Citation

Karos K, Meulders A, Goubert L, Vlaeyen JWS. J. Pain 2018; 19(3): 291-300.

Affiliation

Research Group of Health Psychology, KU Leuven, Belgium; Center for Excellence on Generalization Research in Health and Psychopathology, KU Leuven, Belgium; Department of Clinical Psychological Sciences, Maastricht University, The Netherlands.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.jpain.2017.11.003

PMID

29175382

Abstract

Only one published study has investigated the effect of a threatening social context on the perception and expression of pain, demonstrating that social threat leads to increased pain reports but reduced non-verbal pain expression. The current study aimed to replicate and extend these findings to further explore the effects of a threatening social context. Healthy, female participants (N = 71) received 10 electrocutaneous stimuli delivered by a confederate. They were led to believe that the confederate was requested to administer 10 painful stimuli (control group) or that the confederate deliberately chose to deliver 10 painful stimuli when given the choice to deliver between 1 to 10 painful stimuli (social threat group). Self-reported pain intensity, unpleasantness, threat value of pain, and painful facial expression were assessed. Additionally, empathy and aggression towards the confederate were investigated. Social threat did not affect painful facial expression or self-reported pain intensity, but led to increased aggression towards the confederate. Moreover, perceived social threat predicted the threat value of pain and reduced empathy towards the confederate. We were not able to replicate the previously reported dissociation between pain reports and pain expression as a result of social threat. However, social threat was associated with an increased threat value of pain, increased aggression and reduced empathy. PERSPECTIVE: A threatening social context affects how threatening pain is perceived and has interpersonal consequences such as increased aggression and reduced empathy, thereby creating a double burden on the individual suffering from pain.

Copyright © 2017. Published by Elsevier Inc.

Language: en

Keywords

Social threat; aggression; communication; empathy; pain expression; retribution; self-report