Changes in self-perceived role identity modulate pain perception

Kut, Elvan; Schaffner, Nils; Wittwer, Amrei; Candia, Victor; Brockmann, Meike; Storck, Claudio; Folkers, Gerd

doi:10.1016/j.pain.2007.04.012

Cited by 14 publications

(11 citation statements)

References 49 publications

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“…Finally, the larger PR may also relate to differences in placebo interventions. Indeed, hero role playing induced modulation of selfperception has been demonstrated to increase heat pain tolerance in healthy adults (47).…”

Section: Placebo Analgesia Responsesmentioning

confidence: 99%

Expectancy-Induced Placebo Analgesia in Children and the Role of Magical Thinking

Kempler

Kossowsky

Schwarz

et al. 2014

The Journal of Pain

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Expectations and beliefs shape the experience of pain. This is most evident in context-induced, placebo analgesia, which has recently been shown to interact with the trait of magical thinking (MT) in adults. In children, placebo analgesia and the possible roles that MT and gender might play as modulators of placebo analgesia have remained unexplored. Using a paradigm in which heat-pain stimuli were applied to both forearms, we investigated whether MT and gender can influence the magnitude of placebo analgesia in children. Participants were 49 right-handed children (aged 6-9 years) who were randomly assigned -stratified for MT and gender -to either an analgesia-expectation or a controlexpectation condition. For both conditions, the placebo was a blue-colored hand disinfectant that was applied to the children's forearms. Independent of MT, the placebo treatment significantly increased both heat pain threshold and tolerance. The threshold placebo effect was more pronounced for girls than boys. In addition, independent of the expectation treatment, low-MT boys showed a lower tolerance increase on the left compared to the right side. Finally, MT specifically modulated tolerance on the right forearmside: low-MT boys showed an increase, whereas high-MT boys showed a decrease in heat pain tolerance. This study documented a substantial expectation-induced placebo analgesia response in children (girls > boys) and demonstrated MT and gender-dependent laterality effects in pain perception. The findings may help improve individualized pain management for children. PERSPECTIVE: The study documents the first experimental evidence for a substantial expectancy-induced placebo analgesia response in healthy children from 6 to 9 years of age. Moreover, the effect was substantially higher than the placebo response typically found in adults. The findings may help improve individualized pain management for children. Conflicts of Interest and Source of FundingThe authors declare that there is no conflict of interest. This research was supported by the University of Basel.Running Title: Placebo Analgesia and Magical Thinking in Children Krummenacher et al., 2014 1 Abstract Objective: Higher brain functions such as expectations and beliefs shape the experience of pain. This is most evident in context-induced placebo analgesia (PA), which was recently shown in adults to interact with the trait of magical thinking (MT).In children, PA and the possible relationship between PA and MT has remained unexplored.Methods: Using a lateralized heat-pain paradigm, we investigated the possible modulatory role of PA expectation and MT in response to nociceptive stimuli on the right and left forearm.Participants were 49 right-handed children (6-9 years). In a between-subjects design, half of them were either randomly -stratified for MT and gender -assigned to an analgesia-expectation or a control-expectation condition. Results:Results indicate that, independent of MT, the placebo procedure significantly increased both heat pain threshold (...

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Section: Placebo Analgesia Responsesmentioning

confidence: 99%

Expectancy-Induced Placebo Analgesia in Children and the Role of Magical Thinking

Kempler

Kossowsky

Schwarz

et al. 2014

The Journal of Pain

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“…The obtained data with popular and lyrical singers do not corroborate the data obtained to general population (4) , which the mean of pain in women is higher than men, suggesting that singing itself may reduce the amount of reported pain in general to both genders. Other studies about pain point out men and women are different regarding pain coping, threshold, and tolerance, women had higher complaints and lower resistance (13)(14)(15) . Regarding predominant pains, the three most reported pains by popular singers were all proximal to larynx: sore throat (66%), pain to speak (41%), and neck pain (35%).…”

Section: Discussionmentioning

confidence: 95%

“…These data suggest proximal pain to larynx complaint are more resident in people reporting vocal problems and then pain next to the larynx region during the practice of singing might indicate the presence or predisposition to the urge of voice disturbances, and restricting singing activity. The presence of small voice deviation in a singer may bring big financial impact, shows and presentations canceled and restricting the professional exercise (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) . In the studied sample there was a big search for otolaryngologists and speech language pathologists due to vocal disturbances and a correlation between the searches with the presence of body pains (Table 4).…”

