Reduction of bodily pain in response to an online positive activities intervention
Open accessAbstract
Unlabelled Inducing temporary positive states reduces pain and increases pain tolerance in laboratory studies. We tested whether completing positive activities in one's daily life produces long-term reductions in self-reported bodily pain in a randomized controlled trial of an online positive activities intervention. Participants recruited via the Web were randomly assigned to complete 0, 2, 4, or 6 positive activities administered online over a 6-week period. Follow-up assessments were collected at the end of 6 weeks and at 1, 3, and 6 months postintervention. We used linear mixed effects models to examine whether the intervention reduced pain over time among those who had a score <67 on the bodily pain subscale of the Short Form-36 at baseline (N = 417; pain scores range from 0 to 100; higher scores indicate less pain). Mean pain scores improved from baseline to 6 months in the 2-activity (55.7 to 67.4), 4-activity (54.2 to 71.0), and 6-activity (50.9 to 67.9) groups. Improvements were significantly greater (P < .05) in the 4-activity and 6-activity groups than in the 0-activity control group (54.1 to 62.2) in unadjusted and adjusted models. This study suggests that positive activities administered online can reduce bodily pain in adults with at least mild to moderate baseline pain.Perspective This study demonstrates that teaching people simple positive activities can decrease reported levels of bodily pain; moreover, these activities can be administered over the internet, a potential avenue for broadly disseminating health interventions at relatively low costs and with high sustainability.
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Compared with males, females have lower pain threshold and tolerance and greater pain intensity and unpleasantness for heat, cold, ischemic, and pressure pain.
“compared to males, females demonstrate a decreased threshold and tolerance for pain and increased pain intensity and unpleasantness for heat, cold, ischemic, and pressure pain 150, 161–164”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [150]
Considerable evidence suggests that pain prevalence is greater in women than in men.
“There is considerable evidence suggesting greater pain prevalence in women when compared to men 150, 152–154.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [150]
Sex and gender are important factors in pain perception and experience.
“Sex and gender are important factors in the perception and experience of pain 148–151.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [150]
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Self-citationOng, A. D., Moskowitz, J. T., Wethington, E., Addington, E. L., Sanni, M., Goktas, S., Sluys, E., Swong, S., Kim, P., & Reid, M. C. (2022) · SSRN Electronic Journal · doi:10.2139/ssrn.4094546
Subjective Well-Being: Measurement
Bhatnagar, T. (2023) · Springer eBooks · doi:10.1007/978-981-99-6526-7_3
Positive Psychology Interventions: In the School, for the School
-, P. S., & Srivastava, M. (2024) · International Journal For Multidisciplinary Research · doi:10.36948/ijfmr.2024.v06i01.13196
Dehghan, B., Issazadegan, A., & Soleimani, E. (2022) · Utāq-i bāzargānī. · doi:10.61186/ijpb.16.2.9
Chapter 3. A Strength-Based Approach to the Psychotherapeutic Management of Schizophrenia
(2018) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379002.lg03
Chapter 6. Positivity in the Treatment of Opioid Addiction and Trauma
(2018) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379002.lg06
Chapter 12. Stress Management and Resiliency Training in Medical Internship
(2018) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379002.lg12
Chapter 8. Diabetes as a Family Illness: A Positive Psychiatry Approach to Diabetes Management
(2018) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379002.lg08
Chapter 13. Acting “As If” in Executive Coaching
(2018) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379002.lg13
Chapter 11. Building Resilience to Chronic Stress in Dementia Caregivers
(2018) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379002.lg11
Bozorgnia, B. (2018) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379002.lg05
(2018) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379002.lg07
Chapter 14. Teaching Positive Psychology in Law School
(2018) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379002.lg14
The relationship between pain and hope in oncology patients
Kiebzak, W. P., Kowalski, I. M., Szpringer, M., Grzybek, P., & Żurawski, A. (2025) · Polish Annals of Medicine · doi:10.29089/paom/209898
Lysne, P. E., Palit, S., Morais, C. A., DeMonte, L. C., Lakdawala, M., Sibille, K. T., & Bartley, E. J. (2021) · Figshare · doi:10.6084/m9.figshare.16835108
Eze, B. C., Fillingim, R. B., Booker, S. Q., & Terry, E. L. (2026) · Journal of Pain · doi:10.1016/j.jpain.2026.106344
- Authors
- Hausmann, L. R. M., Parks, A., Youk, A. O., & Kwoh, C. K.
- Affiliations
- University of Pittsburgh (US)
- Hiram College (US)
- University of Arizona (US)
- Corresponding author
- Hausmann, Leslie R.M.
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2014-05
- Volume
- 15
- Issue
- 5
- Pages
- 560-567
- ISSN
- 1526-5900 (ISSN-L)
- OpenAlex
- W2143414400
- Cited by
- 82
- References
- 37
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 6 · 2022: 5 · 2021: 6 · 2020: 9 · 2019: 11 · 2018: 22 · 2017: 10 · 2016: 6 · 2015: 3
- FWCI
- 4.60
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- bodily pain, positive activities, positive psychology interventions, online intervention, analgesia, pain tolerance, chronic pain
- MeSH terms
- Feasibility Studies, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pain Measurement, Psychotherapy, Severity of Illness Index, Time Factors, Linear Models, Treatment Outcome, Internet, Pain Management
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