Cited by 202Optimism, Hope, and Well-beingPain Management and Placebo EffectPediatric Pain Management Techniques

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Optimism lowers pain: Evidence of the causal status and underlying mechanisms

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Hanssen, Marjolein M., Peters, Madelon L., Vlaeyen, Johan W.S., Meevissen, Yvo M.C., Vancleef, Linda M.G.·2013·Pain

DOI 10.1016/j.pain.2012.08.006

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Abstract

Previous studies have demonstrated a relation between dispositional optimism and lower pain sensitivity, but the causal status of this link remains unclear. This study sought to test the causal status by experimentally inducing a temporary optimistic state by means of writing about and visualizing a future best possible self. In addition, we explored pain expectations and (situational) pain catastrophizing as possible underlying mechanisms of the link between optimism and pain. Seventy-nine university students participated in a cold pressor task (CPT). Before the CPT, half of them received the optimism manipulation and the other half a control manipulation. Induced optimism was related to lower pain intensity ratings during the CPT compared to the control group, thereby experimentally confirming causality. This effect was not explained by pain-related expectations about the task. Situational pain catastrophizing, however, did seem to mediate the relation between optimism and pain. This study is novel in that it confirms the causal status of optimism towards pain. Additionally, the results reveal that positive interventions might provide a useful alternative in reducing pain catastrophizing as an extremely relevant target in pain treatment.

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Authors: Hanssen, M. M., Peters, M. L., Vlaeyen, J. W. S., Meevissen, Y. M. C., & Vancleef, L. M. G.
Affiliations: Maastricht University (NL)
Corresponding author: Hanssen, Marjolein M.
ORCID: Hanssen, Marjolein M.
Peters, Madelon L.
Vlaeyen, Johan W.S.
Vancleef, Linda M.G.
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2013-01
Volume: 154
Issue: 1
Pages: 53-58
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2012.08.006
OpenAlex: W2101216163
Cited by: 202
References: 43
Citations by year: 2026: 5 · 2025: 13 · 2024: 13 · 2023: 9 · 2022: 13 · 2021: 11 · 2020: 16 · 2019: 15 · 2018: 19 · 2017: 22 · 2016: 18 · 2015: 10 · 2014: 24 · 2013: 12
FWCI: 21.51
Type: journal article
Language: en
Open access: green
cris.maastrichtuniversity.nl
Licence: other-oa
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Research Publications (Maastricht University) (publishedVersion, other-oa)
Lirias (KU Leuven) (submittedVersion)
Research Publications (Maastricht University) (submittedVersion, other-oa)
Topics: Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: dispositional optimism, pain sensitivity, pain intensity, pain catastrophizing, pain anticipation, best possible self, cold pressor task, mediation
MeSH terms: Adolescent, Adult, Affect, Blood Pressure, Cold Temperature, Female, Humans, Male, Pain Measurement, Personality, Pain Threshold, Imagery, Psychotherapy, Young Adult, Catastrophization

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Optimism lowers pain: Evidence of the causal status and underlying mechanisms

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