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The Effect of Pain Resilience on Pain Experience: Does Stimulus Matter?

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2019, Doctor of Philosophy (PhD), Ohio University, Clinical Psychology (Arts and Sciences).
Psychological research on pain has primarily focused on factors that confer vulnerability to pain-related outcomes; however, the past fifteen years have seen an increase in studies investigating factors that confer resilience to pain outcomes. One such factor is pain resilience, one’s ability to maintain behavioral engagement and regulate emotions as well as cognitions despite intense or prolonged pain. A weakness in not only the pain resilience literature, but pain research in general, has been the lack of rationale behind the selection of experimental pain stimuli. These pain stimuli can activate different nociceptive fibers, meaning that stimuli are not interchangeable. The present study examined the relationship between pain resilience and reported pain during three pain stimuli that stimulate different combinations of nociceptors: pinprick (primarily Aδ fibers), cold water immersion (Aδ and C fibers), and ischemic tourniquet (primarily C fibers). Results indicated that individuals with high pain resilience reported lower cold water immersion pain ratings over time than those with low pain resilience; however, here was no relationship between pain resilience and either pinprick or ischemic tourniquet pain ratings. Pain resilience was also more closely related to pain ratings than a generic resilience measure. This study provides further support for the use of multiple pain stimuli for pain assessment given their unique characteristics, further support for the use of a pain-specific measure of resilience, and concludes that outcome variables aside from pain ratings may provide additional insight into the role of resilience on pain adaptation.
Christopher France, PhD (Advisor)
75 p.

Recommended Citations

Citations

  • Ankawi, B. (2019). The Effect of Pain Resilience on Pain Experience: Does Stimulus Matter? [Doctoral dissertation, Ohio University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1555859155663961

    APA Style (7th edition)

  • Ankawi, Brett. The Effect of Pain Resilience on Pain Experience: Does Stimulus Matter? 2019. Ohio University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1555859155663961.

    MLA Style (8th edition)

  • Ankawi, Brett. "The Effect of Pain Resilience on Pain Experience: Does Stimulus Matter?" Doctoral dissertation, Ohio University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1555859155663961

    Chicago Manual of Style (17th edition)