Causal effects of threat and challenge appraisals on coping and pain perception

European Journal of Pain : EJP
Y WangL Cai

Abstract

Numerous studies have found appraisals of pain as a source of potential threat or tissue damage influence pain perception and coping. Conversely, causal effects of challenge appraisals reflecting potential future benefits of bearing pain have received little attention. This experiment was designed to elucidate effects of appraising laboratory pain as a source of potential threat and challenge on pain perception and coping. Before engaging in a cold pressor test (CPT), young adult women (N = 112) and men (N = 49) were randomly assigned to one of three conditions: a higher threat group in which participants read an orienting passage describing symptoms and consequences of frostbite (pain as a signal for nociception), a lower threat group in which participants read about CPT safety (pain independent of nociception) or a challenge appraisal group in which participants read a passage describing how persistence in the face of discomfort predicts future life success and satisfaction. The higher threat group had lower pain tolerance and catastrophized more during the task than lower threat and challenge appraisal groups. Conversely, the challenge appraisal group reported using more cognitive strategies (ignoring, diverting attention, c...Continue Reading

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Citations

Mar 27, 2018·Arthritis & Rheumatology·Jeungchan LeeVitaly Napadow
Jan 26, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Yang WangTodd Jackson
May 28, 2019·Frontiers in Psychology·Anne Marie Porter, Paula Goolkasian
Dec 13, 2019·Health Psychology Open·Alina Cimpean, Daniel David
Feb 7, 2018·Journal of Health Psychology·Shuanghong ChenTodd Jackson
Jan 7, 2021·Anesthesiology·Keith J RuskinMichael O'Connor

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