Does the peak-end phenomenon observed in laboratory pain studies apply to real-world pain in rheumatoid arthritics?
Open accessAbstract
Laboratory studies and investigations of patients undergoing painful procedures have compared recalled pain to an average of multiple momentary reports taken throughout the painful experience. This work has shown that recalled ratings of pain are more closely associated with a combination of peak pain and pain proximal to the recall ratings than an average of all momentary reports. However, these studies have examined recalled pain over relatively short periods, usually under 1 hour. In this study of 32 patients with rheumatoid arthritis, momentary pain ratings taken over a 7-day period were compared with pain recalled on the eighth day. Analyses confirmed that a combination of peak and recent pain was a better predictor of recalled patient pain than was a simple average of all momentary pain reports. These results extend our understanding of how individuals remember pain and suggest alternative methods for assessing recalled pain.
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Methodological studies of EMA of symptoms demonstrate that surveys relying on respondent recall, such as the baseline measures in this study, are biased toward peak (worst) and recent symptoms.
“Methodological studies of EMA of symptoms demonstrate surveys that rely on respondent recall, such as the baseline measures in this study, are biased toward peak (worst) and recent symptoms76–78; EMA ratings may provide a more valid estimate of true symptom intensity compared to standardized surveys.”
From Ecological momentary assessment of pain, fatigue, depressive, and cognitive symptoms reveals significant daily variability in multiple sclerosis (2017) · cites this paper as [77]
The Discussion states that peak and recent pain are overly represented in recalled ratings, supporting the claim for pain recall. The study examined patients with rheumatoid arthritis; it does not establish that recall-based surveys of symptoms generally have the same bias. Page numbers were not available in the supplied passages. (LLM, conf=0.84)
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Cites
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Diary Methods: Capturing Life as it is Lived
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- Authors
- Stone, A. A., Broderick, J. E., Kaell, A. T., DelesPaul, P. A. E. G., & Porter, L. E.
- Affiliations
- State University of New York (US)
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2000-01
- Volume
- 1
- Issue
- 3
- Pages
- 212-217
- ISSN
- 1526-5900 (ISSN-L)
- OpenAlex
- W1969569648
- Cited by
- 133
- References
- 3
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 8 · 2020: 7 · 2019: 3 · 2018: 7 · 2017: 4 · 2016: 5 · 2015: 8 · 2014: 7 · 2013: 8 · 2012: 11
- FWCI
- 1.65
- 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
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- peak-end rule, pain recall, rheumatoid arthritis, pain memory, pain assessment
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