es.pptx

Associations Between Pain Appraisals and Pain es:Meta-Analyses of Laboratory Pain and Chronic Pain Literatures
--by lingying
18/11/2016
About this study
Background
Model
Factors
Methods
Procedures
Results
Discussion
Experimental
Chronic pain
In this research, meta-analyses were performed to evaluate associations between primary appraisals of pain as a source of threat and/or challenge on responses to 1) noxious laboratory stimuli
and 2) chronic, noncancer pain. Twenty-two laboratory pain prising 2,031 participants and 59 chronic pain studies based on 9,135 patients were identified for analyses.
Past meta-analyses of general stressors and cancer pain provide general support for hypothesized links between primary appraisals and coping.
Although numerous studies have examined links between primary appraisal and responses to laboratory pain or chronic noncancer pain, neither of these literatures has been subjected to meta-analysis.
Conclusion
For laboratory
pain, elevated threat appraisals were linked to overall increases in reported pain, reduced pain tolerance and high levels of passive coping. Method of measuring appraisal as well as type and duration of noxious stimulation moderated some of these associations. Challenge appraisals were related to more pain tolerance and less passive coping but not pain intensity.
For chronic pain studies,
Threat appraisals had positive overall correlations with pain intensity, impairment, affective distress and passive coping but were negatively related to active coping. The pattern of associations between challenge appraisals and es was plementary. Appraisal scale used and gender were consistent moderators of appraisal-e relations in chronic pain samples.
In sum,
appraisals of pain as a source of potential damage or opportunity have robust associations with responses to acute laboratory pain and ongoing chronic pain.
Meta-Analyses
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