Section: Discussionmentioning

confidence: 99%

Dor em cantores populares

Rocha

Moraes

Behlau

2012

J. Soc. Bras. Fonoaudiol.

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OBJETIVO: Identificar e caracterizar a presença de dores corporais em cantores populares, verificar se há diferença no relato de dor de acordo com o gênero e relacionar com dados referentes a questões vocais e de uso da voz desta população. MÉTODOS: Aplicou-se um questionário autoexplicativo em 100 cantores populares (50 homens e 50 mulheres) que investigou questões referentes a identificação pessoal, uso de voz e presença de dor. As dores foram divididas em dois grupos: dores proximais (ATM, língua, garganta, nuca, ombros, pescoço e para falar) e dores distais (braços, costas/coluna, peito, mãos, ouvido e dor de cabeça). RESULTADOS: A média da presença de dor referida entre os cantores populares foi de 2,9 dores. Não houve diferença no relato de dor de acordo com o gênero. As dores predominantes foram dor de garganta (66%), dor ao falar (41%) e dor no pescoço (35%), todas classificadas como proximais à laringe. As dores menos predominantes foram dor nos braços, mãos e peito (4%), sendo todas estas classificadas como distais. CONCLUSÃO: Cantores populares referem presença de dores corporais, principalmente proximais à região da laringe. Não há diferença no relato de dor de acordo com o gênero. Há relação entre a presença de dor corporal e presença de problemas vocais, necessidade de parar de cantar, falta de treinamento vocal e procura de otorrinolaringologista e fonoaudiólogo por problemas de voz. Estes dados justificam uma investigação e valorização de sintomas de dor pelos profissionais que atendam a esta população.

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“…Research shows that the perception of pain is closely related to people's emotional states (10) . In this study, it was found that, in 12 of the 13 surveyed pains, choral singers reported less bodily pain than the general population.…”

Section: Discussionmentioning

confidence: 99%

Dores corporais em coristas eruditos

Vaiano

Guerrieri

Behlau

2013

CoDAS

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Purpose: To identify and characterize the presence of body pain related to voice usage in choral singers. Methods:A questionnaire investigating the occurrence of voice problems, vocal self-evaluation, and a report of body aches was given to 50 classical choral singers and 150 participants who were non-singers. Thirteen types of aches were investigated that were distributed into two groups: larynx proximal ache (temporomandibular joint, tongue, sore throat, neck, back of the neck, shoulder, and pain while speaking) and distal ache (headache, backache, chest, arms, hands, and ear ache). Results: Classical choral singers had less presence of pain than the general population. The most related pain types reported in singers were sore throat, chest, and shoulder, respectively. Conclusion: Reduced vocal signs of pain in singers may suggest that singers can benefit from vocal training once they have better voice usage due to voice practice, offering a protective effect to the development of voice disorders since voice training builds up a better musculoskeletal endurance. RESUMOObjetivo: Identificar e caracterizar dores corporais em coristas eruditos. Métodos: Foi aplicado um questionário autoexplicativo a 50 coristas eruditos e 150 sujeitos da população geral, com questões de caracterização pessoal e sobre a presença e frequência de 13 tipos de dores corporais: cabeça, pescoço, nuca, ombros, costas, peito, mão, ouvido, língua, articulação temporomandibular, garganta e dor ao falar. Resultados: Coristas eruditos relataram menos dores do que a população geral. Os tipos de dores mais relatados por coristas foram garganta, costas e ombros, respectivamente. Conclusão: A baixa ocorrência de dores corporais em coristas eruditos sugere que o uso vocal saudável, aliado ao treino da musculatura respiratória e de produção vocal, pode oferecer uma maior resistência musculoesquelética, prevenindo o aparecimento de doenças associadas a ela.

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Changes in self-perceived role identity modulate pain perception

Cited by 14 publications

References 49 publications

Expectancy-Induced Placebo Analgesia in Children and the Role of Magical Thinking

Expectancy-Induced Placebo Analgesia in Children and the Role of Magical Thinking

Dor em cantores populares

Dores corporais em coristas eruditos

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