Increased positive affect is associated with less generalization of pain-related avoidance

Vandael, Kristof; Meulders, Michel; Mühlen, Katharina zur; Peters, Madelon L.; Meulders, Ann

doi:10.1016/j.brat.2022.104199

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…Sixth, despite evidence suggesting that asking people multiple times per day about their pain does not impact pain experience beyond single time point assessments, 71 it is important to acknowledge the large body of research linking pain to attentional processes, 72 and, therefore, it is important for work to continue evaluating the role of intensive assessment on reporting of pain experience. Further, we did not collect information on positive affect, and given the adolescent literature highlighting that greater positive affect is associated with less pain-related avoidance and increased activity engagement, 73 it would be important to replicate the findings, accounting for positive affect. Relatedly, while there is significant heterogeneity in the choice of assessment tools in EMA studies, a large proportion of the studies have used the positive and negative affect schedule to assess positive and NA.…”

Section: Discussionmentioning

confidence: 99%

Momentary Emotion Regulation Strategies and Pain Experience among Adults with Chronic Pain

Rogers,

Smit,

Bakhshaie

et al. 2024

The Clinical Journal of Pain

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Objectives: Chronic pain is a significant public health concern. Psychological treatments are effective for treating chronic pain, but long term follow up studies are limited, and treatment effects sizes are small. Identifying modifiable treatment targets, such as emotion regulation, is critical to improve interventions. Emotion regulation (ER; i.e., cognitive and attentional strategies to modulate or maintain emotional experience) has been linked to psychopathology and pain experience in adults. Yet, the existing work is limited and has largely focused on the relationship between emotional experience, not ER, and pain. Methods: The current study utilized ecological momentary assessment (EMA) to characterize real time, momentary relationships between ER strategies and pain experience (intensity, interference, and negative affect) among 53 (77.4% female; M age =27.10 y, SD=5.16 y) adults with chronic pain. Participants completed EMA assessments of pain experience and ER strategies five times a day for seven days. Results: Results of the current study provide evidence for the association between within-person maladaptive ER strategies and pain intensity (b=2.11, se=0.37, P<0.001), pain interference (b=1.25, se=0.40, P=0.002), and pain-related negative affect (b=2.20, se=0.41, P<0.001). Associations by specific strategy type were also examined, highlighting the importance of worry, experiential avoidance, rumination, and expressive suppression in pain experience. Discussion: Given that emotion regulation is readily targeted in psychological treatments for chronic pain, the results from the current study provide initial evidence to target these ER strategies in treatment.

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Section: Discussionmentioning

confidence: 99%

Momentary Emotion Regulation Strategies and Pain Experience among Adults with Chronic Pain

Rogers,

Smit,

Bakhshaie

et al. 2024

The Clinical Journal of Pain

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“…Converging with this view, within our sample, positivity was correlated with behavioral perseverance ( r = .54), the resilience dimension that reflects low pain avoidance. Higher levels of positive affect have also been linked to less generalized avoidance of painful physical movements following nociception in laboratory research (Vandael et al, 2022 ) and higher levels of engagement in healthy daily activities rather than pain avoidance among people with chronic pain (Finan & Garland, 2015 ). Finally, studies of optimism—a construct that overlaps with the cognitive aspect of positivity (Slepian et al, 2016 )—have found stronger positive expectations about future outcomes predict behaviors that reflect low pain avoidance (i.e., higher levels of goal perseverance, effort, and goal attainment) (Affleck et al, 2001 ; Duke et al, 2002 ).…”

Section: Discussionmentioning

confidence: 99%

Resting‐state brain activity as a biomarker of chronic pain impairment and a mediator of its association with pain resilience

