Threat of pain influences social context effects on verbal pain report and facial expression
Current theoretical models of pain catastrophizing have diverging predictions regarding the role of social context and perceived threat on pain expression. The communal coping model of catastrophizing predicts that high pain catastrophizers display more pain expression in the presence of another, re...
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Published in | Behaviour research and therapy Vol. 47; no. 9; pp. 774 - 782 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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Kidlington
Elsevier Ltd
01.09.2009
Elsevier Elsevier Science Ltd |
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Abstract | Current theoretical models of pain catastrophizing have diverging predictions regarding the role of social context and perceived threat on pain expression. The communal coping model of catastrophizing predicts that high pain catastrophizers display more pain expression in the presence of another, regardless of the threat value of the pain, while a cognitive appraisal model predicts high pain catastrophizers to express more pain when pain has increased threat value, regardless of social context. A 2 × 2 factorial design was used to test the validity of both predictions. Healthy participants with varying levels of pain catastrophizing were exposed to a cold pressor task, consisting of a 60 s immersion and 60 s recovery period. Interestingly, the immersion results revealed that beyond and independent from the effects of pain catastrophizing, the effect of threat on verbal pain report and facial expression was dependent on social context and vice versa. In a threatening context, perceived threat of pain mediated the inhibitory effect of social presence on pain expression, suggesting that the observer acted as a safety signal. In the recovery period, social presence enhanced facial expression, but only when no threat was induced. The results are discussed in terms of the dynamic interaction between social context and threat appraisals. |
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AbstractList | Current theoretical models of pain catastrophizing have diverging predictions regarding the role of social context and perceived threat on pain expression. The communal coping model of catastrophizing predicts that high pain catastrophizers display more pain expression in the presence of another, regardless of the threat value of the pain, while a cognitive appraisal model predicts high pain catastrophizers to express more pain when pain has increased threat value, regardless of social context. A 2 × 2 factorial design was used to test the validity of both predictions. Healthy participants with varying levels of pain catastrophizing were exposed to a cold pressor task, consisting of a 60 s immersion and 60 s recovery period. Interestingly, the immersion results revealed that beyond and independent from the effects of pain catastrophizing, the effect of threat on verbal pain report and facial expression was dependent on social context and vice versa. In a threatening context, perceived threat of pain mediated the inhibitory effect of social presence on pain expression, suggesting that the observer acted as a safety signal. In the recovery period, social presence enhanced facial expression, but only when no threat was induced. The results are discussed in terms of the dynamic interaction between social context and threat appraisals. Current theoretical models of pain catastrophizing have diverging predictions regarding the role of social context and perceived threat on pain expression. The communal coping model of catastrophizing predicts that high pain catastrophizers display more pain expression in the presence of another, regardless of the threat value of the pain, while a cognitive appraisal model predicts high pain catastrophizers to express more pain when pain has increased threat value, regardless of social context. A 2 x 2 factorial design was used to test the validity of both predictions. Healthy participants with varying levels of pain catastrophizing were exposed to a cold pressor task, consisting of a 60 s immersion and 60 s recovery period. Interestingly, the immersion results revealed that beyond and independent from the effects of pain catastrophizing, the effect of threat on verbal pain report and facial expression was dependent on social context and vice versa. In a threatening context, perceived threat of pain mediated the inhibitory effect of social presence on pain expression, suggesting that the observer acted as a safety signal. In the recovery period, social presence enhanced facial expression, but only when no threat was induced. The results are discussed in terms of the dynamic interaction between social context and threat appraisals.Current theoretical models of pain catastrophizing have diverging predictions regarding the role of social context and perceived threat on pain expression. The communal coping model of catastrophizing predicts that high pain catastrophizers display more pain expression in the presence of another, regardless of the threat value of the pain, while a cognitive appraisal model predicts high pain catastrophizers to express more pain when pain has increased threat value, regardless of social context. A 2 x 2 factorial design was used to test the validity of both predictions. Healthy participants with varying levels of pain catastrophizing were exposed to a cold pressor task, consisting of a 60 s immersion and 60 s recovery period. Interestingly, the immersion results revealed that beyond and independent from the effects of pain catastrophizing, the effect of threat on verbal pain report and facial expression was dependent on social context and vice versa. In a threatening context, perceived threat of pain mediated the inhibitory effect of social presence on pain expression, suggesting that the observer acted as a safety signal. In the recovery period, social presence enhanced facial expression, but only when no threat was induced. The results are discussed in terms of the dynamic interaction between social context and threat appraisals. Current theoretical models of pain catastrophizing have diverging predictions regarding the role of social context and perceived threat on pain expression. The communal coping model of catastrophizing predicts that high pain catastrophizers display more pain expression in the presence of another, regardless of the threat value of the pain, while