Psychological Factors Associated with Phantom Limb Pain: A Review of Recent Findings

Phantom limb pain (PLP) is a common phenomenon occurring after the amputation of a limb and can be accompanied by serious suffering. Psychological factors have been shown to play an important role in other types of chronic pain, where they are pivotal in the acquisition and maintenance of pain sympt...

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Main Authors: Xaver Fuchs, Herta Flor, Robin Bekrater-Bodmann
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2018/5080123
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author Xaver Fuchs
Herta Flor
Robin Bekrater-Bodmann
author_facet Xaver Fuchs
Herta Flor
Robin Bekrater-Bodmann
author_sort Xaver Fuchs
collection DOAJ
description Phantom limb pain (PLP) is a common phenomenon occurring after the amputation of a limb and can be accompanied by serious suffering. Psychological factors have been shown to play an important role in other types of chronic pain, where they are pivotal in the acquisition and maintenance of pain symptoms. For PLP, however, the interaction between pain and psychological variables is less well documented. In this review, we summarize research on the role of emotional, motivational, cognitive, and perceptual factors in PLP. The reported findings indicate that emotional factors modulate PLP but might be less important compared to other types of chronic pain. Additional factors such as the amount of disability and adjustment to the amputation appear to also play a role. Bidirectional relationships between stress and PLP have been shown quite consistently, and the potential of stress and tension reduction in PLP treatment could be further exploited. Little is known about the role of cognitive variables such as attention or expectation. Catastrophizing seems to aggravate PLP and could be targeted in treatment. Body perception is altered in PLP and poses a potential target for novel mechanistic treatments. More research on psychological factors and their interactions in PLP is needed.
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spelling doaj-art-695104b02eed4d8498de8a5de24e74d72025-02-03T01:06:41ZengWileyPain Research and Management1203-67651918-15232018-01-01201810.1155/2018/50801235080123Psychological Factors Associated with Phantom Limb Pain: A Review of Recent FindingsXaver Fuchs0Herta Flor1Robin Bekrater-Bodmann2Biopsychology and Cognitive Neuroscience, Faculty of Psychology and Sports Science, Bielefeld University, Bielefeld, GermanyDepartment of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, GermanyDepartment of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, GermanyPhantom limb pain (PLP) is a common phenomenon occurring after the amputation of a limb and can be accompanied by serious suffering. Psychological factors have been shown to play an important role in other types of chronic pain, where they are pivotal in the acquisition and maintenance of pain symptoms. For PLP, however, the interaction between pain and psychological variables is less well documented. In this review, we summarize research on the role of emotional, motivational, cognitive, and perceptual factors in PLP. The reported findings indicate that emotional factors modulate PLP but might be less important compared to other types of chronic pain. Additional factors such as the amount of disability and adjustment to the amputation appear to also play a role. Bidirectional relationships between stress and PLP have been shown quite consistently, and the potential of stress and tension reduction in PLP treatment could be further exploited. Little is known about the role of cognitive variables such as attention or expectation. Catastrophizing seems to aggravate PLP and could be targeted in treatment. Body perception is altered in PLP and poses a potential target for novel mechanistic treatments. More research on psychological factors and their interactions in PLP is needed.http://dx.doi.org/10.1155/2018/5080123
spellingShingle Xaver Fuchs
Herta Flor
Robin Bekrater-Bodmann
Psychological Factors Associated with Phantom Limb Pain: A Review of Recent Findings
Pain Research and Management
title Psychological Factors Associated with Phantom Limb Pain: A Review of Recent Findings
title_full Psychological Factors Associated with Phantom Limb Pain: A Review of Recent Findings
title_fullStr Psychological Factors Associated with Phantom Limb Pain: A Review of Recent Findings
title_full_unstemmed Psychological Factors Associated with Phantom Limb Pain: A Review of Recent Findings
title_short Psychological Factors Associated with Phantom Limb Pain: A Review of Recent Findings
title_sort psychological factors associated with phantom limb pain a review of recent findings
url http://dx.doi.org/10.1155/2018/5080123
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