Francis J Keefe, Professor

Francis J Keefe

Professor
PhD, Ohio University, 1975
mailing address: Rm 240 932 Morreene Rd Durham, NC 27705
email:

research interests | research | publications | courses | lab web site | curriculum vita

Research Summary:
 Pain coping processes in persons have acute pain (e.g. pain during mammography) and persistent pain (e.g. osteoarthritis, rheumatoid arthritis, chronic low back pain and cancer patients.) The role of pain coping and emotion in explaining pain and disability. Novel psychosocial interventions (e.g. spouse-assisted coping skills training, emotional disclosure protocols, acceptance-based interventions, yoga- and meditation-based interventions) for patients having disease-related, persistent pain conditions. Neurobiological basis of coping mechanisms. Observational approaches to assessing pain behavior. Effects of behavioral interventions on pain perception (pain threshold and tolerance, judgments of controlled nociceptive stimuli). Coping strategies in patients having anxiety or affective disorders.

Clinical Interests:
Psychosocial treatment of persistent pain syndromes (low back pain, arthritic pain, temporomandibular joint pain). Treatment approaches include biofeedback, cognitive-behavioral group therapy, individual therapy, and spouse training. Psychological assessment of patients who are candidates for advanced neurosurgical treatments for pain (e.g. implanted neural stimulators, morphine pumps).  Use of early psychosocial intervention to prevent persistent pain. Behavioral approaches to treating anxiety disorders particularly agoraphobia, social phobias, and generalized anxiety.

Representative Publications:   (More Publications)

