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Predictors and social consequences of daily pain expectancy among adults with chronic pain
Open accessAbstract
Previous research suggests that for people living with chronic pain, pain expectancy can undermine access to adaptive resources and functioning. We tested and replicated the unique effect of pain expectancy on subsequent pain through 2 daily diary studies. We also extended previous findings by examining cognitive and affective antecedents of pain expectancy and the consequences of pain expectancy for daily social enjoyment and stress. In study 1, 231 individuals with rheumatoid arthritis completed 30 end-of-day diaries. Results of multilevel structural equation model showed that controlling for today's pain, pain expectancy predicted next day pain. In study 2, diary assessments of affective, cognitive, and social factors were collected during the morning, afternoon, and evening for 21 days from a sample of 220 individuals with fibromyalgia. Results showed that both positive affect and the extent to which pain interfered with daily activities in the afternoon predicted evening pain expectancy in the expected direction. However, negative affect and pain coping efficacy were not associated with pain expectancy. Consistent with study 1, more than usual evening pain expectancy was related to greater next morning pain. We also found that next morning pain predicted next afternoon social enjoyment but not social stress. The findings of these 2 studies point to the importance of promoting positive affect and reducing pain expectancy as a way of decreasing the detrimental effect of chronic pain on enjoyable social experiences.
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“Experimental and diary studies have shown that higher pain expec tancy is associated with increases in (subsequent) pain experiences [4,7 -10].”
From Nocebo hyperalgesia and other expectancy-related factors in daily fibromyalgia pain: Combining experimental and electronic diary methods (2024) · cites this paper as [4]
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“In patients with chronic pain, greater pain expectancy has been found to be associated with increased pain intensity in daily-life [4]”
From Nocebo hyperalgesia and other expectancy-related factors in daily fibromyalgia pain: Combining experimental and electronic diary methods (2024) · cites this paper as [4]
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“Our results for pain expectancy are in line with previous studies indicating that pain-related expectancies modify pain intensity, similar to self-fulfilling prophecies [4,8,9,30].”
From Nocebo hyperalgesia and other expectancy-related factors in daily fibromyalgia pain: Combining experimental and electronic diary methods (2024) · cites this paper as [4]
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Metadata
- Authors
- Mun, C. J., Thummala, K., Davis, M. C., Karoly, P., Tennen, H., & Zautra, A. J.
- Affiliations
- Arizona State University (US)
- University of Connecticut (US)
- Corresponding author
- Mun, Chung Jung
- Venue
- Pain
- Published
- 2017-03-21
- Volume
- 158
- Issue
- 7
- Pages
- 1224-1233
- ISSN
- 0304-3959 (ISSN-L)
- 1872-6623
- PMC
- PMC5540441
- OpenAlex
- W2600081903
- Cited by
- 34
- References
- 56
- Citations by year
- 2025: 7 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 6 · 2019: 4 · 2018: 5 · 2017: 1
- FWCI
- 3.06
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R01DA007031)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR041687, R01AR053245)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD086085)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- pain anticipation, chronic pain, rheumatoid arthritis, fibromyalgia, positive affect, negative affect, social enjoyment, social stress, pain interference with daily activities, daily pain
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Adult, Affect, Aged, Arthritis, Rheumatoid, Cognition, Female, Fibromyalgia, Humans, Male, Middle Aged, Models, Theoretical, Stress, Psychological, Chronic Pain
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