Over-Rating Pain is Overrated: A Fundamental Self-Other Bias in Pain Reporting Behavior

Boring, Brandon L.; Ng, Brandon; Nanavaty, Namrata; Mathur, Vani A.

doi:10.1016/j.jpain.2022.06.002

Cited by 10 publications

(4 citation statements)

References 61 publications

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“…Intersecting factors, such as stigma and medical mistrust, toward behavioral pain treatments and clinicians are also important to address to increase treatment engagement. Digital treatments offer a unique opportunity to reduce biases and misinterpretation of pain experiences, which contribute to poor pain outcomes ( 102 ). Additionally, digital interventions that are low-burden, accessible, and skill-based may mitigate stigma toward the use of behavioral interventions in chronic pain care.…”

Section: Discussionmentioning

confidence: 99%

Innovative treatment formats, technologies, and clinician trainings that improve access to behavioral pain treatment for youth and adults

et al. 2023

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Chronic pain is prevalent across the life span and associated with significant individual and societal costs. Behavioral interventions are recommended as the gold-standard, evidence-based interventions for chronic pain, but barriers, such as lack of pain-trained clinicians, poor insurance coverage, and high treatment burden, limit patients’ ability to access evidenced-based pain education and treatment resources. Recent advances in technology offer new opportunities to leverage innovative digital formats to overcome these barriers and dramatically increase access to high-quality, evidenced-based pain treatments for youth and adults. This scoping review highlights new advances. First, we describe system-level barriers to the broad dissemination of behavioral pain treatment. Next, we review several promising new pediatric and adult pain education and treatment technology innovations to improve access and scalability of evidence-based behavioral pain treatments. Current challenges and future research and clinical recommendations are offered.

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Section: Discussionmentioning

confidence: 99%

Innovative treatment formats, technologies, and clinician trainings that improve access to behavioral pain treatment for youth and adults

et al. 2023

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“…These findings indicate that biological sex influences the moderation effect of greenness, however, the inconsistencies suggest that perhaps there are y also gender differences that biological sex alone is unable to capture. For example, the socialized norms of expected behaviours among genders in the reporting of pain or depressive symptoms may have played a part the in differences seen in our findings [ 49 ]. Future research employing a sex and gender-based analysis approach is needed to further explore this; the CLSA does not contain data on participant gender.…”

Section: Discussionmentioning

confidence: 99%

Neighbourhood greenness moderates the association between physical activity and geriatric-relevant health outcomes: an analysis of the CLSA

2023

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Background The purpose of this analysis was to evaluate the relationship between baseline physical activity levels of older adults and geriatric-relevant health outcomes at 3-year follow-up, and to determine whether baseline neighbourhood characteristics alter this association. Methods Data from the Canadian Longitudinal Study on Aging (CLSA) were used to assess geriatric-relevant outcomes of physical impairment, medication use, severity of daily pain, and depressive symptoms. Data from the Canadian Active Living Environments (Can-ALE) and the Normalized Difference Vegetative Index (NDVI) were used to determine neighbourhood walkability and greenness, respectively. The analytic sample included adults who were 65 years or older at baseline $$(n=\text{16,735}, age=73\pm 5.6, 50\% female)$$. Adjusted odds ratios and 95% confidence intervals for the base relationships were calculated using proportional odds logistic regression (physical impairment, pain, medication use), and linear regression (depressive symptoms). Moderation effects of environmental factors were assessed using greenness and walkability. Results The base relationships showed protective associations between each additional hour per week of total physical activity and physical impairment $$\left(OR=0.95, 95\%CI=\text{0.94,0.96}; p<.001\right),$$ daily pain severity $$\left(OR=0.98, 95\%CI=0.98, 0.99; p<.001\right),$$ medication use $$(OR=0.98, 95\%CI= 0.97, 0.99; p< .001)$$, and depressive symptoms $$(OR=0.95, 95\%CI=\text{0.94,0.96}; p<.001)$$. Additive moderation effects were seen when greenness was added to physical impairment $$(\beta =0.022, p=.04)$$, daily pain severity $$(\beta =0.019, p<.01)$$, and depressive symptoms $$(\beta =0.032, p=.01)$$ but no moderation was seen with walkability. Sex differences were observed. For example, greenness moderation was found in severity of daily pain in males but not in females. Conclusion Future research investigating geriatric-relevant health outcomes and physical activity should consider neighbourhood greenness as a potential moderator.

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Section: Discussionmentioning

confidence: 99%

“…Finally, the nature of the responses we received in this questionnaire were self-reported, thus potentially increasing overall variability between questionnaire participants or slightly overestimating reported pain. 3,21 In conclusion, we have assembled the first large-scale study of the pain produced by lionfish stings. Data from our questionnaire have shown that victims of lionfish sting experience the peak of their pain approximately 1 hour after the sting and that most of the pain resolves itself around 7 days after sting.…”

Section: History Of Allergies 123mentioning

confidence: 99%

Understanding the pain experience of lionfish envenomation

Mouchbahani-Constance

Choinière

Sharif‐Naeini

2023

PR9

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Introduction: Stings from the lionfish (Pterois volitans) constitute one of the most painful wounds in the ocean. This species has invaded the Atlantic coast of the United States, Gulf of Mexico, Caribbean, and Mediterranean Sea. In addition to its ecological impact on local fish populations, stings from the lionfish pose a medical problem because of the debilitating nature of the pain they produce. However, there are no studies examining the human pain experience of lionfish stings. Objective: To characterize the various aspects of the pain experience following a lionfish sting. Methods: We developed a pain questionnaire that includes validated scales used with patients having acute or chronic pain to understand the pain variability, as well as the use of health care resources and treatments. Results: We provide the first study of the pain experience from lionfish stings. Here, we show that the pain is intense from the start and peaks approximately 1 hour later, resolving itself in 7 days for most victims. Furthermore, pain intensity can be influenced by several factors, including (1) age of the victim, where older victims experience significantly higher pain intensities, (2) the number of spines involved, (3) and whether infection occurred at the injury site. However, pain intensity was not different between male and female participants. Conclusion: These findings will inform the medical community on the pain experience and can be used by local authorities to better appreciate the impact of lionfish envenomations to develop programs aimed at curtailing the expansion of the lionfish.

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Over-Rating Pain is Overrated: A Fundamental Self-Other Bias in Pain Reporting Behavior

Cited by 10 publications

References 61 publications

Innovative treatment formats, technologies, and clinician trainings that improve access to behavioral pain treatment for youth and adults

Innovative treatment formats, technologies, and clinician trainings that improve access to behavioral pain treatment for youth and adults

Neighbourhood greenness moderates the association between physical activity and geriatric-relevant health outcomes: an analysis of the CLSA

Understanding the pain experience of lionfish envenomation

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