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Causal effects of challenge and threat appraisals on pain self-efficacy, pain coping, and tolerance for laboratory pain: An experimental path analysis study
Chen,Shuanghong1; Jackson,Todd1,2
2019-04-01
Source PublicationPLoS ONE
ISSN19326203
Volume14Issue:4
AbstractBackground Primary appraisals of pain as a potential threat influence pain perception and coping but comparatively less is known about related effects of challenge appraisals or causal effects of primary appraisals on secondary appraisals of perceived pain coping capacities (e.g., pain self-efficacy). Methods To address these gaps, young Chinese women (N = 147) and men (N = 88) were randomly assigned to one of three appraisal conditions prior to engaging in a cold pressor test (CPT): (1) a higher threat appraisal condition featuring task orienting information describing symptoms and consequences of frostbite, (2) a lower threat appraisal condition featuring orienting information about safety of the CPT, or (3) a challenge appraisal condition featuring orienting information describing benefits of persistence despite discomfort for future life satisfaction. Results Compared to peers in the higher threat condition, challenge condition cohorts experienced smaller decreases in task-related self-efficacy, more cognitive coping, and less catastrophizing as well as more overall pain tolerance. A path analysis indicated that self-efficacy changes, cognitive coping and catastrophizing fully mediated links of subjective challenge and threat appraisals with pain tolerance. Conclusions Initial appraisals about the nature of pain influence, not only pain tolerance and coping, but also perceived coping capacities. Perspective Through examining particular theory-based pain appraisal and coping processes, this experiment is the first to identify both perceived coping capacities (pain self-efficacy) and coping responses as factors that explain why appraisals of pain as a challenge or threat have differential effects on pain tolerance.
DOI10.1371/journal.pone.0215087
URLView the original
Language英语
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Document TypeJournal article
CollectionUniversity of Macau
Corresponding AuthorJackson,Todd
Affiliation1.Key Laboratory of Cognition and Personality,Southwest University,,Chongqing,China
2.Department of Psychology,University of Macau,,Taipa,Macao
Corresponding Author AffilicationUniversity of Macau
Recommended Citation
GB/T 7714
Chen,Shuanghong,Jackson,Todd. Causal effects of challenge and threat appraisals on pain self-efficacy, pain coping, and tolerance for laboratory pain: An experimental path analysis study[J]. PLoS ONE,2019,14(4).
APA Chen,Shuanghong,&Jackson,Todd.(2019).Causal effects of challenge and threat appraisals on pain self-efficacy, pain coping, and tolerance for laboratory pain: An experimental path analysis study.PLoS ONE,14(4).
MLA Chen,Shuanghong,et al."Causal effects of challenge and threat appraisals on pain self-efficacy, pain coping, and tolerance for laboratory pain: An experimental path analysis study".PLoS ONE 14.4(2019).
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