• Todd Jackson, Xiting Huang, Hong Chen, and Heath Phillips.
• Key Laboratory of Cognition and Personality, School of Psychology, Southwest University, Chongqing, China. Todd.Jackson@jcu.edu.au
• Eur J Pain. 2009 Apr 1;13(4):431-8.

AbstractEmerging evidence indicates that meanings attributed to pain contribute to tolerance and coping among affected individuals. However, links between pain appraisals and coping responses have received little attention within a broader interpersonal context. In this experiment, effects of appraisal on pain tolerance and coping were examined in adult dyads. Eighty-six acquaintance/friend pairs were randomly assigned to the role of Participant in a cold pressor test (CPT) or observer-helper who assisted in coping. Before the task, pairs in the threat condition read about frostbite symptoms and consequences, while those in the reassurance condition read about the safety of the task. In a mixed condition, Participants and Observers read the reassurance and threat passage, respectively. Between-groups analyses revealed threat group participants had lower pain tolerance and reported less cognitive coping than did participants in other appraisal conditions. Threat group observers reported less attention diversion, coping self-statements and ignoring in helping their partner than did reassured observers. Pain language was also most prominent in transactions of threatened dyads. Finally, use of attention diversion by observers contributed to pain tolerance, independent of participant factors (reported pain, appraisal condition, reported coping) and pain language in conversations during immersions. The study highlights how appraisal contributes not only to pain tolerance and coping in the affected individual but also to care-giving efforts of others in their social environment.

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