Research Interests for Francis J. Keefe

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.

Keywords:

Abdominal Fat, Access to Information, Activities of Daily Living, Acute Lung Injury, Acute Pain, Adaptation, Psychological, Adjuvants, Pharmaceutic, Adolescent, Adult, Affect, Affective Symptoms, Afghanistan, African Americans, African Continental Ancestry Group, Age, Age Distribution, Age Factors, Age of Onset, Aged, Aged, 80 and over, Aging, Ambulatory Care, Analgesia, Analgesics, Analgesics, Opioid, Analysis of Variance, Anger, Angina Pectoris, Animals, Anthropometry, Antifibrinolytic Agents, Anxiety, Anxiety Disorders, Applications to psychology, Area Under Curve, Aromatase Inhibitors, Arthralgia, Arthritis, Arthritis, Rheumatoid, Arthroplasty, Replacement, Knee, Attitude of Health Personnel, Attitude to Health, Australia, Autogenic Training, Back Pain, Behavior, Behavior Therapy, Behavioral Medicine, Biofeedback, Psychology, Biomechanics, Biomedical Research, Biopterin, Blood Pressure, Blood Sedimentation, Body Image, Body Mass Index, Body Temperature Regulation, Brain Injuries, Breakthrough Pain, Breast Neoplasms, Bruxism, Bulimia Nervosa, Carcinoma, Bronchogenic, Caregivers, Cartilage, Articular, Case-Control Studies, Catastrophization, CD4-CD8 Ratio, Cerebral Infarction, Chemotherapy, Adjuvant, Chest Pain, Child, Child Behavior, Child Welfare, Child, Preschool, Chronic Disease, Chronic Pain, Clinical Protocols, Clinical Trials as Topic, Cognition, Cognitive Therapy, Cohort Studies, Coitus, Cold Temperature, Combined Modality Therapy, Communication, Comorbidity, Complementary Therapies, Computers, Handheld, Conflict (Psychology), Consumer behavior, Continental Population Groups, Controlled Clinical Trials as Topic, Coronary Disease, Cost of Illness, Cost-Benefit Analysis, Counseling, Couples Therapy, Cross-Sectional Studies, Culture, Cystic Fibrosis, Data Interpretation, Statistical, Dehydroepiandrosterone, Demography, Depression, Depressive Disorder, Dermatitis, Atopic, Disability Evaluation, Disabled Persons, Disclosure, Disease Management, Double-Blind Method, Drug Prescriptions, Drug Utilization Review, Educational Status, Electrocardiography, Electromyography, Emotions, Empathy, Employment, Energy Metabolism, Environment, Environment Design, Environmental Exposure, Environmental Health, Environmental Monitoring, European Continental Ancestry Group, Evaluation Studies as Topic, Evidence-Based Medicine, Exercise, Exercise Test, Exercise Therapy, Expressed Emotion, Facial Pain, Factor analysis, Family, Family Characteristics, Family Health, Fatigue, Fear, Feasibility Studies, Feeding Behavior, Female, Fibrin Fibrinogen Degradation Products, Fibromyalgia, Fingers, Focus Groups, Follow-Up Studies, Forecasting, Frail Elderly, Friends, Gait, Gas Chromatography-Mass Spectrometry, Gastrointestinal Neoplasms, Geriatric Assessment, Hand, Health Behavior, Health Education, Health Knowledge, Attitudes, Practice, Health Status, Health Surveys, Heart Diseases, Heart Rate, Helplessness, Learned, Hip, Hip Joint, Hispanic Americans, History, Ancient, Holistic Nursing, Homes for the Aged, Hormones, Hospitals, Veterans, Hot Flashes, Humans, Hypertension, Hypochondriasis, Hysteria, Illness Behavior, Imagery (Psychotherapy), Imaging, Three-Dimensional, Immunoglobulin E, Individuality, Inflammation, Inflammation Mediators, Information Management, Information Systems, Insomnia, Institutionalization, Insurance, Health, Internal-External Control, Internet, Interpersonal Relations, Intervention Studies, Intervertebral Disc, Intervertebral Disc Displacement, Interviews as Topic, Knee, Knee Joint, Knee Prosthesis, Life Change Events, Life Style, Linear Models, Logistic Models, Longitudinal Studies, Low Back Pain, Lumbosacral Region, Lung Diseases, Lung Neoplasms, Lung Transplantation, Lupus Erythematosus, Systemic, Lymphedema, Male, Mammography, Masculinity, McGill Pain Questionnaire, Medical History Taking, Medical Records, Meditation, Menopause, Mental Disorders, Mental Health Services, Mental Processes, Mental Recall, Mental Status Schedule, Middle Aged, Military Personnel, Mind-Body Therapies, Mixed Connective Tissue Disease, MMPI, Mobility