Operant learning theory in pain and chronic pain rehabilitation

R Gatzounis, MGS Schrooten, G Crombez… - Current pain and …, 2012 - Springer
The application of operant learning theory on chronic pain by Fordyce has had a huge
impact on chronic pain research and management. The operant model focuses on pain …

Safety behaviours or safety precautions? The role of subtle avoidance in anxiety disorders in the context of chronic physical illness

L Sharpe, J Todd, A Scott, R Gatzounis… - Clinical Psychology …, 2022 - Elsevier
Avoidance is a hallmark symptom and a primary maintaining factor in anxiety disorders.
Theories of anxiety disorders have focused not only on overt avoidance, but also on more …

Fear of pain changes movement: Motor behaviour following the acquisition of pain‐related fear

K Karos, A Meulders, R Gatzounis… - … journal of pain, 2017 - Wiley Online Library
Background According to current fear‐avoidance models, changes in motor behaviour (eg
avoidance) are a key component in the development and maintenance of chronic pain …

Interrupted by pain: an anatomy of pain-contingent activity interruptions

R Gatzounis, MGS Schrooten, G Crombez… - PAIN®, 2014 - Elsevier
Implications Interrupting ongoing tasks because of pain is expected to have a negative
impact on everyday activities and pursuit of valued goals. Various factors, however, might …

[HTML][HTML] Optimizing long-term outcomes of exposure for chronic primary pain from the lens of learning theory

R Gatzounis, M den Hollander, A Meulders - The Journal of Pain, 2021 - Elsevier
Exposure in vivo is a theory-driven and widely used treatment to tackle functional disability
in people with chronic primary pain. Exposure is quite effective; yet, in line with exposure …

Generalization of instrumentally acquired pain-related avoidance to novel but similar movements using a robotic arm-reaching paradigm

E Glogan, R Gatzounis, M Meulders… - Behaviour Research and …, 2020 - Elsevier
Avoidance is considered a key contributor to the development and maintenance of chronic
pain disability, likely through its excessive generalization. This study investigated whether …

[HTML][HTML] When do we not face our fears? Investigating the boundary conditions of costly pain-related avoidance generalization

E Glogan, K Vandael, R Gatzounis, A Meulders - The Journal of Pain, 2021 - Elsevier
Excessive generalization of fear and avoidance are hallmark symptoms of chronic pain
disability, yet research focusing on the mechanisms underlying generalization of avoidance …

No differences in return of pain-related fear after extinction and counterconditioning.

R Gatzounis, S De Bruyn, L Van de Velde, A Meulders - Emotion, 2022 - psycnet.apa.org
Extinction-based protocols such as exposure-in-vivo successfully reduce pain-related fear in
chronic pain conditions, but return of fear and clinical relapse often occur …

Investigating pain-related avoidance behavior using a robotic arm-reaching paradigm

E Glogan, R Gatzounis, K Vandael, M Franssen… - JoVE (Journal of …, 2020 - jove.com
Avoidance behavior is a key contributor to the transition from acute pain to chronic pain
disability. Yet, there has been a lack of ecologically valid paradigms to experimentally …

[HTML][HTML] Generalization of pain-related avoidance behavior based on de novo categorical knowledge

E Glogan, R Gatzounis, MP Bennett, K Holthausen… - Pain, 2023 - journals.lww.com
People with chronic pain often fear and avoid movements and activities that were never
paired with pain. Safe movements may be avoided if they share some semantic relationship …