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28th International Congress of Psychology August 8 ... - U-netSURF

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4121.5 The use <strong>of</strong> mental imagery in enhancing relearning for people with stroke, Karen P.Y.<br />

Liu, Chetwyn C.H. Chan, Christina W.Y. Hui-Chan, The Hong Kong Polytechnic University,<br />

Hong Kong, China<br />

This study explored how mental imagery enhanced the relearning <strong>of</strong> task performance in<br />

post-stroke patients. Thirty-two patients underwent a standardized 3-week mental imagery<br />

program. The patients showed significant improvements in performing both trained and untrained<br />

complicated daily tasks at the end <strong>of</strong> the program. Among different motor, sensory and cognitive<br />

measures, only attention, sequential processing and lower extremity motor functions showed<br />

significant increases after the intervention. Mental imagery appears to enhance the relearning <strong>of</strong><br />

patients with stroke, which is primarily mediated by higher cortical function.<br />

4121.6 The fear avoidance model <strong>of</strong> chronic back pain: Is there empirical support? Birgit<br />

Kroener-Herwig, Michael Pfingsten, Uta Kronshage, University <strong>of</strong> Goettingen Germany<br />

The fear avoidance model <strong>of</strong> chronic back pain: Is there empirical support? Chronic back pain<br />

(CBP) is a major cause for loss <strong>of</strong> work days and early retirement in western nations. More than<br />

90% <strong>of</strong> CBP is "unspecific", i.e. exists without physical impairment. G. Waddel formulated the<br />

fear avoidance model <strong>of</strong> CBP, which assigns fear <strong>of</strong> movement and pain and, as a consequence<br />

avoidance behavior, a major part in the development <strong>of</strong> disability. Empirical studies including<br />

those <strong>of</strong> our own research group are reviewed. It is concluded that empirical evidence lends<br />

support to the psychosocial model <strong>of</strong> CBP.<br />

4121.7 Psychological treatment <strong>of</strong> pediatric headache: A review and metaanalysis, Birgit<br />

Kroener-Herwig, Halina Lackschewitz, Ellen Kremberg, University <strong>of</strong> Goettingen Germany<br />

Headache in children and adolescents is a growing problem in western industrialized countries and<br />

at least doubled in the last 30 years. Drug treatment to abort or in the case <strong>of</strong> migraine prevent<br />

headache is <strong>of</strong>ten declined by parents. Psychological interventions including relaxation training,<br />

bi<strong>of</strong>eedback or cognitive behavioral treatment, have been examined in various studies regarding<br />

their efficacy. More than 15 studies using a RCT are meta-analytically evaluated. Treatments show<br />

a medium to high efficacy with no marked differences between treatments. Mechanisms <strong>of</strong> change<br />

still await elucidation. Future research is explicated.<br />

4121.8 The impact <strong>of</strong> threat appraisal on pain tolerance and coping, Todd Jackson 2 , Tony<br />

Iezzi 1 , Laurie Pope 2 , Takeo Nagasaka 2 , April Fritch 2 , 1 <strong>Psychology</strong> Department, London Health<br />

Sciences Centre, Canada, 2 University <strong>of</strong> Wisconsin-Superior, USA<br />

This study assessed how appraisals <strong>of</strong> affects pain tolerance and coping. One hundred twenty-one<br />

young adults were randomly assigned to read 1) about symptoms <strong>of</strong> frostbite (Threat), 2) about the<br />

safely <strong>of</strong> the cold pressor test (CPT) (Reassurance) or 3) no orienting passage (Control), before<br />

engaging in the CPT. Threatened participants showed reduced pain tolerance although groups did<br />

not differ on intensity <strong>of</strong> reported pain. Threatened participants also catastrophized more and<br />

reported fewer cognitive coping strategies than respondents from other conditions. Findings<br />

suggest threat appraisal is a mechanism that underlies a generally maladaptive pattern <strong>of</strong> coping<br />

with pain threat.<br />

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