, rather than treating all patients with chronic pain as ‘the same’ [67].”
BackgroundSchafthuizen, L., van Dijk, M., van Rosmalen, J., & Ista, E. (2024) · BMC Nursing · doi:10.1186/s12912-023-01648-4 · Cited by 11 · see citing works
Influence of Family-Learned Fear-of-Pain on Patients.
Fang, Y.-X., Shi, L., Qin, F., Li, T., Zhang, X., & Li, M. (2023) · Pain Management Nursing · doi:10.1016/j.pmn.2023.04.003 · Cited by 6 · see citing works
Bateman, D., Caes, L., Noel, M. E., Gauntlett‐Gilbert, J., Jones, D. A., & Jordan, D. A. (2025) · Journal of Pain · doi:10.1016/j.jpain.2025.105436 · Cited by 1 · see citing works
Schafthuizen, L., van Dijk, M., van Rosmalen, J., & Ista, E. (2024) · Figshare · doi:10.6084/m9.figshare.24923798
Schafthuizen, L., van Dijk, M., van Rosmalen, J., & Ista, E. (2024) · Figshare · doi:10.6084/m9.figshare.26657677
Schafthuizen, L., van Dijk, M., van Rosmalen, J., & Ista, E. (2024) · Figshare · doi:10.6084/m9.figshare.24923718
- Authors
- Simons, L. E., Sieberg, C. B., & Coakley, R. M.
- Affiliations
- Boston Children's Hospital (US)
- Venue
- Pain Management
- Publisher
- Informa UK Limited
- Published
- 2013-02-28
- Volume
- 3
- Issue
- 2
- Pages
- 87-89
- ISSN
- 1758-1869 (ISSN-L)
- 1758-1877
- PMC
- PMC4060630
- OpenAlex
- W2081508650
- Cited by
- 9
- References
- 14
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 1 · 2019: 1 · 2017: 1 · 2015: 1
- FWCI
- 0.31
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Pain Management (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (K23HD067202)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- fear of pain, individual differences, chronic pain, psychotherapy, children and adolescents, treatment response
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