Social Effects on Pain Behavior


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Meta description

Social effects on pain behaviors as seen in cognitive-behavioral therapy for pain.

Note Text: 1009 More associative

These principles suggest that if behavior signaling pain results in positive consequences or the removal of negative consequences, this pain behavior will increase in frequency. The patient may receive attention (often sympathy) and may be relieved of responsibilities when such behavior is emitted. Complaining leads to....

McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 266

Note Text: 221 Experimental evidence

First, spousal solicitous behaviors have been shown both to precede and to follow patient nonverbal pain behaviors. Second, spousal solicitous responses have been found to be associated with greater frequency [??] of reported pain and higher levels of disability. Both of these findings are consistent with operant beha....

Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 147-8

Note Text: 129 Isolation

...because people do not live in isolation, chronic pain influences interpersonal relationships and is influenced by them.

Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 11

Note Text: 220 Careful assessment

...by carefully assessing spousal response style, one may be able to distinguish between adaptive and maladaptive patient-spouse interactions. [It's not either-or.]

Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 147

Note Text: 204 More catastrophizing

Other evidence indicates that the facial display of pain varies with the pattern of thinking and various coping styles. Adults and children who persistently engage in pain catastrophizing, characterized by magnifying severity of distress and its consequences, ruminating on the experience, and believing they canno....

Kunz M, Rainville P, Lautenbacher S., "Operant conditioning of facial displays of pain.", Psychosomatic Medicine 73: 2011, 121

Note Text: 222 More evidence

We coded patient pain behaviors and spousal behaviors that might influence pain behavior. We were interested in solicitous behaviors (i.e., showing concern, encouraging the patient to do less, taking over for the patient) and facilitative behaviors (i.e., expressing support or approval). Data analyses examined the lik....

Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 148

Note Text: 219 Operant behavioral perspective

The operant behavioral perspective of patient-spouse interaction asserts that if pain behaviors are followed by reinforcing consequences, the rate of pain behaviors will increase over time. For example, when a spouse responds to pain behaviors in a solicitous manner, such as expressing concern or providing assistance......

Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 147

Note Text: 107 Pain behaviors

[Pain behaviors] are also observable by patients' significant others.

Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, xiii

Note Text: 138 Respondent bias

Levine and De Simone (1991) placed college students in the presence of an attractive male or female while immersing one hand in ice water and providing a rating of their pain....Levine and De Simone predicted that males would report less pain in the presence of the female as opposed to the male experimenter. This is ex....

Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 20

Note Text: 943 Social catastrophizing

Pain-related catastrophizing and perceived social responses: Inter-relationships in the context of chronic pain.
Abstract
Pain-related coping, particularly catastrophizing, plays a significant role in shaping pain responses. One way catastrophizing is hypothesized to amplify pain and disability is via its effect....

Buenaver LF, Edwards RR, Haythornthwaite JA., "Pain-related catastrophizing and perceived social responses: Inter-relationships in the context of chronic pain.", Pain 127: 2007

Note Text: 1012 Spousal solicitousness

Using behavioral observation, Lousberg and colleagues (1992) noted less persistence in a treadmill task by patients whose solicitous spouses were present. In another study, Flor and co-workers (1995a) tested pain thresholds and the pain tolerance of chronic back pain patients by a cold pressor test that was performed on....

McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 266

Note Text: 200 Studies have shown

[S]tudies [based on MPI] have supported a positive relationship between solicitous partner responding and increased patient pain and dysfunction, although the correlational nature of these studies does not allow for conclusions about causation to be drawn. [The author might have reversed the order of the correlates with....

Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 105

Note Text: 1337 Suffering affects spouses

Emotional congruence in older couples coping with wives' osteoarthritis: exacerbating effects of pain behavior.

Abstract

The authors examined congruence in the negative emotions (depression, anger) of 101 female osteoarthritis patients (M age = 69 years) and their caregiving husbands (M age = 71 years) and the e....

Federation of State Medical Boards, "Model Policy on the Use of Opioid Analgesics in the Treatment of Chronic Pain", Federation of State Medical Boards 2013: 2013 (pain_policy_FedStateMedBoards.pdf)

Note Text: 1011 Supports operant model?

Sequential analysis of chronic pain behaviors and spouse responses.

Abstract

Social reinforcers such as spouse behaviors have been hypothesized to be important in maintaining chronic pain behavior. [A SCIENTIFIC VIEW OF THIS WOULD TEST THE HYPOTHESIS THAT THEY ARE MAINTAINED BY SPOusal behaviors against an al....

Romano JM, Turner JA, Friedman LS, Bulcroft RA, Jensen MP, Hops H, Wright SF., "Sequential analysis of chronic pain behaviors and spouse responses.", Journal of Clinical and Constulting Psychology 60: 1992

Note Text: 1335 Talk down the pain levels

The influence on patients' pain intensity ratings of antecedent reinforcement of pain talk or well talk.

Abstract

This study sought to determine whether positive verbal reinforcement for pain talk or well talk could effectively influence chronic pain patients' subsequent ratings of pain intensity. Four female ch....

(White et al 1986)

Note Text: 206 Variability in pain expression

Variability in pain expression is associated with the pain setting, indicating that nonverbal expression is not exclusively an expression of internal states. [??? THIS MUST conceive 'psychology' as being non-internal?] Studies of audience effects suggest that people inhibit painful displays in the presence of strangers,....

Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 121

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