The relation between catastrophizing and facial responsiveness to pain.
Pain catastrophizing has recently been suggested to have a social function based on a positive association observed with facial responsiveness to noxious stimulation. However, this assumption is based on studies applying nociceptive stimuli of fixed intensity, such that high catastrophizers not only displayed increased pain behavior but also rated the stimulation as being more painful. The aim of this study was to investigate the relation between catastrophizing and facial responsiveness while controlling for individual differences in pain sensitivity. The facial expression of pain was investigated in 44 young and pain-free individuals in response to painful and non-painful phasic heat stimuli. Painful temperatures were tailored to the individual sensitivity to produce moderate pain. Facial responses were videotaped and objectively examined using the Facial Action Coding System. We also assessed skin conductance activity as an autonomic indicator of pain-related responses. Catastrophizing was assessed using the Pain Catastrophizing Scale (PCS). In accordance with previous findings, subjects scoring higher on pain catastrophizing required lower thermal intensities to induce a moderately painful sensation (r=-0.40, p=0.007). However, catastrophizing did not correlate with facial responsiveness to perceptually controlled painful stimulation (r=-0.02, p=0.88). Moreover, correlation analyses revealed no significant associations between catastrophizing and skin conductance responses. The present findings provide further support for the impact of pain catastophizing on pain sensitivity. However, our finding of no relation between catastrophizing and facial responsiveness when participants are experiencing comparable psychophysical pain intensities, challenges previous assumptions that high catastrophizers display amplified pain behavior; at least in young and pain-free individuals.
Kunz
Miriam
M
Department of Stomatology and Centre de recherche de l'Institut universitaire de gériatrie de Montréal, Université de Montréal, Canada Physiological Psychology, Otto-Friedrich University Bamberg, Markuspl. 3, Bamberg 96045, Germany Department of Neuropsychology, Université Libre de Bruxelles, Belgium.
Chatelle
Camille
C
Lautenbacher
Stefan
S
Rainville
Pierre
P
D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000150:complications* / Q000503:physiopathology* / Q000523:psychology; D019260:Expressed Emotion; D005149:Facial Expression; D005239:Fear / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D010146:Pain / Q000150:complications* / Q000503:physiopathology* / Q000523:psychology; D010147:Pain Measurement; D013223:Statistics as Topic; D055815:Young Adult
Bartley EJ, Rhudy JL. The Influence of Pain Catastrophizing on Experimentally Induced Emotion and Emotional Modulation of Nociception. J Pain. 2008;9:388-396.
Bechara A, Tranel D, Damasio H, Damasio AR. Failure to respond autonomically to anticipated future outcomes following damage to prefrontal cortex. Cereb Cortex. 1996;6:215-225.
Craig KD, Hyde SA, Patrick CJ. Genuine, suppressed and faked facial behavior during exacerbation of chronic low back pain. Pain. 1991;46:161-171.
Crombez G, Eccleston C, Baeyens F, Eelen P. When somatic information threatens, catastrophic thinking enhances attentional interference. Pain. 1998;75:187-198.
Edwards RR, Bingham CO 3rd, Bathon J, Haythornthwaite JA. Catastrophizing and pain in arthritis, fibromyalgia, and other rheumatic diseases. Arthritis Rheum. 2006;55:325-332.
Edwards RR, Campbell CM, Fillingim RB. Catastrophizing and experimental pain sensitivity: only in vivo reports of catastrophic cognitions correlate with pain responses. J Pain. 2005;6:338-339.
Gracely RH, Geisser ME, Giesecke T, Grant MA, Petzke F, Williams DA, et al. Pain catastrophizing and neural responses to pain among persons with fibromyalgia. Brain. 2004;127:835-843.
Hadjistavropoulos HD, Craig KD, Hadjistavropoulos T, Poole GD. Subjective judgments of deception in pain expression: accuracy and errors. Pain. 1996;65:251-258.
Hadjistavropoulos T, LaChapelle DL, MacLeod FK, Snider B, Craig KD. Measuring movement-exacerbated pain in cognitively impaired frail elders. Clin J Pain. 2000;16:54-63.
Hale CJ, Hadjistavropoulos T. Emotional components of pain. Pain Res Manage. 1997;2:217-225.
Kunz M, Gruber A, Lautenbacher S. Sex differences in facial encoding of pain. J Pain. 2006;7:915-928.
Kunz M, Mylius V, Schepelmann K, Lautenbacher S. Impact of age on the facial expression of pain. J Psychosom Res. 2008;64:311-318.
Kunz M, Mylius V, Schepelmann K, Lautenbacher S. On the relationship between self-report and facial expression of pain. J Pain. 2004;5:368-376.
Kunz M, Scharmann S, Hemmeter U, Schepelmann K, Lautenbacher S. The facial expression of pain in patients with dementia. Pain. 2007;133:221-228.
Prkachin KM. The coming of age of pain expression. Pain. 2007;133:3-4.
Prkachin KM. The consistency of facial expressions of pain: a comparison across modalities. Pain. 1992;51:297-306.
Prkachin KM, Craig KD. Expressing pain: the communication and interpretation of facial pain signals. J Nonverbal Behav. 1995;19:191-205.
Rainero I, Vighetti S, Bergamasco B, Pinessi L, Benedetti F. Autonomic responses and pain perception in Alzheimer’s disease. Eur J Pain. 2000;4:267-274.
Rainville P, Bao QV, Chrétien P. Pain-related emotions modulate experimental pain perception and autonomic responses. Pain. 2005;118:306-318.
Simon D, Craig KD, Gosselin F, Belin P, Rainville P. Recognition and discrimination of prototypical dynamic expressions of pain and emotions. Pain. 2008;135:55-64.
Stevens SS. On the psychophysical law. Psychol Rev. 1957;64:153-181.
Sullivan MJ, Adams H, Sullivan ME. Communicative dimensions of pain catastrophizing: social cueing effects on pain behaviour and coping. Pain. 2004;107:220-226.
Sullivan MJ, Martel MO, Tripp D, Savard A, Crombez G. The relation between catastrophizing and the communication of pain experience. Pain. 2006;122:282-288.
Sullivan MJ, Thorn B, Haythornthwaite JA, Keefe F, Martin M, Bradley LA, et al. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain. 2001;17:52-64.
Sullivan MJ, Bishop SR, Pivik J. The pain catastrophizing scale: development and validation. Psychol Assess. 1995;7:524-532.
Sullivan MJ, Tripp D, Santor DA. Gender differences in pain and pain behavior: the role of catastrophizing. Cogn Therapy Res. 2000;24:121-134.