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Executive functions, self-regulation, and chronic pain: A review - Abstract Show Comments PDF Print E-mail
  
Tuesday, 27 October 2009

Department of Psychology, University of Kentucky, 115 Kastle Hall, Lexington, KY 40506-0044, USA

Chronic pain conditions are complicated and challenging to live with. Capacity to adjust to such conditions may depend on the ability to self-regulate, that is, the ability to alter thoughts, feelings, and behaviors. Self-regulation appears to rely on executive cognitive functions, and the current review, therefore, sought to draw attention to the impact of self-regulatory capacity and executive functions on chronic pain.

Chronic pain conditions present with complex interactions of cognitive, emotional, behavioral, and physiological components for which self-regulatory ability is crucial. The ability to self-regulate varies, and self-regulatory strength appears to be a limited resource that can be fatigued. The many challenges of chronic pain conditions could, therefore, tax self-regulatory strength, leading to self-regulatory deficits.

The current review proposes a relationship among pain, self-regulatory capacity, self-regulatory demands, executive functions, and self-regulatory fatigue, suggesting that executive functions and self-regulatory deficits are indeed part of the etiology and maintenance of chronic pain conditions.

Written by:
Solberg Nes L, Roach AR, Segerstrom SC   Are you the author?

Reference:
Ann Behav Med. 2009 Apr;37(2):173-83
10.1007/s12160-009-9096-5

PubMed Abstract
PMID: 19357933

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