Pain assessment in self-injurious patients with borderline personality disorder using signal detection theory

Kemperman, Ingrid; Russ, Mark J.; Clark, W. Crawford; Kakuma, Tatsuyuki; Zanine, Elizabeth; Harrison, Katherine

doi:10.1016/s0165-1781(97)00034-6

Cited by 73 publications

(58 citation statements)

References 32 publications

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“…Other work has used thermal (Bresin & Gordon, 2013a;Kemperman et al, 1997;Ludäscher et al, 2009;Niedtfeld et al, 2010) and laser techniques (Schmahl et al, 2004), which apply heat in timed pulses to the skin. Similarly electric shock stimuli, employed by Weinberg and Klonsky (2012), were also delivered in timed pulses to the skin.…”

Section: Pain Induction Method Pain Threshold and Pain Tolerancementioning

confidence: 99%

“…Recent studies increasingly used mixed-gender samples but seven studies recruited exclusively female samples (Kemperman et al, 1997;Ludäscher et al, 2009;Niedtfeld et al, 2010;Russ et al, 1999;Schmahl et al, 2004). Given the consistent overrepresentation of females within self-harm populations (e.g.…”

Section: Sample Characteristics: Ethnicity Age and Gendermentioning

confidence: 99%

“…Others used lifetime history of self-injury (Kemperman et al, 1997;Niedtfeld et al, 2010;Russ et al, 1994;Weinberg & Klonsky, 2012) and the remaining 2 studies did not specify. With the exception of Ludäscher et al (2009)-for which recency of NSSI was their primary dependent variable-no other studies examined the effect of NSSI recency upon pain threshold or tolerance.…”

Section: Recency Of Nssimentioning

confidence: 99%

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Pain and self-harm: A systematic review

Kirtley

O’Carroll

O’Connor

2016

Journal of Affective Disorders

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BackgroundA growing body of research has explored altered physical pain threshold and tolerance in non-suicidal self-injury (NSSI) and suicidal self-harm. The evidence, however, is inconsistent such that the nature of the relationship is unclear, and whether or not this effect is also present in suicidal self-harm is equivocal. MethodsA keyword search of three major psychological and medical databases (PsycINFO, Medline and Web of Knowledge) was conducted, yielding 1,873 records. Following duplicate removal and screening, 25 articles were quality assessed, and included in the final systematic review. ResultsThere is strong evidence for increased pain tolerance in NSSI, and some evidence for this in suicidal individuals, but notably, there were no prospective studies. The review found a lack of substantive focus on psychological correlates of altered pain tolerance in this population. Several candidate explanatory mechanisms were proposed within the reviewed studies. LimitationsThe current review was a narrative systematic review; methods used to assess pain were considered too heterogeneous to conduct a meta-analysis. ConclusionsThe evidence suggests that there is elevated pain tolerance among those who engage in NSSI. Future prospective research should determine if altered pain tolerance is a cause or a consequence of the behaviour. The identification of psychological correlates of increased pain tolerance is a neglected area of research. It could provide opportunities for treatment/intervention development, if mediating or moderating pathways can be identified. Too few studies have directly investigated candidate explanatory mechanisms to draw definitive conclusions.

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Section: Pain Induction Method Pain Threshold and Pain Tolerancementioning

confidence: 99%

Section: Sample Characteristics: Ethnicity Age and Gendermentioning

confidence: 99%

Section: Recency Of Nssimentioning

confidence: 99%

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Pain and self-harm: A systematic review

Kirtley

O’Carroll

O’Connor

2016

Journal of Affective Disorders

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“…Affective, cognitive, and sensory responses to pain may interact to alter the amount of variance within the psychophysical responses. Studies have provided some evidence that signal detection theory measures of pain may be influenced by affective disorders (Dworkin, Clark, & Lipsitz, 1995;Kemperman et al, 1997). These studies have used the direct scaling method within the framework of signal detection theory.…”

Section: The Relevance Of Our Findings For Future Clinical Studiesmentioning

confidence: 99%

“…An example is the yes-no experiment, in which the participant is required to state whether the stronger (or more noxious) stimulus was presented. Both direct scaling and discrimination methods are used frequently in pain research-for example, in brain imaging studies (Pertovaara et al, 2004), neurophysiological studies (Nahra & Plaghki, 2005), and clinical studies (Kemperman et al, 1997). The topic of interest for our research group is the potential use of psychophysical methods as differential diagnostic tools for painful conditions.…”

mentioning

confidence: 99%

Detection theory analysis of scaling and discrimination tasks: Responses to noxious thermal stimuli

Tan

Palmer

Martin

et al. 2007

Perception & Psychophysics

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This study's main purpose was to examine the sensitivity estimates obtained from scaling and discrimination approaches for nociception assessment in healthy individuals. This investigation may inform future applications in diagnostic procedures for painful conditions. Models of psychophysical judgment based on those of Braida (1969), Laming (1984), and Irwin and Whitehead (1991) were used as the common analytical framework. Noxious thermal contact stimuli were used. The results show that the scaling approach produced lower detection theory sensitivity estimates than did the discrimination approach. The additional judgment variance in scaling tasks could explain this lowered sensitivity. The relative judgmental variance value of 2.18 obtained in this study is lower than variance values found in previous investigations. This discrepancy is probably due to the relatively smaller stimulus range employed in this study. The authors propose that the theoretical framework used in this study may be used in future studies to investigate the different dimensions of pain perception.

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Understanding and treating self‐harm behaviors in BPD

Brodsky

Stanley

2013

The Dialectical Behavior Therapy Primer

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Pain assessment in self-injurious patients with borderline personality disorder using signal detection theory

Cited by 73 publications

References 32 publications

Pain and self-harm: A systematic review

Pain and self-harm: A systematic review

Detection theory analysis of scaling and discrimination tasks: Responses to noxious thermal stimuli

Understanding and treating self‐harm behaviors in BPD

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