  1. Beaupre, P., Keefe, F.J., Lester, N., Affleck, G., Frederickson, B, & Caldwell, D.S. A Computer-assisted observational method for assessing spouses' judgments of osteoarthritis patients' pain. Psychology, Health, & Medicine (in press).
  2. Keefe FJ, Dunsmore J, Burnett R: Behavioral and cognitive-behavioral approaches to chronic pain: Recent advances and future directions. Journal of Consulting and Clinical Psychology 60: 528-536, 1992..
  3. Fillingim, R.B., Keefe, F.J., Light, K.C., Booker, D.K., & Maixner, W. The influence of gender and psychological factors on pain perception. Journal of Gender, Culture, and Health, 1996, 1, 21-36..
  4. Keefe FJ, Caldwell DS, Williams DA, Gil KM, et al.: Pain coping skills training in the management of osteoarthritic knee pain: A comparative study. Behavior Therapy 21: 49-62, 1990..
  5. Fillingim, R.B., Maixner, W., & Keefe, F.J. Ischemic but not thermal pain sensitivity varies across the menstrual cycle. Psychosomatic Medicine (in press)..
  6. Keefe FJ, Manuel JC, Brantley AB, Crisson JE: Pain in the head and neck cancer patient: Changes over treatment. Head and Neck Surgery 8: 169-176, 1986..
  7. Francis J. Keefe, David S. Caldwell, Donald Baucom, Al Salley, Elwood Robinson, Kelly Timmons, Pat Beaupre, James Weisburg, and Michael Helms. Spouse-assisted coping skills training in the management of osteoarthritis knee pain. Arthritis Care and Research 1996, 9, 279-291..
  8. Rosentiel AK, Keefe FJ: The use of coping strategies in chronic low back pain patients: Relationship to patient characteristics and current adjustment Pain 17: 33-44, 1983..
  9. Francis J. Keefe, Susmita Kashikar-Zuck, Julie Opiteck, Elizabeth Hage. Lorien Dalrymple, and James Blumenthal. Pain in arthritis and musculoskeletal disorders: The role of coping skills training and exercise interventions. Journal of Orthopedic and Sports Physical Therapy, 1996, 24, 279-290..
  10. Keefe FJ, Block AR: Development of an observation method for assessing pain behavior in chronic low back pain patients. Behavior Therapy 13: 363-375, 1982..
  11. James Weisberg & Francis J. Keefe. Personality disorders in the chronic pain population: Basic concepts, empirical findings, and clinical implications. Pain Forum (in press)..
  12. Keefe, F.J. Cognitive behavioral therapy for managing pain. The Clinical Psychologist, 1996, 49, 4-5...
  13. Keefe, F.J. & Caldwell, D.S. Cognitive behavioral control of arthritis pain. Medical Clinics of North America (in press).
  14. Keefe, F.J. & Egert, J. A cognitive-behavioral perspective on patients with cumulative trauma disorders. In S.L. Sauter & S.D. Moon. Psychosocial Aspects of Musculoskeletal Disorders in Office Work. Durham, N.C.: Taylor & Francis (1996), p. 159-176..
  15. Keefe, F.J. & Goli, V. A practical guide to biobehavioral assessment and treatment of chronic pain. Journal of Practical Psychiatry and Behavioral Health 1996, 3, 151-161..
  16. Keefe, F.J., & Caldwell, D.S. Cognitive behavioral interventions. In S.Wegener, B. Belza, & E. Gall (Eds.) Primer on Clinical Care in Rheumatoid Disease. Atlanta, GA: Arthritis Foundation, 1996, Ch. 10, pp. 59-64..
  17. Keefe, F.J., Affleck, G., Lefebvre, J.C., Starr, K., Caldwell, D.S., & Tennen, H. Coping strategies and coping efficacy in rheumatoid arthritis: A daily process analysis. Pain (in press)..
  18. Keefe, F.J., Beaupre, P.M., & Gil, K.M. Group therapy for patients with chronic pain. In D.C. Turk & R.J. Gatchel (Eds.) Psychological Treatments for Pain: A Practitioner's Handbook New York: Guilford Pressm, 1996..
  19. Keefe, F.J., Beaupre, P.M., Weiner, D.K., & Siegler, I.C. Pain in older adults: A cognitive-behavioral perspective. In B.R. Ferrell, & B. Ferrel (Eds.) Pain in the Elderly. Seattle, WA: IASP Press, 1996, p. 11-20..
  20. Keefe, F.J., Holzberg, A.D., & Beaupre, P.M. Contributions of pain behavior assessment and pain assessment to the development of pain clinics. In M.J.M. Cohen & J.N. Campbell (Eds.) Pain Treatment Centers: A Practical and Conceptual Reappraisal. Progress in Pain Research and Management., 1996,Vol., 7., 79-100..
  21. Keefe, F.J., Kashikar-Zuck, S., & Caldwell, D.S. Coping strategies for the patient with osteoarthritis. In M. Doherty, K. Brandt, & S. Lohmander. Textbook on Osteoarthritis. Oxford University Press (in press)..
  22. Keefe, F.J., Lefebvre, J., & Starr, K. From the gate control theory to the neuromatrix: Revolution or evolution. Pain Forum, 1996, 5, 143-145..
  23. Keefe, F.J., Lefebvre, J.C., Maixner, W., Salley, A.N., & Caldwell, D.S. Self-efficacy for arthritis pain: Relationship to perception of thermal laboratory pain stimuli. Arthritis Care and Research (in press)..
  24. Kornguth, P.J., Keefe, F.J., & Conaway, M.R. Pain during mammography: Characteristics and relationship to demographic and medical variables. Pain, 1996, 66,187-194..
  25. Lester, N. , Lefebvre, J.C. & Keefe, F.J. Pain in young adults-III: Comparison of three coping assessment methods. Clinical Journal of Pain (in press)..
