Influence of attention focus and trait anxiety on tolerance of acute pain

James, Jack E.; Hardardottir, Drifa

doi:10.1348/135910702169411

Cited by 81 publications

(90 citation statements)

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“…Results showed that, overall, participants in both distraction groups reported significantly less pain intensity compared to the control group. These results are consistent with other studies that also found similar beneficial effects of distraction on pain [25,26,37,38,42,51]. However, our study has further value over previous studies.…”

Section: Discussionsupporting

confidence: 93%

The role of motivation in distracting attention away from pain: An experimental study

Verhoeven

Crombez

Eccleston

et al. 2010

Pain

123

128

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Research on the effectiveness of distraction as a method of pain control is inconclusive. One mechanism pertains to the motivational relevance of distraction tasks. In this study the motivation to engage in a distraction task during pain was experimentally manipulated. Undergraduate students (N=73) participated in a cold pressor test (CPT) and were randomly assigned to three groups: a distraction-only group performed a tone-detection task during ther CPT, a motivated-distraction group performed the same task and received a monetary reward for good task performance, and a control group did not perform the tone-detection task. Results indicated that engagement in the distraction task was better in the motivated-distraction group in comparison with the distraction-only group. Participants in both distraction groups experienced less pain compared to the control group. There were no overall differences in pain intensity between the two distraction groups. The effect of distraction was influenced by the level of catastrophic thinking about pain. For low catastrophizers, both distraction groups reported less pain as compared to the nondistracted control group. This was not the case for high catastrophizers. For high catastrophizers it mattered whether the distraction task was motivationally relevant:High catastrophizers reported less intense pain in the motivated distraction group, as compared to the non-distracted control group. We conclude that increasing the motivational relevance of the distraction task may increase the effects of distraction, especially for those who catastrophize about pain.

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Section: Discussionsupporting

confidence: 93%

The role of motivation in distracting attention away from pain: An experimental study

Verhoeven

Crombez

Eccleston

et al. 2010

Pain

123

128

View full text Add to dashboard Cite

show abstract

“…Anxiety is associated with subjective feelings of apprehension about impending or anticipated harm 34 , autonomic arousal (increased heart rate) and avoidance behaviour. Both state and trait anxiety can result in increased pain sensitivity, increased report of pain intensity and reduced pain tolerance [34][35][36][37][38][39] . Negative expectations of pain, or pain worsening, induce anticipatory anxiety about the impending pain, thus triggering the activation of the neuropeptide cholecystokinin which can facilitate pain transmission 40 .…”

Section: Discussionmentioning

confidence: 99%

Pain in older people with frailty

Brown

Young

Clegg

et al. 2015

Rev. Clin. Gerontol.

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In this review we identified cohort and cross-sectional studies which assessed pain in community-dwelling older people (> 65 years) reliably characterised as frail. Secondly, we considered biologically plausible mechanisms which may alter pain perception, or contribute to, or exacerbate pain in an older person with frailty. Thirdly, we considered specific implications of pain management for this group of people. From the limited data from the seven included studies, it would appear that the presence of pain is higher in older people with frailty compared to people characterised as pre-frail or not frail. Thus, older people reporting pain are more likely to be frail. However, a lack of prospective data precludes inferences about the direction of the relationship: that is whether pain or frailty is the antecedent. Further research is needed to understand the direction of the relationship, and to identify appropriate pain management strategies for older people with frailty.

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“…Dalgleish & Power, 2004), or the consideration of fear and anxiety as distinct emotions (e.g. James & Hardardottir, 2002). The space limitations prevented such analyses, that could however be pursued in further studies.…”

Section: Discussionmentioning

confidence: 99%

Basic emotion profiles in healthy, chronic pain, depressed and PTSD individuals

Finucane

Dima

Ferreira

et al. 2011

Clin Psychology and Psychoth

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ObjectivesTo compare self-reports of five basic emotions across four samples: healthy, chronic pain, depressed and PTSD, and to investigate the extent to which basic emotion reports discriminate between individuals in healthy or clinical groups. MethodsIn total, 439 participants took part in this study: healthy (N = 131), chronic pain (N = 220), depressed (N = 24) and PTSD (N = 64). Participants completed the trait version of the Basic Emotion Scale (Dalgleish & Power, 2004). Basic emotion profiles were compared both within each group and between the healthy group and each of the three other groups. Discriminant analysis was used to assess the extent to which basic emotions can be used to classify participants as belonging to the healthy group or one of the clinical groups.2 ResultsIn the healthy group, happiness was experienced more than any other basic emotion.This was not found in the clinical groups. In comparison to healthy participants, the chronic pain group experienced more fear, anger and sadness; the depressed group reported more sadness; and the PTSD group experienced all of the negative emotions more frequently. Discriminant analysis revealed that happiness was the most important variable in determining whether an individual belonged to the healthy group or one of the clinical groups. Anger was found to further discriminate between depressed and chronic pain individuals. ConclusionThe findings demonstrate that basic emotion profile analysis can provide a useful foundation for the exploration of emotional experience both within and between healthy and clinical groups. Key Practitioner Message• More frequent experiences of happiness relative to discrete negative emotions most clearly discriminate between individuals in healthy and clinical groups.More frequent anger experiences further discriminate between individuals with chronic pain and those with depression while disgust levels help discriminate between those with PTSD and depression.• More frequent experiences of high arousal negative emotions -fear, anger and disgust are characteristic of individuals with PTSD.• Fear is the most frequently experienced negative emotion in both healthy and clinical groups. Higher levels of fear compared to other discrete negative emotions are not necessarily an indicator of psychopathology. Consideration of emotional profiles more generally and the relative frequency with which happiness is experienced relative to negative emotions may be more useful in delineating between healthy individuals and those with chronic pain, depression or PTSD. 3Although emotions play an important role in psychopathology, few studies have applied models of everyday emotions to research in psychopathology. Nonetheless,

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Influence of attention focus and trait anxiety on tolerance of acute pain

Abstract: The results are consistent with the notion that anxiety fosters attentiveness to possible environmental threats, and might have implications for the clinical management of acute pain.

Cited by 81 publications

References 0 publications

The role of motivation in distracting attention away from pain: An experimental study

The role of motivation in distracting attention away from pain: An experimental study

Pain in older people with frailty

Basic emotion profiles in healthy, chronic pain, depressed and PTSD individuals

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