There has long been interest in describing emotional experience in terms of underlying dimensions, but traditionally only two dimensions, pleasantness and arousal, have been reliably found. The reasons for these findings are reviewed, and integrating this review with two recent theories of emotions (Roseman, 1984;Scherer, 1982), we propose eight cognitive appraisal dimensions to differentiate emotional experience. In an investigation of this model, subjects recalled past experiences associated with each of 15 emotions, and rated them along the proposed dimensions. Six orthogonal dimensions, pleasantness, anticipated effort, certainty, attentional activity, self-other responsibility/control, and situational control, were recovered, and the emotions varied systematically along each of these dimensions, indicating a strong relation between the appraisal of one's circumstances and one's emotional state. The patterns of appraisal for the different emotions, and the role of each of the dimensions in differentiating emotional experience are discussed.

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Recent research has indicated strong relations between people's appraisals (Smith & Etlsworth, 1985

Form C of the Multidimensional Health Locus of Control (MHLC) scales is an 18 item, general purpose, condition-specific locus of control scale that could easily be adapted for use with any medical or health-related condition. Data from 588 patients with one of four conditions--rheumatoid arthritis, chronic pain, diabetes, or cancer--were utilized to establish the factor structure of Form C and to establish the reliability and validity of the resultant four subscales: Internality; Chance; Doctors; and Other (powerful) People. The alpha reliabilities of the subscales are adequate for research purposes. Data from the arthritis and chronic pain subjects established that the Form C subscales were moderately stable over time and possessed considerable concurrent and construct validity. Some discriminant validity of Form C with Form B of the MHLC was also demonstrated.

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The Pain Response Inventory (PRI) was developed as a multidimensional instrument to assess children's coping responses to recurrent pain. The PRI assesses 3 broad coping factors-Active, Passive, and Accommodative-each with subscales representing specific strategies for coping with pain. Confirmatory factor analysis was used to derive and cross-validate the factor structure of the PRI in 3 different samples of children and adolescents: school children, abdominal pain patients, and former abdominal pain patients. The subscales were found to be internally consistent and reasonably stable. Validity of the subscales was assessed by examining the relations of particular coping strategies to various outcome indicators, including functional disability, somatization symptoms, and depressive symptoms. Results indicated that different types of health outcome were predicted by different patterns of PRI coping strategies, thus supporting the utility of a multidimensional approach to the assessment of coping responses to pain.With the formulation of the gate-control theory of pain (Melzack & Wall, 1965), it became generally recognized that the experience of pain is not a purely sensory phenomenon related to tissue damage. Rather, it is also influenced by cognitive, behavioral, and emotional factors. This model suggests that effective pain management cannot rely solely on interventions directed at the source of tissue damage but also must include interventions designed to modify psychosocial factors that affect nociceptive processing (McGrath & Hillier, 1996). This multidimensional model of pain has been the impetus for the rapid growth in behavioral science research on pain in the past two decades.Cognitive and behavioral responses to pain, often studied under the rubric of "coping with pain," are of particular interest because they may be amenable to change through interventions by health professionals. Moreover, such coping responses may significantly lessen pain and associated disability and thereby complement and even decrease the need for more invasive pharmacological or surgical interventions. Studies of adult pain patients suggest that certain coping strategies (typically ' 'passive'' strategies, such as taking to bed, restricting one's activities, or

A sense of competence or self-efficacy is associated with many positive outcomes, particularly in the area of health behavior. A measure of a sense of competence in the domain of health behavior has not been developed. Most measures are either general measures of a general sense of self-efficacy or are very specific to a particular health behavior. The Perceived Health Competence Scale (PHCS), a domain-specific measure of the degree to which an individual feels capable of effectively managing his or her health outcomes, was developed to provide a measure of perceived competence at an intermediate level of specificity. Five studies using three different types of samples (students, adults and persons with a chronic illness) provide evidence for the reliability and validity of the PHCS. The eight items of the PHCS combine both outcome and behavioral expectancies. Results from the five studies indicate that the scale has good internal consistency and test-retest reliability. The construct validity of the scale is demonstrated through the support obtained for substantive hypotheses regarding the correlates of perceived health competence, such as health behavior intentions, general sense of competence and health locus of control.

Two studies examined the hypothesized status of appraisals, relative to attributions, as proximal antecedents of emotion. In Study 1, which looked at 6 emotions (happiness, hope-challenge, anger, guilt, fear-anxiety, and sadness), undergraduates (N = 136) reported on their attributions, appraisals, and emotions during past encounters associated with a variety of situations. In Study 2, which was focused on anger and guilt, undergraduates (N = 120) reported on these same variables in response to experimenter-supplied vignettes that systematically manipulated theoretically relevant attributions. The results of both studies indicated that the emotions were more directly related to appraisals than they were to attributions, and Study 2 provided evidence that appraisal serves as a mediator between attribution and emotional response. These findings lend support to the hypothesized status of appraisal as the most proximal cognitive antecedent of emotion.