1987
DOI: 10.1037/0022-3514.53.3.563
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Perceived self-efficacy and pain control: Opioid and nonopioid mechanisms.

Abstract: In this experiment, we tested for opioid and nonopioid mechanisms of pain control through cognitive means and the relation of opioid involvement to perceived coping efficacy. Subjects were taught cognitive methods of pain control, were administered a placebo, or received no intervention. Their pain tolerance was then measured at periodic intervals after they were administered either a saline solution or naloxone, an opiate antagonist that blocks the effects of endogenous opiates. Training in cognitive control … Show more

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Cited by 314 publications
(212 citation statements)
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“…In prospective studies, SE predicts outcomes for post-surgical pain rehabilitation [144,155]. Similar to perceived control, SE may contribute to pain control through the perception of the reduced challenge of pain or effects on neurotransmitter mechanisms associated with increased pain tolerance such as endogenous opioid release [57].…”
Section: Interventional Pain Medicine and Pain Beliefsmentioning
confidence: 99%
See 1 more Smart Citation
“…In prospective studies, SE predicts outcomes for post-surgical pain rehabilitation [144,155]. Similar to perceived control, SE may contribute to pain control through the perception of the reduced challenge of pain or effects on neurotransmitter mechanisms associated with increased pain tolerance such as endogenous opioid release [57].…”
Section: Interventional Pain Medicine and Pain Beliefsmentioning
confidence: 99%
“…Psychological therapies with established efficacy for the treatment of chronic pain also interact with the cortical mechanisms of pain perception [47] and have a direct impact on brain processing of pain. For example, brief training in simple techniques for psychological control of pain, such as imagery and distraction, enhance endogeneous opioid release during an experimental pain task [57]. Manipulation of attention and the use of distraction to control pain during noxious stimulation are associated with painevoked neuromodulation in the pain matrix [6,58,59].…”
Section: Early Understanding Of Basic Pain Mechanisms and The Biomedimentioning
confidence: 99%
“…In studies of pain control, participants who are given some measure of control over a painful stimulus tend to report lower pain ratings than when they receive the same pain relief delivered by someone else [48]. Similarly, patients trained in cognitive (vs. pharmaceutical) pain management strategies are typically better able to tolerate and alleviate pain [49].…”
Section: Perceived Controlmentioning
confidence: 99%
“…With the addition of relaxation techniques, he gained significant control over the headache pain and decreased his medication use. Bandura and colleagues 8 suggest that perceived self-efficacy in controlling pain using coping skills is directly related to a subjects' ability to tolerate pain. The ability to control pain was partially abolished by naloxone, an opiate antagonist.…”
Section: Commentsmentioning
confidence: 99%