Journal
JOURNAL OF CLINICAL PSYCHOLOGY
Volume 67, Issue 9, Pages 942-968Publisher
WILEY
DOI: 10.1002/jclp.20816
Keywords
Persistent pain; chronic pain; emotion; biopsychosocial model
Categories
Funding
- NCI NIH HHS [CA131148, R01 CA122704, R01 CA100771, R01 CA131148, CA122704, CA100771] Funding Source: Medline
- NIAMS NIH HHS [R01 AR049059, R01 AR049059-05, AR057047, R01 AR057808, R01 AR057808-01A1, P01 AR050245, AR50245, R01 AR057047, AR057808, R01 AR054626, AR049059, AR054626] Funding Source: Medline
- NINDS NIH HHS [R01 NS053759, R01 NS045720, NS053759, NS045720] Funding Source: Medline
- NINR NIH HHS [NR010777, R01 NR010777] Funding Source: Medline
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Objective and Method: Research on emotion and pain has burgeoned. We review the last decade's literature, focusing on links between emotional processes and persistent pain. Results: Neurobiological research documents the neural processes that distinguish affective from sensory pain dimensions, link emotion and pain, and generate central nervous system pain sensitization. Psychological research demonstrates that greater pain is related to emotional stress and limited emotional awareness, expression, and processing. Social research shows the potential importance of emotional communication, empathy, attachment, and rejection. Conclusions: Emotions are integral to the conceptualization, assessment, and treatment of persistent pain. Research should clarify when to eliminate or attenuate negative emotions, and when to access, experience, and express them. Theory and practice should integrate emotion into cognitive-behavioral models of persistent pain. (C) 2011 Wiley Periodicals, Inc. J Clin Psychol 67: 942-968, 2011.
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