The behavioral activation and inhibition systems: implications for understanding and treating chronic pain

Jensen, Mark P., Ehde, Dawn M. and Day, Melissa A. (2016) The behavioral activation and inhibition systems: implications for understanding and treating chronic pain. Journal of Pain, 17 5: 529.e1-529.e18. doi:10.1016/j.jpain.2016.02.001


Author Jensen, Mark P.
Ehde, Dawn M.
Day, Melissa A.
Title The behavioral activation and inhibition systems: implications for understanding and treating chronic pain
Journal name Journal of Pain   Check publisher's open access policy
ISSN 1528-8447
1526-5900
Publication date 2016-05-01
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.jpain.2016.02.001
Open Access Status Not yet assessed
Volume 17
Issue 5
Start page 529.e1
End page 529.e18
Total pages 18
Place of publication Philadelphia, PA, United States
Publisher Churchill Livingstone
Collection year 2017
Language eng
Formatted abstract
Evidence from a number of sources supports the existence of two relatively independent neurophysiological systems that underlie avoidance- and approach-related emotions, cognitions, and behavior. There is considerable overlap between 1) the emotions, cognitions, and behaviors controlled by these two systems, and 2) the known effects of chronic pain. Here we propose a 2-factor model of chronic pain on the basis of these well established 2-factor models, and discuss the implications of the model for understanding the effects of pain and mechanisms of psychological pain treatments. The model makes specific hypotheses, which are unique to the proposed model, regarding the mechanisms underlying pain's negative influence and the benefits of psychological pain treatments. The model also provides an overarching framework that could enhance outcomes by 1) broadening the assessment of factors that may be influencing pain and its effect on individual patients, and 2) suggesting that specific techniques from different treatments may be combined to better target these factors.

Perspective: The 2-factor model presented in this report provides a framework for understanding the effects of psychological pain treatments, and makes specific a priori hypotheses regarding the specific mechanisms of those treatments. Clinical applications of the model have the potential for enhancing treatment outcomes.
Keyword Behavioral activation system
Behavioral inhibition system
Chronic pain
Mechanisms
Theory
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Psychology Publications
 
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