Limitation, Models, Biological, Models, Psychological, Models, Theoretical, Mood, Mortality, Motivation, Movement, Multivariate Analysis, Musculoskeletal Diseases, Musculoskeletal Pain, Musculoskeletal System, Myocardial Infarction, Myofascial Pain Syndromes, National Institutes of Health (U.S.), Neck Pain, Neoplasm Metastasis, Neoplasm Staging, Neoplasms, Neopterin, Neuroimaging, Neuromuscular Diseases, Neuropsychological Tests, Neurotransmitter Agents, North Carolina, Nurse's Role, Nursing Homes, Obesity, Obesity, Abdominal, Obesity, Morbid, Object Attachment, Observation, Organizational Objectives, Osteoarthritis, Osteoarthritis, Hip, Osteoarthritis, Knee, Outcome and Process Assessment (Health Care), Outcome Assessment (Health Care), Overweight, Oxygen Consumption, Pain, Pain catastrophizing, Pain Clinics, Pain Management, Pain Measurement, Pain Perception, Pain Threshold, Pain, Intractable, Pain, Postoperative, Palliative Care, Parent-Child Relations, Parents, Patient Acceptance of Health Care, Patient Compliance, Patient Education as Topic, Patient Participation, Patient Rights, Patient Satisfaction, Patient Selection, Patients, Perception, Periodicals as Topic, Personal Satisfaction, Personality, Personality Assessment, Personality Inventory, Pharmacy Service, Hospital, Phobic Disorders, Physical Fitness, Physician's Practice Patterns, Physician-Patient Relations, Pilot Projects, Placebo Effect, Placebos, Poliomyelitis, Population Dynamics, Postmenopause, Postoperative Complications, Practice (Psychology), Practice Guidelines as Topic, Predictive Value of Tests, Pregnanolone, Prevalence, Principal Component Analysis, Prognosis, Program Evaluation, Prospective Studies, Prostatic Neoplasms, Psychiatric Status Rating Scales, Psychological Tests, Psychology, Psychology, Applied, Psychology, Clinical, Psychology, Medical, Psychometrics, Psychophysiologic Disorders, Psychophysiology, Psychosomatic Medicine, Psychotherapeutic Processes, Psychotherapy, Pulmonary Disease, Chronic Obstructive, Pulmonary Gas Exchange, Pyrimidines, Qualitative Research, Quality Indicators, Health Care, Quality of Health Care, Quality of Life, Questionnaires, Randomized Controlled Trials as Topic, Range of Motion, Articular, Raynaud Disease, Receptors, Interleukin-2, Recurrence, Reference Values, Reflex, Regression Analysis, Reimbursement Mechanisms, Reinforcement (Psychology), Relaxation Therapy, Religion, Religion and Medicine, Religion and Psychology, Reproducibility of Results, Research, Research Design, Respiration, Retrospective Studies, Risk, Risk Assessment, Risk Factors, Self Care, Self Concept, Self Disclosure, Self Efficacy, Self Psychology, Self Report, Self-Assessment, Sensitivity and Specificity, Serotonin Uptake Inhibitors, Sertraline, Severity of Illness Index, Sex, Sex Characteristics, Sex Counseling, Sex Distribution, Sex Factors, Sexology, Sexual Behavior, Sexual Dysfunction, Physiological, Sexual Dysfunctions, Psychological, Sexual Partners, Sexuality, Shoulder Pain, Sick Role, Sickness Impact Profile, Skin Temperature, Sleep, Sleep Disorders, Circadian Rhythm, Sleep Initiation and Maintenance Disorders, Smoking, Smoking Cessation, Social Adjustment, Social Environment, Social Support, Societies, Scientific, Sociobiology, Socioeconomic Factors, South Carolina, Spinal Stenosis, Spirituality, Spouses, Statistics as Topic, Stress, Physiological, Stress, Psychological, Survival, Survivors, Systems Integration, Tamoxifen, Teaching, Telephone, Temporomandibular Joint Dysfunction Syndrome, Terminal Care, Thoracic Surgical Procedures, Time, Time Factors, Torticollis, Trauma, Nervous System, Treatment Outcome, Truth Disclosure, Tumor Necrosis Factor-alpha, Type A Personality, United States, United States Department of Veterans Affairs, Validity, Veterans, Videotape Recording, Virginia, Virtual Reality Exposure Therapy, Visceral Pain, Waiting Lists, Walking, Weight Loss, Weight Reduction Programs, Wound Healing, Yoga, Young Adult

Representative Publications   (search)

1. 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. .
2. 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. .
3. 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. .
4. 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. .
5. 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. .