Differences in cognitive coping strategies among pain-sensitive and pain-tolerant individuals on the cold-pressor test

Geisser, Michael E.; Robinson, Michael E.; Pickren, Wade E.

doi:10.1016/s0005-7894(05)80306-5

Cited by 86 publications

(48 citation statements)

References 18 publications

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“…71 (Rosenstiel & Keefe, 1983) to .89 (Keefe et aI., 1987). A version of the csa modified by Geisser et al (1992) for use with the cold pressor task was administered. Each of the activities and rating designations was phrased in the past tense such that participants were asked to rate coping strategies they employed while their hands were immersed in cold, icy water (i.e., "indicate how much you engaged in each activity to cope with pain during the cold pressor task").…”

Section: Questionnairesmentioning

confidence: 99%

“…Following the procedure of Geisser et al (1992), pain threshold was measured with a stopwatch as the length of immersion time until each participant reported "pain. "…”

Section: Pain-related Measuresmentioning

confidence: 99%

“…In particular, research involving both induced (Geisser, Robinson, & Pickren , 1992) and clinical pain (Keefe et aI., 1987;Rosenstiel & Keefe, 1983) has consistently shown that catastrophizing and praying/hoping as coping strategies are associated with greater levels of psychological distress and higher levels of reported pain. Accordingly, it was anticipated that participants evidencing high levels of experiential avoidance would be more likely to report resorting to these approaches in coping with pain induced by the cold pressor task.…”

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confidence: 99%

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Differential Strategies in Coping with Pain as a Function of Level of Experiential Avoidance

et al. 2005

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Section: Questionnairesmentioning

confidence: 99%

“…Following the procedure of Geisser et al (1992), pain threshold was measured with a stopwatch as the length of immersion time until each participant reported "pain. "…”

Section: Pain-related Measuresmentioning

confidence: 99%

mentioning

confidence: 99%

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Differential Strategies in Coping with Pain as a Function of Level of Experiential Avoidance

et al. 2005

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“…Supporting our belief is that sex differences exist in the incidence of specific chronic pain conditions 12,17,19,21,43,56,58 and in the response to experimental pain stimuli. 10,16 Furthermore, pain studies have demonstrated sex differences in physiological response to pain, 59 central processing of pain, 15 as well as psychological factors like coping style, 10,20,39 anxiety, 14,34 and socialization. 35 These studies support the potential for sex differences in various factors that could influence reporting of musculoskeletal pain through the pain drawing.…”

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confidence: 99%

Sex Differences in Pain Drawing Area for Individuals With Chronic Musculoskeletal Pain

George

Bialosky²,

Wittmer³

2007

J Orthop Sports Phys Ther

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Diagnostic classification has been referred to as a prerequisite for physical therapy treatment. 40,42 The medical diagnosis for musculoskeletal complaints is frequently inadequate to guide physical therapy treatment. Subsequently, various classification systems have been proposed that are independent of pathoanatomical diagnosis. 9,23,57 Physical therapists may make use of findings such as pain location and pain response to movement ment-based classification systems for low back pain suggest that the location of peripheral pain may dictate appropriate treatment.9,54 Additionally, pain drawings demonstrating nonanatomic distribution have been suggested to int StuDy DeSiGn: Cross-sectional. t oBJectiveS: To (1) determine the association between pain severity and pain drawing area for men and women; (2) determine if sex differences exist in pain severity or pain drawing area; (3) determine the relative influence of pain severity, anatomical location of pain, personality, and psychological coping factors on pain drawing area for men and women.t BackGrounD: Pain drawings have been postulated to assist in clinical decision making regarding classification and treatment of musculoskeletal pain. Prior studies have been ambiguous on this topic, possibly because they have not considered if sex differences exist for pain drawing area. t methoDS anD meaSureS: One hundred twenty-six subjects referred to a multidisciplinary chronic pain clinic with chronic musculoskeletal pain were included in this study. Subjects completed a pain drawing, the Multidimensional Pain Inventory (MPI), the Coping Strategies Questionnaire (CSQ), and the Minnesota Multiphasic Personality Inventory (MMPI-2). Pearson correlations investigated the associations of pain severity and pain drawing area, independent t tests investigated sex differences in pain severity and pain drawing area, and multiple regression investigated factors that influenced pain drawing area.t reSultS: Pain severity was positively correlated with pain drawing area for men (r = 0.38, P = .003) and women (r = 0.23, P = .052), accounting for approximately 14% and 5% of the total variance, respectively. There was no significant sex difference in pain severity ratings, but women reported a significantly larger area of symptoms on the pain drawings (effect size, 0.61; P = .002). The sex difference in pain drawing area was consistent across different anatomical locations of pain. In women, the final regression model accounted for 39% (P,.001) of the variance in pain drawing area, with anatomical location of pain (b = .42, P,.001) and hypochondriasis (b = .31, P = .005) as the only unique predictors in the final model. In men, the regression model accounted for 27% (P = .003) of the variance in pain drawing area, with pain severity (b = .32, P = .021) and a coping style of ignoring pain (b = -.32, P = .018) as the only unique predictors in the final model. t concluSionS: Women had larger pain drawing area and this area was significantly associated with anatomical location of pain and hy...

