Journal of Behavioral Medicine

, Volume 36, Issue 4, pp 371–378 | Cite as

Attention to pain and fear of pain in patients with chronic pain

  • Geert CrombezEmail author
  • Ilse Viane
  • Christopher Eccleston
  • Jacques Devulder
  • Liesbet Goubert


To investigate how acceptance of illness affects chronic pain in terms of attention towards pain and fearful thinking of pain. 62 participants (50 women) with chronic pain carried a palmtop computer for 2 weeks. Eight times each day auditory signals were delivered to cue participants to complete questions about their experience. Multilevel analyses indicated that on moments with more intense pain, more fearful thinking about pain, and less positive emotions, attention to pain was increased. Illness acceptance did not moderate the relation between pain intensity and attention to pain. Results further indicated that on moments with more intense pain, more negative emotions, and less positive emotions, fearful thinking about pain was increased. Of particular interest was the finding that the relationship between pain intensity and fearful thinking about pain was less strong for those high in acceptance. Pain captures attention and elicits fearful thinking about pain. Acceptance may be a useful avenue to lower negative thinking about pain, and to increase well-being in patients with chronic illnesses.


Chronic pain Acceptance Attention Fear 



This study was supported by a research grant from the Fund for Scientific Research, Flanders (Belgium).


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Geert Crombez
    • 1
    Email author
  • Ilse Viane
    • 1
  • Christopher Eccleston
    • 2
  • Jacques Devulder
    • 3
  • Liesbet Goubert
    • 1
  1. 1.Department of Experimental Clinical and Health PsychologyGhent UniversityGhentBelgium
  2. 2.Centre for Pain Research, University of BathBathUK
  3. 3.Department of Anesthesia, Pain ClinicUniversity Hospital of GhentGhentBelgium

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