Examining Affective-Motivational Dynamics and Behavioral Implications Within The Interpersonal Context of Pain

Vervoort, Tine; Trost, Zina

doi:10.1016/j.jpain.2017.03.010

Cited by 44 publications

(78 citation statements)

References 93 publications

(120 reference statements)

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“…"Are you doing too much? "), thus drawing their children's attention to pain and away from valued life activities [45]. However, we did not measure parental responding in the current study, so these hypotheses remain to be tested.…”

Section: Discussionmentioning

confidence: 94%

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Injustice perceptions about pain: parent–child discordance is associated with worse functional outcomes

Miller

Wuest

Williams

et al. 2018

PAIN

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Pain is experienced within and influenced by social environments. For children with chronic pain, the child-parent relationship and parental beliefs about pain are particularly important and may influence pain outcomes. Pain-related injustice perceptions have recently been identified as an important cognitive-emotional factor for children with pain. The current study aimed to better understand the pain-related injustice perceptions of children with chronic pain and their parents. The sample consisted of 253 pediatric chronic pain patients (mean age = 14.1 years, 74% female) presenting to a tertiary pain clinic. Patients completed measures of pain intensity, pain-related injustice perceptions, stress, functional disability, and quality of life. Parents completed a measure of pain-related injustice perceptions about their child's pain. Child-parent dyads were categorized into 1 of 4 categories based on the degree of concordance or discordance between their scores on the injustice measures. One-way analysis of variances examined differences in pain intensity, stress, functional disability, and quality of life across the 4 dyad categories. Our findings indicated that both the degree (concordant vs discordant) and direction (discordant low child-high parent vs discordant high child-low parent) of similarity between child and parent injustice perceptions were associated with child-reported pain intensity, stress, functional disability, and quality of life. The poorest outcomes were reported when children considered their pain as highly unjust, but their parents did not. These findings highlight the important role of parents in the context of pain-related injustice perceptions in pediatric chronic pain.

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Section: Discussionmentioning

confidence: 94%

“…Pain is experienced within and influenced by social environments, demanding attention from both the sufferer and proximal others [2,6,7,11,15,45]. For children with chronic pain, the child-parent relationship is of particular importance.…”

Section: Introductionmentioning

confidence: 99%

Injustice perceptions about pain: parent–child discordance is associated with worse functional outcomes

Miller

Wuest

Williams

et al. 2018

PAIN

Self Cite

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show abstract

“…On the other hand, a negative relational climate may lower men’s motivation to understand the woman’s pain experience, making them less attentive to pain-related cues and thus less accurate to estimate their pain (Rosen et al, 2015). That is, a stronger focus on feeling dissatisfied with the relationship may detract the partner from attuning to the women’s signals of pain because he pursues self-oriented goals that aim at diminishing his own level of distress (Vervoort & Trost, 2017). Such self-focus may result in empathic failures and create an invalidating emotional climate that lowers the couple’s confidence to cope with the threat of pain together (Dagan et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Relationship Context Moderates Couple Congruence in Ratings of Sexual Arousal and Pain During Vaginal Sensations in the Laboratory

Dewitte

Schepers

2019

Arch Sex Behav

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Genital pain is a social experience that needs to be studied as a dyadic interaction between partners. The present study relied on a sample of 42 heterosexual couples to examine the level of congruence between both partners’ ratings of pain and sexual arousal in response to experimentally induced vaginal pressure that served as a simulation of vaginal sensations during penetration. We also inferred the men’s ability to estimate their partner’s level of pain and sexual arousal. Because the relationship has shown to influence pain estimations, we considered the moderating role of perceived partner responsiveness and relationship satisfaction. We found higher disagreement in pain ratings when vaginal pressure was induced in the context of a sexual film compared to a neutral film, with men overestimating the level of pain in women. Also sexual arousal ratings diverged between partners, with men underestimating their partners’ level of sexual arousal during the induction of vaginal pressure, regardless of whether they were watching a sexual or neutral film. Importantly, the level of congruence between actual and estimated ratings of pain and sexual arousal depended on how relationally satisfied men and women were and how validated and supported women felt by their male partner. These results make an important contribution to the growing literature on the social determinants of sexual pain experiences.

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“…In this study we found evidence for the temporal associations between partners' helping motives and ICPs' need frustration. Autonomously motivated partners might be less rigid and more flexible in prioritizing ICPs' needs above their own needs and may be more receptive for feedback of the ICP in the caregiving process 41 . An autonomous helping motivation may prevent partners from becoming overprotective 10,11 or solicitous 5,31 and thereby buffer against thwarting ICPs' need for autonomy (e.g., receiving unwanted/unnecessary help), competence (e.g., feeling incapable of taking care for oneself) and…”

Section: Theoretical and Clinical Implicationsmentioning

confidence: 99%

The Effects of Partners’ Helping Motivation on Chronic Pain Patients’ Functioning Over Time

Kindt¹,

Vansteenkiste

Brenning

et al. 2019

The Journal of Pain

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Examining Affective-Motivational Dynamics and Behavioral Implications Within The Interpersonal Context of Pain

Cited by 44 publications

References 93 publications

Injustice perceptions about pain: parent–child discordance is associated with worse functional outcomes

Injustice perceptions about pain: parent–child discordance is associated with worse functional outcomes

Relationship Context Moderates Couple Congruence in Ratings of Sexual Arousal and Pain During Vaginal Sensations in the Laboratory

The Effects of Partners’ Helping Motivation on Chronic Pain Patients’ Functioning Over Time

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