Chronic pain and psychopathology: Exploring the motivational context and its clinical implications

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Citation (Scopus)

Abstract

This chapter presents a motivational model designed to forge conceptual and empirical links among chronic pain perception, cognitive-affective pain processing, everyday task performance, and the emergence of psychopathology. Organized around the GRASSP perspective (introduced in chapter 1), the current chapter first addresses the nature of multi-leveled (top-down and bottom-up) regulatory/control systems and the hypothesized motivational mechanisms around which such systems are organized. Based on the twin premises that (a) dysfunctions of the goal-guided, self-regulatory system underlie most forms of psychopathology, and (b) chronic pain can disrupt goal- and self-regulatory system functioning, the chapter seeks to locate chronic pain and two prominent forms of psychological disturbance-depression and anxiety-within a broad, heuristic "motivational context." Among the key explanatory building blocks of the hypothesized model are goal episodes, extended goal striving processes, and four moderation pathways hypothesized to connect pain-related disruptions of self-regulation to the eventual emergence of depression and/or anxiety.

Original languageEnglish (US)
Title of host publicationMotivational Perspectives on Chronic Pain
Subtitle of host publicationTheory, Research, and Practice
PublisherOxford University Press
Pages355-406
Number of pages52
ISBN (Print)9780190627898
DOIs
StatePublished - Aug 23 2018

Fingerprint

Psychopathology
Chronic Pain
Anxiety
Depression
Pain
Pain Perception
Task Performance and Analysis
Psychology

Keywords

  • Anxiety
  • Depression
  • Goal striving
  • Psychopathology
  • Self-regulation

ASJC Scopus subject areas

  • Psychology(all)

Cite this

Karoly, P. (2018). Chronic pain and psychopathology: Exploring the motivational context and its clinical implications. In Motivational Perspectives on Chronic Pain: Theory, Research, and Practice (pp. 355-406). Oxford University Press. https://doi.org/10.1093/oso/9780190627898.003.0010

Chronic pain and psychopathology : Exploring the motivational context and its clinical implications. / Karoly, Paul.

Motivational Perspectives on Chronic Pain: Theory, Research, and Practice. Oxford University Press, 2018. p. 355-406.

Research output: Chapter in Book/Report/Conference proceedingChapter

Karoly, P 2018, Chronic pain and psychopathology: Exploring the motivational context and its clinical implications. in Motivational Perspectives on Chronic Pain: Theory, Research, and Practice. Oxford University Press, pp. 355-406. https://doi.org/10.1093/oso/9780190627898.003.0010
Karoly P. Chronic pain and psychopathology: Exploring the motivational context and its clinical implications. In Motivational Perspectives on Chronic Pain: Theory, Research, and Practice. Oxford University Press. 2018. p. 355-406 https://doi.org/10.1093/oso/9780190627898.003.0010
Karoly, Paul. / Chronic pain and psychopathology : Exploring the motivational context and its clinical implications. Motivational Perspectives on Chronic Pain: Theory, Research, and Practice. Oxford University Press, 2018. pp. 355-406
@inbook{9eab9da6ca54414fab8b7e3d427e4d3a,
title = "Chronic pain and psychopathology: Exploring the motivational context and its clinical implications",
abstract = "This chapter presents a motivational model designed to forge conceptual and empirical links among chronic pain perception, cognitive-affective pain processing, everyday task performance, and the emergence of psychopathology. Organized around the GRASSP perspective (introduced in chapter 1), the current chapter first addresses the nature of multi-leveled (top-down and bottom-up) regulatory/control systems and the hypothesized motivational mechanisms around which such systems are organized. Based on the twin premises that (a) dysfunctions of the goal-guided, self-regulatory system underlie most forms of psychopathology, and (b) chronic pain can disrupt goal- and self-regulatory system functioning, the chapter seeks to locate chronic pain and two prominent forms of psychological disturbance-depression and anxiety-within a broad, heuristic {"}motivational context.{"} Among the key explanatory building blocks of the hypothesized model are goal episodes, extended goal striving processes, and four moderation pathways hypothesized to connect pain-related disruptions of self-regulation to the eventual emergence of depression and/or anxiety.",
keywords = "Anxiety, Depression, Goal striving, Psychopathology, Self-regulation",
author = "Paul Karoly",
year = "2018",
month = "8",
day = "23",
doi = "10.1093/oso/9780190627898.003.0010",
language = "English (US)",
isbn = "9780190627898",
pages = "355--406",
booktitle = "Motivational Perspectives on Chronic Pain",
publisher = "Oxford University Press",

}

TY - CHAP

T1 - Chronic pain and psychopathology

T2 - Exploring the motivational context and its clinical implications

AU - Karoly, Paul

PY - 2018/8/23

Y1 - 2018/8/23

N2 - This chapter presents a motivational model designed to forge conceptual and empirical links among chronic pain perception, cognitive-affective pain processing, everyday task performance, and the emergence of psychopathology. Organized around the GRASSP perspective (introduced in chapter 1), the current chapter first addresses the nature of multi-leveled (top-down and bottom-up) regulatory/control systems and the hypothesized motivational mechanisms around which such systems are organized. Based on the twin premises that (a) dysfunctions of the goal-guided, self-regulatory system underlie most forms of psychopathology, and (b) chronic pain can disrupt goal- and self-regulatory system functioning, the chapter seeks to locate chronic pain and two prominent forms of psychological disturbance-depression and anxiety-within a broad, heuristic "motivational context." Among the key explanatory building blocks of the hypothesized model are goal episodes, extended goal striving processes, and four moderation pathways hypothesized to connect pain-related disruptions of self-regulation to the eventual emergence of depression and/or anxiety.

AB - This chapter presents a motivational model designed to forge conceptual and empirical links among chronic pain perception, cognitive-affective pain processing, everyday task performance, and the emergence of psychopathology. Organized around the GRASSP perspective (introduced in chapter 1), the current chapter first addresses the nature of multi-leveled (top-down and bottom-up) regulatory/control systems and the hypothesized motivational mechanisms around which such systems are organized. Based on the twin premises that (a) dysfunctions of the goal-guided, self-regulatory system underlie most forms of psychopathology, and (b) chronic pain can disrupt goal- and self-regulatory system functioning, the chapter seeks to locate chronic pain and two prominent forms of psychological disturbance-depression and anxiety-within a broad, heuristic "motivational context." Among the key explanatory building blocks of the hypothesized model are goal episodes, extended goal striving processes, and four moderation pathways hypothesized to connect pain-related disruptions of self-regulation to the eventual emergence of depression and/or anxiety.

KW - Anxiety

KW - Depression

KW - Goal striving

KW - Psychopathology

KW - Self-regulation

UR - http://www.scopus.com/inward/record.url?scp=85053062075&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85053062075&partnerID=8YFLogxK

U2 - 10.1093/oso/9780190627898.003.0010

DO - 10.1093/oso/9780190627898.003.0010

M3 - Chapter

SN - 9780190627898

SP - 355

EP - 406

BT - Motivational Perspectives on Chronic Pain

PB - Oxford University Press

ER -