De rol van repetitieve gedachten bij chronische pijn

Petra A. Karsdorp, Johan W.S. Vlaeyen, Geert Crombez

Jaargang 2012 - Nummer 1 - dinsdag 4 november 2025

Samenvatting

Het doel van dit literatuuroverzicht is om na te gaan of repetitieve negatieve gedachten een rol spelen bij chronische pijn. Allereerst wordt ingegaan op het bewijs voor een relatie tussen repetitieve negatieve gedachten en pijn. Vervolgens wordt ingegaan op de mogelijke mechanismen waarop repetitieve negatieve gedachten chronische pijn kan beïnvloeden. Onderzoeken naar de relatie tussen repetitieve negatieve gedachten en pijn laten tegenstrijdige resultaten zien en is vooralsnog ontoereikend. Een theoretisch model wordt voorgesteld waarin pijn motiveert om een oplossing te zoeken voor het pijnprobleem. Repetitief negatief denken houdt een cognitief pijnnetwerk in het geheugen actief waardoor angst voor pijn, selectieve aandacht en interpretatie, vermijding en hulp zoekend gedrag in een negatieve spiraal in stand worden gehouden of zelfs toenemen. Evidentie voor dit model is vooralsnog beperkt. Suggesties worden gedaan voor toekomstig onderzoek.

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