Learning about pain through observation: the role of pain-related fear

Trost, Zina; Vervoort, Tine; Lange, Jane; Goubert, Liesbet

doi:10.1007/s10865-012-9483-4

Cited by 18 publications

(14 citation statements)

References 40 publications

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“…Further, those with high fear/catastrophizing appear more sensitive to evidence confirming rather than disconfirming negative pain schemas [43, 44]. Such biased learning is hypothesized to reinforce existing negative pain schemas and associated patterns of pain behavior [45, 46]. Given that our findings point to the impact of unique rather than shared environmental influences, future studies should examine a potential interaction between individuals’ heritable psychological orientation toward pain and pain-relevant environmental exposures.…”

Section: Discussionmentioning

confidence: 99%

Heritability of pain catastrophizing and associations with experimental pain outcomes

Trost

Strachan

Sullivan

et al. 2015

Pain

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The current study employed a twin paradigm to examine the genetic and environmental contributions to pain catastrophizing as well as the observed association between pain catastrophizing and cold pressor task (CPT) outcomes. Male and female monozygotic (n=206) and dizygotic twins (n=194) from the University of Washington Twin Registry completed a measure of pain catastrophizing and performed a CPT challenge. As expected, pain catastrophizing emerged as a significant predictor of several CPT outcomes, including cold pressor immersion tolerance, pain tolerance, and delayed pain rating. The heritability estimate for pain catastrophizing was found to be 37% with the remaining 63% of variance attributable to unique environmental influence. Additionally, the observed associations between pain catastrophizing and CPT outcomes were not found attributable to shared genetics or environmental exposure, suggesting a direct relationship between catastrophizing and experimental pain outcomes. This study is the first to examine the heritability of pain catastrophizing and potential processes by which pain catastrophizing is related to experimental pain response.

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Section: Discussionmentioning

confidence: 99%

Heritability of pain catastrophizing and associations with experimental pain outcomes

Trost

Strachan

Sullivan

et al. 2015

Pain

Self Cite

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“…Several studies support that observational learning processes play an important role in acquisition of pain-related information and response trajectories (59, 60). Thus individuals appear to gain input from their environment regarding the potential danger of specific pain stimuli and appropriate coping responses.…”

Section: Discussionmentioning

confidence: 95%

“…Thus individuals appear to gain input from their environment regarding the potential danger of specific pain stimuli and appropriate coping responses. Additionally, the impact of social modeling is supported by investigations of parents and children as well as healthy college students (60-62). …”

Section: Discussionmentioning

confidence: 99%

Clinical and evoked pain, personality traits, and emotional states: Can familial confounding explain the associations?

Strachan

Poeschla

Dansie

et al. 2015

Journal of Psychosomatic Research

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Objectives Pain is a complex phenomenon influenced by context and person-specific factors. Affective dimensions of pain involve both enduring personality traits and fleeting emotional states. We examined how personality traits and emotional states are linked with clinical and evoked pain in a twin sample. Methods 99 female twin pairs were evaluated for clinical and evoked pain using the McGill Pain Questionnaire (MPQ) and dolorimetry, and completed the 120-item International Personality Item Pool (IPIP), the Positive and Negative Affect Scale (PANAS), and ratings of stress and mood. Using a co-twin control design we examined a) the relationship of personality traits and emotional states with clinical and evoked pain, and b) whether genetics and common environment (i.e. familial factors) may account for the associations. Results Neuroticism was associated with the sensory component of the MPQ; this relationship was not confounded by familial factors. None of the emotional state measures was associated with the MPQ. PANAS Negative Affect was associated with lower evoked pressure pain threshold and tolerance; these associations were confounded by familial factors. There were no associations between IPIP traits and evoked pain. Conclusions A relationship exists between neuroticism and clinical pain that is not confounded by familial factors. There is no similar relationship between negative emotional states and clinical pain. In contrast, the relationship between negative emotional states and evoked pain is strong while the relationship with enduring personality traits is weak. The relationship between negative emotional states and evoked pain appears to be non-causal and due to familial factors.

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“…This result indicated that Iranian patientcare providers believed that they should learn healthy behaviors to control and prevent low back pain. A previous study indicated that observational learning may contribute to development and maintenance of pain-related beliefs that lead to healthy behaviors [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

A Multidisciplinary Work-Related Low Back Pain Predictor Questionnaire: Psychometric Evaluation of Iranian Patient-Care Workers

et al. 2016

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Study DesignPsychometric evaluation design.PurposePsychometric evaluation of a multidisciplinary work-related low back pain predictor questionnaire (MWRLBPPQ) of Iranians patient-care workers based on the social cognitive theory.Overview of LiteratureHealthcare is one of the professions in which work-related musculoskeletal disorders are prevalent. The chronic low back pain experienced by patient caregivers can negatively impact their professional performance, and patient handling in a hospital is the main cause of low back pain in this population.MethodsThis was a cross-sectional study carried out in Qom, Iran from July 2014 to November 2014. A MWRLBPPQ based on nine concepts of the social cognitive theory and existing literature regarding chronic low back pain was developed. Ten patient-care workers first completed the questionnaire as a pilot test, allowing the ambiguities of the instrument to be resolved. Exploratory factor analysis was used to confirm construct validity. This questionnaire was distributed among 452 patient-care workers in hospitals located in different geographically areas in Qom, Iran. Cronbach's Alpha was calculated to assess reliability.ResultsIn all, 452 caregivers of patients with mean age of 37.71 (standard deviation=8.3) years participated in the study. An exploratory factor analysis loaded seven concepts of self-efficacy, knowledge, outcome perception, self-control, emotional coping, and self-efficacy in overcoming impediments and challenges in the environment. All concepts were jointly accounted for 50.08% of variance of behavior change. The Cronbach's alpha coefficient showed favorable internal consistency (alpha=0.83), and test-retest of the scale with 2-week intervals indicated an appropriate stability for the MWRLBPPQ.ConclusionsThe MWRLBPPQ is a reliable and valid theory-based instrument that can be used to predict factors influencing work-related low back pain among workers who lift and transfer patients in hospitals.

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Learning about pain through observation: the role of pain-related fear

Cited by 18 publications

References 40 publications

Heritability of pain catastrophizing and associations with experimental pain outcomes

Heritability of pain catastrophizing and associations with experimental pain outcomes

Clinical and evoked pain, personality traits, and emotional states: Can familial confounding explain the associations?

A Multidisciplinary Work-Related Low Back Pain Predictor Questionnaire: Psychometric Evaluation of Iranian Patient-Care Workers

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