Individual differences and the effectiveness of different coping strategies for pain

Heyneman, Nicholas E.; Fremouw, William J.; Gano, Diane; Kirkland, Frank; Heiden, Linda van der

doi:10.1007/bf01173525

Cited by 96 publications

(63 citation statements)

References 22 publications

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“…Our results further showed that distraction was not effective for high catastrophizers in the distraction-only group. This finding complements previous studies which also found no effects of distraction from pain for high catastrophizers [20,21]. However, those who catastrophize about pain do seem to benefit from distraction when the distraction task becomes motivationally relevant.…”

supporting

confidence: 58%

“…Others have suggested that other attentional strategies, in which attention is drawn to the pain and pain is reinterpreted (i.e. sensory monitoring) are perhaps more fruitful for high anxious and high catastrophizing individuals [21,46]. This study, however, shows that distraction might also be effective for high catastrophizers, on the condition that the distraction task is motivationally relevant.…”

contrasting

confidence: 46%

“…Those who catastrophize about pain, experience pain as threatening, are hypervigilant to pain [9] and have difficulties disengaging attention from pain [55,56]. It is therefore reasonable to assume that pain processing is prioritized over the processing of other information, making it more difficult to engage in a distraction task and as a consequence making distraction less effective [20,21].…”

Section: Introductionmentioning

confidence: 99%

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

Verhoeven

Crombez

Eccleston

et al. 2010

Pain

124

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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supporting

confidence: 58%

contrasting

confidence: 46%

Section: Introductionmentioning

confidence: 99%

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

Verhoeven

Crombez

Eccleston

et al. 2010

Pain

124

128

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show abstract

“…Depression, pain-related fear, and catastrophizing are associated with increased interference, awareness of pain, and impaired disengagement from pain, and can moderate the effects of attentional coping leading to poor clinical outcomes. 11,19,23,35,47,87,103,123,152,179,195 Similarly, fear of injury or harm has an influence on physical effort and activity. 199 Given such data, it is recommended that psychosocial outcome measures also be administered when assessing physical functioning, as changes, or the lack of changes, in physical functioning following an intervention may be accounted for by existing fear, catastrophizing, and depression.…”

Section: Considerations Regarding the Use Of Physical Functioning Meamentioning

confidence: 99%

Assessment of physical function and participation in chronic pain clinical trials: IMMPACT/OMERACT recommendations

Taylor

Phillips

Patel

et al. 2016

Pain

164

156

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The development and consistent use of reliable and valid PROs and performance-based measures of physical functioning may expedite development of improved pain treatments, and standardization of these measures has the potential to facilitate comparison across studies. We provide recommendations to stimulate future methodological research to develop tools that are more robust, address consistency and standardization, and engage patients early in the tool development process. Assessment of Function4

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“…Although research has demonstrated a consistent relation between Catastrophizing and distress reactions to painful stimulation, the precise nature of this relation remains unclear (Heyneman, Fremouw, Gano, Kirkland, & Heiden, 1990;Keefe et al, 1989;Vallis, 1984). As an initial step in developing a line of research addressing the processes underlying the relation between Catastrophizing and distress reactions, our goal was to develop and validate a selfreport measure of Catastrophizing.…”

mentioning

confidence: 99%

The Pain Catastrophizing Scale: Development and validation.

Sullivan¹,

Bishop²,

Pivik³

1995

Psychological Assessment

6,533

120

5,501

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In Study 1, the Pain Catastrophizing Scale (PCS) was administered to 425 undergraduates. Analyses yielded a three component solution comprising (a) rumination, (b) magnification, and (c) helplessness. In Study 2, 30 undergraduate participants were classified as catastrophizers (n = 15) or noncatastrophizers (n = 15) on the basis of their PCS scores and participated in an cold pressor procedure. Catastrophizers reported significantly more negative pain-related thoughts, greater emotional distress, and greater pain intensity than noncatastrophizers. Study 3 examined the relation between PCS scores, negative pain-related thoughts, and distress in 28 individuals undergoing an aversive electrodiagnostic medical procedure. Catastrophizers reported more negative pain-related thoughts, more emotional distress, and more pain than noncatastrophizers. Study 4 examined the relation between the PCS and measures of depression, trait anxiety, negative affectivity, and fear of pain. Analyses revealed moderate correlations among these measures, but only the PCS contributed significant unique variance to the prediction of pain intensity.

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Individual differences and the effectiveness of different coping strategies for pain

Cited by 96 publications

References 22 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

Assessment of physical function and participation in chronic pain clinical trials: IMMPACT/OMERACT recommendations

The Pain Catastrophizing Scale: Development and validation.

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