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“…This variation was unrelated to age, sex, or heat-pain thresholds before the immersions. Geisser and colleagues 16 found that pain-intolerant individuals reported more unhelpful coping strategies (catastrophizing, praying, and hoping), and fewer helpful coping strategies (coping self-statements and ignoring the pain) than pain-tolerant participants. In addition, pain-intolerant individuals considered that they had less control over pain and their ability to reduce it than pain-tolerant individuals.…”

Section: Individual Differences In Tolerance Of Cold-painmentioning

confidence: 99%

The Effect of Subcutaneous Naloxone on Experimentally Induced Pain

Robertson¹,

Hammond²,

Drummond³

2008

The Journal of Pain

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Telephone+61 8 9360 2415Fax +61 8 9360 6492Keywords: opioids; thermal hyperalgesia; peripheral opioid analgesia; cold pressor; pain tolerance; pain sensitivityRunning head: opioid analgesia and hyperalgesia -2 - ABSTRACTThe heat pain threshold was assessed in 32 healthy participants after a mild burn on the dorsal surface of each hand, after injection of an opioid antagonist (80 µg naloxone) or vehicle alone (0.2 mL saline) into the burnt skin of one hand, and after repeated painful immersion of this hand in cold water for up to 180 s. We hypothesized that sensitivity to heat would decrease at the burn-injured site after the immersions, due to local release of opioids into the burnt skin.Naloxone augmented cold-induced pain during the immersions in participants who tolerated the longest immersions, implying that release of endogenous opioids suppressed cold-pain.After the immersions, sensitivity to heat decreased at the burn-injured site in the immersed hand, but naloxone did not block this effect. Instead, naloxone altered sensitivity to heat in unburnt skin, implying that thermal hyperalgesia at sites of burn injury masked the modulatory effects of opioids. In particular, naloxone blocked a decrease in sensitivity to heat at an unburnt site on the contralateral hand of participants who tolerated the longest immersions, consistent with central or systemic opioid release. Naloxone reduced sensitivity to heat at unburnt sites in participants who tolerated medium-length immersions, suggesting that an increase in systemic or central opioid activity evoked thermal hyperalgesia in this group. In addition, in a small group of participants who tolerated only brief immersions, naloxone blocked decreases in sensitivity to heat at an unburnt site in the immersed hand.These findings suggest that repeated painful immersions trigger local opioid release in participants who tolerate only brief immersions, and elicit central or systemic opioid release in participants who tolerate longer immersions.Perspective: This article demonstrates that repeated immersion of the hand in painfully cold water increases opioid activity, and that the increase in opioid activity exerts multiple opposing effects on sensitivity to heat. Individual differences in the response to opioids might contribute to individual differences in pain tolerance.

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Differences in cognitive coping strategies among pain-sensitive and pain-tolerant individuals on the cold-pressor test

Cited by 86 publications

References 18 publications

Differential Strategies in Coping with Pain as a Function of Level of Experiential Avoidance

Differential Strategies in Coping with Pain as a Function of Level of Experiential Avoidance

Sex Differences in Pain Drawing Area for Individuals With Chronic Musculoskeletal Pain

The Effect of Subcutaneous Naloxone on Experimentally Induced Pain

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