  26. Schanberg, L.E., Keefe, F.J., Lefebvre, J.C., Kredich, D.W., & Gil, K.M. Pain coping strategies in children with juvenile primary fibromyalgia syndrome: Correlation with pain, physical function, and psychological distress. Arthritis Care and Research, 1996, 9, 89-96..
  27. Schwartz, C.E., Chesney, M.A., Irvine, J., & Keefe, F.J. The control group dilemma in clinical research: Applications for psychosocial and behavioral medicine trails. Psychosomatic Medicine (in press).
  28. Weiner, D., Pieper, C., McConnell, E., Martinez, S., & Keefe, F. Pain measurement in elders with chronic low back pain: Traditional and alternative approaches. Pain (1996), 67,461-468..
  29. Weisberg, J.N., & Keefe, F.J. Methodological considerations for diagnosis of personality disorders in chronic pain patients. Pain Forum (in press).
  30. Edens, J.L., Wilson, J.J., Gil, K.M., & Keefe, F.J. Critical issues in pain management training for psychologists. American Pain Society Journal (in press).
  31. In Press Chapters.
  32. Keefe, F.J. & Egert, J. A cognitive-behavioral perspective on patients with cumulative trauma disorders. In S.L. Sauter & S.D. Moon. Psychosocial Aspects of Musculoskeletal Disorders in Office Work. Durham, N.C.: Taylor & Francis (in press)..
  33. Keefe, F.J. & Goli, V. A practical guide to biobehavioral assessment and treatment of chronic pain. Journal of Practical Psychiatriy and Behavioral Health (in press).
  34. Keefe, F.J., & Caldwell, D.S. Cognitive behavioral interventions. In S.Wegener, B. Belza, & E. Gall (Eds.) Primer on Clinical Care in Rheumatoid Disease. Atlanta, GA: Arthritis Foundation (in press.).
  35. Keefe, F.J., Beaupre, P.M., & Gil, K.M. Group therapy for patients with chronic pain. In D.C. Turk & R.J. Gatchel (Eds.) Psychological Treatments for Pain: A Practitioner's Handbook New York: Guilford Press (in press).
  36. Keefe, F.J., Beaupre, P.M., Weiner, D.K., & Siegler, I.C. Pain in older adults: A cognitive-behavioral perspective. In B.R. Ferrell, & B. Ferrel (Eds.) Pain in the Elderly. Seattle, WA: IASP Press..
  37. Keefe, F.J., Kashikar-Zuck, S., & Caldwell, D.S. Coping strategies for the patient with osteoarthritis. In M. Doherty, K. Brandt, & S. Lohmander. Textbook on Osteoarthritis. Oxford University Press (in press)..
  38. Keefe, F.J., Lefebvre, J.C., & Beaupre, P.M. The MMPI in chronic pain: Security blanket or sound investment. Pain Forum, 1995, 4, 101-103..
  39. Kornguth, P.J., Keefe, F.J., & Conaway, M.R. Pain during mammography: Characteristics and relationship to demographic and medical variables. Pain (in press).
  40. Lane, J.D., Lefebvre, J., Rose, J.E., & Keefe, F.J. Effects of cigarette smoking on responses to thermal pain. Experimental and Clinical Psychopharmacology, 1995, 3, 140-147..
  41. Lefebvre, J.C., Lester, N., & Keefe, F.J. Pain in young adults-II: The use and perceived effectiveness of pain coping strategies. Clinical Journal of Pain , 1995, 11, 36-44..
  42. Lester, N. & Keefe, F.J. Coping with chronic pain. In A. Baum, C. McManus, S. Newman, J. Weinman, & R. West. Cambridge Handbook of Psychology, Health and Medicine. Cambridge, England: Cambridge University Press (in press)..
  43. Williams, D.A., Urban, B., Keefe, F.J., Shutty, M.S., & France, R. Cluster Analyses of Pain Patients' Responses to the SCL-90R. Pain, 1995, 61, 81-91...
  44. Giorgino KB, Blalock SJ, DeVellis RF, Devellis BM, Keefe FJ, Jordan JM: Appraisal and coping with theumatoid arthritis related problems across three areas: Household activities, leisure activities and pain management. Arthritis Care and Research 7: 20-28, 1994..
  45. Keefe FJ, Hauck ER, Egert J, Rimer B, Kornguth P: Mammography pain and discomfort: A cognitive-behavioral perspective. Pain 56: 247-260, 1994..
  46. Keefe, F.J. & Lefebvre, J. Pain behavior concepts: Controversies, current status, and future directions. In G. Gebhart, D.L., Hammond, & T.S. Jensen (Eds) Proceedings of the VIIth World Congress on Pain. New York: Elsevier (1994) pp. 127-148..
  47. Keefe FJ, Van Horn Y: Cognitive-behavioral treatment of rheumatoid arthritis pain: Understanding and enhancing maintenance of treatment gains. Arthritis Care and Research 6: 213-222, 1993..
  48. Parker JC, Bradley LA, Devellis RM, Gerber LH, Holman HR, Keefe FJ, Lawrence TS, Liang M, Lorig KR, Nicassio PM, Revenson TA, Rogers MP, et al. Biopsychosocial contributions to the management of arthritis disability: Proceedings from an NIDRR-sponsored conference. Arthritis and rheumatism 36: 885-889, 1993..
  49. Tota-Faucette ME, Gil KM, Williams DA, Keefe FJ, Goli V: Predictors of response to pain management treatment: The role of family environment and changes in cognitive processes. Clinical Journal of Pain 9: 115-123, 1993..

Courses (Fall 2008):

  • Psy 163s.01, Coping with catastrphic events Synopsis
    Sanford 102, MW 04:25 PM-05:40 PM