Anxiety And Depression, With Support From Meta Analyses

1030 Words Sep 14th, 2015 5 Pages
anxiety and depression, with support from meta-analyses (Bar-Haim et al., 2007; Peckham, McHugh, & Otto, 2010). Cognitive biases are also frequently explored in patients with chronic pain, and are predicted by a number of theoretical models, in addition to Beck’s schema theory, such as the Self-Regulatory Executive Function theory (SREF), the Fear-Avoidance (FA) model, and the Misdirected Problems-Solving (MPS) model. The SREF models argues that metacognitive factors like beliefs about worry, cognitive confidence, and the need to control thoughts direct and focus one’s attention on disease-related information ((Wells & Matthews, 1996). The FA model suggests that fear of pain leads to hyper-vigilance towards pain sensations and avoidance of actions that cause or worsen pain, resulting in disability (Leeuw et al., 2007; Lethem, et al., 1983; Vlaeyen & Linton, 2000). The MPS model represents chronic pain as pro-longed vigilance towards pain-related threat that leads to persistent yet misdirected attempts of avoiding and escaping pain (Aldrich, Eccleston &, Crombez, 2000). All three models mentioned above predict attentional bias towards pain-related information in people with chronic pain. Another model, Schema Enmeshment Model of Pain (SEMP), predicts cognitive biases in chronic pain patients as well. First proposed by Pincus and Morley (2001), the SEMP suggests that biases are produced by the dynamic relationship between pain schema, illness schema, and the self schema.…
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