Feeling Hurt

Canaipa, Rita; Treister, Roi; Lang, Magdalena; Moreira, João Manuel; Castro-Caldas, Alexandre

doi:10.1097/ajp.0000000000000220

Cited by 12 publications

(5 citation statements)

References 23 publications

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“…This finding contrasts with a recent study by Canaipa et al62 who reported lower pain intensity ratings for socially included participants. Unlike us, however, they applied noxious electrical stimuli instead of thermal stimuli which might account for the different results.…”

Section: Discussioncontrasting

confidence: 99%

“…This finding is consistent with a study reporting increased psychological and physiological reactivity for individuals with chronic life stress after being challenged with an acute psychological stressor 61. It is also in line with previous research demonstrating that chronic life stress and other social stressors (eg, social exclusion) may cause hyperalgesia and increase physical pain distress 21,22,62–66. The underlying mechanisms of this finding are not clear.…”

Section: Discussionsupporting

confidence: 90%

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Chronic stress moderates the impact of social exclusion on pain tolerance: an experimental investigation

Pieritz

Schäfer

Strahler

et al. 2017

JPR

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BackgroundExperiences of social pain due to social exclusion may be processed in similar neural systems that process experiences of physical pain. The present study aimed to extend the findings on social exclusion and pain by examining the impact of social exclusion on an affective (ie, heat pain tolerance) and a sensory component of pain (ie, heat pain intensity). Whether a potential effect may be moderated by chronic life stress, social status, or social sup-port was further examined.Materials and methodsA community-based sample of 59 women was studied. Social exclusion and inclusion were experimentally manipulated by using a virtual ball-tossing game called Cyberball in which participants were randomly assigned to either being excluded or being included by two other virtual players. Heat pain tolerance and intensity were assessed before and after the game. Potential psychosocial moderators were assessed via a questionnaire.ResultsThe main finding of this study is that chronic stress moderates the impact of social exclusion on pain tolerance (p<0.05). When chronic stress was high, socially excluded participants showed a lower heat pain tolerance than participants who were socially included. Contrary to the authors’ hypothesis, pain sensitivity was increased in socially included participants compared with socially excluded participants after the game (p<0.05).ConclusionHigher levels of chronic stress may enhance the vulnerability of affective pain processing to acute social exclusion.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 90%

Chronic stress moderates the impact of social exclusion on pain tolerance: an experimental investigation

Pieritz

Schäfer

Strahler

et al. 2017

JPR

View full text Add to dashboard Cite

show abstract

“…The finding that patients reporting clinically significant chronic pain also had 26% higher odds of perceived rejection supports literature elucidating the link between social rejection and physical pain (23). Human laboratory experiments have suggested a direct relationship between social rejection and reports of pain unpleasantness (24) and that physical pain is reduced by social experiences, such as inclusion (25).…”

Section: Discussionsupporting

confidence: 67%

Social Relationship Quality Among Patients With Chronic Pain: A Population-Based Sample

Philpot

Schumann

Ebbert

2019

Journal of Patient Experience

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Objective: Chronic daily pain is experienced by 11.2% of United States adults and psychosocial factors have significant impact on self-reported pain. Most research in this area has focused on pain-related conditions, not the general population. This study sought to understand the associations between clinically significant chronic pain and multiple dimensions of social relationship quality in a general population. Methods: A cross-sectional survey was deployed and adjusted logistic regression models were constructed for chronic pain against independent social support domains. The moderating effect of self-rated health on social support quality was explored. Results: Of all, 26.1% of surveys were completed (3920/15 000) and 18.8% reported clinically significant chronic pain. Patients with chronic pain had lower friendship quality (aOR = 0.78; 0.64-0.94) and higher perceived rejection (aOR = 1.26; 1.04-1.53) and perceived hostility (aOR = 1.26; 1.05-1.52). Within our moderation analysis, chronic pain patients with low self-rated health had higher odds of low friendship quality, high loneliness, and high perceived rejection. Conclusions: Chronic pain patients experience social relationships differently than those without, and self-rated health differentially impacts these perceptions.

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“…Cyberball exclusion results in decreased cold pain threshold and tolerance compared to inclusion in HC, supporting the notion that the positive emotions associated with inclusion reduce pain perception, while correspondingly the negative emotions linked with exclusion induce pain hypersensitivity. 37 – 39 This result provides us with new behavioral evidence that improves our understanding of the relationships between social pain and a specific type of physical pain.…”

Section: Discussionmentioning

confidence: 83%

Disrupted physical pain sensation by social exclusion in women with dysmenorrhea

Yu¹,

Guan²,

Fu³

et al. 2018

JPR

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PurposeDysmenorrhea (DM), which involves both acute and chronic pain, is associated with abnormalities in pain modulation. Previous studies have shown that social pain relies on some of the same neural regions that process physical pain, highlighting a possible physical–social pain overlap. However, evidence suggesting that social pain modulates the sensitivity to physical pain remains controversial. The present study aimed to assess the effects of social pain manipulation on sensitivity to physical pain in DM sufferers and healthy female controls (HC).Materials and methodsFifty-nine otherwise healthy patients with DM and 55 HC matched for age, education, calendar age, and gynecological age were randomly assigned to inclusion or exclusion conditions of Cyberball, a virtual ball tossing game used to induce social pain (social exclusion). Pain threshold and pain tolerance in response to nociceptive pressure and cold stimuli were assessed before and after the study condition.ResultsIn response to cold stimulation, pain threshold and tolerance significantly reduced in DM compared to HC participants in the inclusion condition, indicating increased pain sensitivity in DM group. However, exclusion increased the pain threshold and tolerance compared to inclusion in DM but decreased pain threshold and tolerance in HC. Neither inclusion nor exclusion altered pressure pain sensitivity in DM, but, after social exclusion, DM participants were more fearful of being evaluated unfavorably. No significant differences were observed in self-esteem scores between DM and HC after both inclusion and exclusion.ConclusionWe observed altered pain sensation in DM participants in response to social pain manipulation, suggesting that DM not only impacts menstruation but also modulates the perception of pain more generally, especially its affective processes. The present study suggests that the effect of social pain on pain sensation and certain psychometric properties depends on previous pain experience, implicating a reciprocal influence of social and physical pain processes.

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Feeling Hurt

Abstract: The current study results indicate that participants' pre-Cyberball unpleasantness threshold is related to their responsiveness to social distress and that physical pain may be modulated by social events. Further studies are needed to clarify the clinical relevance of these results.

Cited by 12 publications

References 23 publications

Chronic stress moderates the impact of social exclusion on pain tolerance: an experimental investigation

Chronic stress moderates the impact of social exclusion on pain tolerance: an experimental investigation

Social Relationship Quality Among Patients With Chronic Pain: A Population-Based Sample

Disrupted physical pain sensation by social exclusion in women with dysmenorrhea

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