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Assessment of Pain Behaviors

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Encyclopedia of Pain

Synonyms

Analysis of Pain Behavior; Observation of Pain Behavior; Recording of Pain Behavior

Definition

Patients who have pain exhibit a variety of behaviors that serve to communicate the fact that pain is being experienced. These behaviors have been termed pain behaviors (Fordyce 1976). Pain behaviors can be verbal (e.g. verbal descriptions of the intensity, location, and quality of pain; vocalizations of distress; moaning, or complaining) or nonverbal (e.g. withdrawing from activities, taking pain medication, or pain related body postures or facial expressions). Fordyce (1976) was one of the first to address the importance of pain behaviors. According to Fordyce's operant behavioral model, pain behaviors that initially occur in response to acute injury are sometimes maintained over much longer periods of time because they lead to reinforcing consequences. For example, a brief period of bed rest can be adaptive in response to acute pain, but when pain persists, excessive bed rest can...

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References

  1. Buckelew SP, Parker JC, Keefe FJ et al. (1994) Self-Efficacy and Pain Behavior among Subjects with Fibromyalgia. Pain 56:191–201

    Google Scholar 

  2. Fordyce WE (1976) Behavioral Methods for Chronic Pain and Illness. CV Mosby, Saint Louis

    Google Scholar 

  3. Fordyce WE (1979) Environmental Factors in the Genesis of Low Back Pain. In: Bonica JJ, Liebeskind JE, Albe-Fessard DG (eds) Proceedings of the Second World Congress on Pain. Advances in pain Research and Therapy, vol 3. Raven Press, New York, pp 659–666

    Google Scholar 

  4. Keefe FJ, Affleck G, Lefebvre JC et al. (1997) Coping Strategies and Coping Efficacy in Rheumatoid Arthritis: A Daily Process Analysis. Pain 69:43–48

    Google Scholar 

  5. Keefe FJ, Block AR (1982) Development of an Observation Method for Assessing Pain Behavior in Chronic Low Back Pain Patients. Behav Ther 13:363–375

    Google Scholar 

  6. Keefe FJ, Crisson JE, Trainor M (1987) Observational Methods for Assessing Pain: A Practical Guide. In: Blumenthal JA, McKee DC (eds) Applications for Behavioral Medicine and Health Psychology. Professional Resources Exchange, Sarasota, pp 67–94

    Google Scholar 

  7. Keefe FJ, Lefebvre J (1994) Pain Behavior Concepts: Controversies, Current Status, and Future Directions. In: Gebhart G, Hammond DL, Jensen TS (eds) Proceedings of the VIIth World Congress on Pain. Elsevier, New York, pp 127–148

    Google Scholar 

  8. Keefe FJ, Lefebvre J (1999) Behavioral Therapy. In: Melzack R, Wall P (eds) Textbook of Pain fourth edition. Churchill Livingstone, London, pp 1445–1461

    Google Scholar 

  9. Keefe FJ, Wilkins RH, Cook WA (1984) Direct Observations of Pain Behavior in Low Back Pain Patients during Physical Examination. Pain 20:59–68

    Google Scholar 

  10. Keefe FJ, Wilkins RH, Cook WA et al. (1986) Depression, Pain, and Pain Behavior. J Consult Clin Psychol 54:665–669

    Google Scholar 

  11. McDaniel LK, Anderson KO, Bradley LA et al. (1986) Development of an Observation Method for Assessing Pain Behavior in Rheumatoid Arthritis Patients. Pain 24:185–184

    Google Scholar 

  12. Richards R, Nepomuceno C, Riles M et al. (1982) Assessing Pain Behavior: The UAB Pain Behavior Scale. Pain 14:393–398

    Google Scholar 

  13. Romano JM, Turner JA, Friedman LS et al. (1992) Sequential Analysis of Chronic Pain Behaviors and Spouse Responses. J Consult Clin Psychol 60:777–782

    Google Scholar 

  14. Sugimoto A, Hara Y, Findley TW et al. (1997) A Useful Method for Measuring Daily Physical Activity by a Three-Direction Monitor. Scand J Rehabil Med 29:37–42

    Google Scholar 

  15. Turner JA (1996) Educational and Behavioral Interventions for Back Pain in Primary Care. Spine 21:2851–2857

    Google Scholar 

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© 2007 Springer-Verlag Berlin Heidelberg

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Keefe, F., Pryor, R. (2007). Assessment of Pain Behaviors. In: Schmidt, R., Willis, W. (eds) Encyclopedia of Pain. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-29805-2_302

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  • DOI: https://doi.org/10.1007/978-3-540-29805-2_302

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-43957-8

  • Online ISBN: 978-3-540-29805-2

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