You,

Wen,

Jackson

2024

Human Brain Mapping

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Past cross‐sectional chronic pain studies have revealed aberrant resting‐state brain activity in regions involved in pain processing and affect regulation. However, there is a paucity of longitudinal research examining links of resting‐state activity and pain resilience with changes in chronic pain outcomes over time. In this prospective study, we assessed the status of baseline (T1) resting‐state brain activity as a biomarker of later impairment from chronic pain and a mediator of the relation between pain resilience and impairment at follow‐up. One hundred forty‐two adults with chronic musculoskeletal pain completed a T1 assessment comprising a resting‐state functional magnetic resonance imaging scan based on regional homogeneity (ReHo) and self‐report measures of demographics, pain characteristics, psychological status, pain resilience, pain severity, and pain impairment. Subsequently, pain impairment was reassessed at a 6‐month follow‐up (T2). Hierarchical multiple regression and mediation analyses assessed relations of T1 ReHo and pain resilience scores with changes in pain impairment. Higher T1 ReHo values in the right caudate nucleus were associated with increased pain impairment at T2, after controlling for all other statistically significant self‐report measures. ReHo also partially mediated associations of T1 pain resilience dimensions with T2 pain impairment. T1 right caudate nucleus ReHo emerged as a possible biomarker of later impairment from chronic musculoskeletal pain and a neural mechanism that may help to explain why pain resilience is related to lower levels of later chronic pain impairment. Findings provide empirical foundations for prospective extensions that assess the status of ReHo activity and self‐reported pain resilience as markers for later impairment from chronic pain and targets for interventions to reduce impairment.Practitioner Points Resting‐state markers of impairment: Higher baseline (T1) regional homogeneity (ReHo) values, localized in the right caudate nucleus, were associated with exacerbations in impairment from chronic musculoskeletal pain at a 6‐month follow‐up, independent of T1 demographics, pain experiences, and psychological factors. Mediating role of ReHo values: ReHo values in the right caudate nucleus also mediated the relationship between baseline pain resilience levels and later pain impairment among participants. Therapeutic implications: Findings provide empirical foundations for research extensions that evaluate (1) the use of resting‐state activity in assessment to identify people at risk for later impairment from pain and (2) changes in resting‐state activity as biomarkers for the efficacy of treatments designed to improve resilience and reduce impairment among those in need.

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“…That is, college students' PR might increase PB by reducing NA and increasing PA. NA strengthens counterproductive work behavior ( 87 ), like violating PB in the COVID-19 pandemic, and meanwhile negatively affects health behavior ( 88 ). Individuals with higher levels of PA are more likely to care for themselves ( 89 ) and show great potential in health behavior learning ( 90 ). PA can help people cope with PR, especially after the COVID-19 lockdown ( 91 ).…”

Section: Discussionmentioning

confidence: 99%

How perceived risk influences college students' preventive behavior: Novel data of COVID-19 campus lockdown from Wuhan, China

Zhang

Cheng²,

Li³

2023

Front. Public Health

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Following preventive behaviors is a key measure to protect people from infectious diseases. Protection motivation theory (PMT) suggests that perceived risk motivates individuals to take protective measures. The COVID-19 pandemic has posed unprecedented stress to the public, and changes in perceived risk may be more pronounced among college students than among other groups due to the related campus lockdown. With 1,119 college students recruited as research subjects, a quantitative research was conducted in Wuhan, China, to deduce the relationship between the perceived risk and preventive behavior of college students, as well as between the mediation effect of individual affect and the moderating effect of physical exercise. The results showed that the preventive behavior of college students was significantly affected by perceived risk, and both positive affect and negative affect played a mediating role between perceived risk and preventive behavior. Specifically, positive affect aided the relationship between perceived risk and preventive behavior, negative affect was detrimental to their relationship, and the mediation effect of positive affect is significantly higher than that of negative affect. Furthermore, physical exercise played a moderating role in the mediation effects of positive affect and negative affect. Therefore, appropriate measures should be taken to strengthen Chinese college students' perceived risk and provide them with corresponding guidance. The importance of physical exercise should also be emphasized to help college students with low perceived risk reduce negative affect, increase positive affect, and promote their preventive behavior.

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Increased positive affect is associated with less generalization of pain-related avoidance

Cited by 4 publications

References 21 publications

Momentary Emotion Regulation Strategies and Pain Experience among Adults with Chronic Pain

Momentary Emotion Regulation Strategies and Pain Experience among Adults with Chronic Pain

Resting‐state brain activity as a biomarker of chronic pain impairment and a mediator of its association with pain resilience

How perceived risk influences college students' preventive behavior: Novel data of COVID-19 campus lockdown from Wuhan, China

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