a cognitive appraisal model predicts high pain catastrophizers to express more pain when pain has increased threat value, regardless of social context. A 2 X 2 factorial design was used to test the validity of both predictions. Healthy participants with varying levels of pain catastrophizing were exposed to a cold pressor task, consisting of a 60 s immersion and 60 s recovery period. Interestingly, the immersion results revealed that beyond and independent from the effects of pain catastrophizing, the effect of threat on verbal pain report and facial expression was dependent on social context and vice versa. In a threatening context, perceived threat of pain mediated the inhibitory effect of social presence on pain expression, suggesting that the observer acted as a safety signal. In the recovery period, social presence enhanced facial expression, but only when no threat was induced. The results are discussed in terms of the dynamic interaction between social context and threat appraisals. [Copyright Elsevier Ltd.] Current theoretical models of pain catastrophizing have diverging predictions regarding the role of social context and perceived threat on pain expression. The communal coping model of catastrophizing predicts that high pain catastrophizers display more pain expression in the presence of another, regardless of the threat value of the pain, while a cognitive appraisal model predicts high pain catastrophizers to express more pain when pain has increased threat value, regardless of social context. A 2 x 2 factorial design was used to test the validity of both predictions. Healthy participants with varying levels of pain catastrophizing were exposed to a cold pressor task, consisting of a 60 s immersion and 60 s recovery period. Interestingly, the immersion results revealed that beyond and independent from the effects of pain catastrophizing, the effect of threat on verbal pain report and facial expression was dependent on social context and vice versa. In a threatening context, perceived threat of pain mediated the inhibitory effect of social presence on pain expression, suggesting that the observer acted as a safety signal. In the recovery period, social presence enhanced facial expression, but only when no threat was induced. The results are discussed in terms of the dynamic interaction between social context and threat appraisals. Current theoretical models of pain catastrophizing have diverging predictions regarding the role of social context and perceived threat on pain expression. The communal coping model of catastrophizing predicts that high pain catastrophizers display more pain expression in the presence of another, regardless of the threat value of the pain, while a cognitive appraisal model predicts high pain catastrophizers to express more pain when pain has increased threat value, regardless of social context. A 2 x 2 factorial design was used to test the validity of both predictions. Healthy participants with varying levels of pain catastrophizing were exposed to a cold pressor task, consisting of a 60 s immersion and 60 s recovery period. Interestingly, the immersion results revealed that beyond and independent from the effects of pain catastrophizing, the effect of threat on verbal pain report and facial expression was dependent on social context and vice versa. In a threatening context, perceived threat of pain mediated the inhibitory effect of social presence on pain expression, suggesting that the observer acted as a safety signal. In the recovery period, social presence enhanced facial expression, but only when no threat was induced. The results are discussed in terms of the dynamic interaction between social context and threat appraisals. [PUBLICATION ABSTRACT] |
Author | Peters, Madelon Vervoort, Tine van Breukelen, Gerard Goubert, Liesbet Hanssen, Marjolein Morley, Stephen Sullivan, Michael J.L. Vlaeyen, Johan W.S. |
Author_xml | – sequence: 1 givenname: Johan W.S. surname: Vlaeyen fullname: Vlaeyen, Johan W.S. email: johan.vlaeyen@psy.kuleuven.be organization: Department of Psychology, Research Group Health Psychology, University of Leuven, Belgium – sequence: 2 givenname: Marjolein surname: Hanssen fullname: Hanssen, Marjolein organization: Department Clinical Psychological Science, Maastricht University, Netherlands – sequence: 3 givenname: Liesbet surname: Goubert fullname: Goubert, Liesbet organization: Department of Experimental-Clinical and Health Psychology, Ghent University, Belgium – sequence: 4 givenname: Tine surname: Vervoort fullname: Vervoort, Tine organization: Department of Experimental-Clinical and Health Psychology, Ghent University, Belgium – sequence: 5 givenname: Madelon surname: Peters fullname: Peters, Madelon organization: Department Clinical Psychological Science, Maastricht University, Netherlands – sequence: 6 givenname: Gerard surname: van Breukelen fullname: van Breukelen, Gerard organization: Department of Methodology and Statistics, Maastricht University, Netherlands – sequence: 7 givenname: Michael J.L. surname: Sullivan fullname: Sullivan, Michael J.L. organization: Department of Psychology, McGill University, Canada – sequence: 8 givenname: Stephen surname: Morley fullname: Morley, Stephen organization: Institute of Health Sciences, University of Leeds, United Kingdom |
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Keywords | Safety behaviors social context Pain catastrophizing Communal coping model Threat of pain Pain behavior Cognitive appraisal model Social environment Affect affectivity Social influence Cognition Catastrophic thinking Social behavior Pain Theoretical model Language Coping Face Verbalization Cognitive appraisal Human Healthy subject Emotion emotionality Experimental study Cognitive theory Facial expression |
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SubjectTerms | Adult Behavior Biological and medical sciences Catastrophization Cognition. Intelligence Cognitive appraisal model Communal coping model Discriminant analysis Emotions Face Facial Expression Female Fundamental and applied biological sciences. Psychology Humans Male Miscellaneous Pain Pain - psychology Pain behavior Pain catastrophizing Pain Measurement - methods Perceived threats Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Recovery Safety behaviors social context Self Report Social context Social Environment Threat of pain Validation studies |
Title | Threat of pain influences social context effects on verbal pain report and facial expression |
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