The impact of acute pain self-efficacy on pain intensity and the accurate recall of pain
Keywords:
self-efficacy, pain, pain recall, accuracy, pain catastrophizing, fear of painAbstract
Background
Pain self-efficacy is one’s belief in the ability to control and persist through pain. The purpose of this study was to examine the relationships between pain self-efficacy, immediate and delayed pain ratings, and accurate pain recall two weeks after an acute pain procedure.
Participants and procedure
Two hundred three participants completed a tourniquet pain procedure. Pain self-efficacy was measured. An immediate pain rating was collected immediately following the procedure. A delayed pain rating was assessed in a two-week follow-up survey. Accurate pain recall was assessed by examining the difference between participants’ immediate pain rating and their delayed pain rating.
Results
Higher levels of pain self-efficacy were related to lower delayed pain rating two weeks later but not related to immediate pain ratings. Participants with higher pain self-efficacy were significantly more likely to underestimate their pain two weeks later than participants with lower pain self-efficacy, who tended to overestimate their previous pain.
Conclusions
This research highlights the important role of pain self-efficacy on the recall of pain. Those with higher pain self-efficacy were more likely to underestimate their pain two weeks later, while those with lower pain self-efficacy tended to overestimate their previous pain. Healthcare providers and caregivers should consider patients’ pain self-efficacy in interpreting reports of pain, especially when these reports recall past pain.
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References
Anderson, K. O., Dowds, B. N., Pelletz, R. E., Edwards, W. T., & Peeters-Asdourian, C. (1995). Development and initial validation of a scale to measure self-efficacy beliefs in patients with chronic pain. Pain, 63, 77–83.
Arnstein, P., Caudill, M., Mandle, C. L., Norris, A., & Beasley, R. (1999). Self efficacy as a mediator of the relationship between pain intensity, disability and depression in chronic pain patients. Pain, 80, 483–491.
Asmundson, G. J., Norton, P. J., & Vlaeyen, J. W. (2004). Fear-avoidance models of chronic pain: an overview. In G. J. G. Asmundson, J. W. S. Vlaeyen, & G. Crombez (Eds.), Understanding and Treating Fear of Pain (pp. 3–24). New York: Oxford University Press.
Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84, 191–215.
Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37, 122–147.
Bandura, A. (1994). Self-efficacy. In V. S. Ramachaudran (Ed.), Encyclopedia of Human Behavior (Vol. 4, pp. 71–81). New York: Academic Press.
Bandura, A. (2006). Guide for constructing self-efficacy scales. Self-efficacy Beliefs of Adolescents, 5, 307–337.
Breivik, H., Collett, B., Ventafridda, V., Cohen, R., & Gallacher, D. (2006). Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. European Journal of Pain, 10, 287–287.
Broderick, J. E., Schwartz, J. E., Vikingstad, G., Pribbernow, M., Grossman, S., & Stone, A. A. (2008). The accuracy of pain and fatigue items across different reporting periods. Pain, 139, 146–157.
Centers for Disease Control and Prevention. (2014). National hospital discharge survey: 2010. Atlanta (GA): CDC [online]. Retrieved from http://www.cdc.gov/nchs/nhds.htm [accessed: February 21, 2017].
Chaves, J. F., & Brown, J. M. (1987). Spontaneous cognitive strategies for the control of clinical pain and stress. Journal of Behavioral Medicine, 10, 263–276.
Deandrea, S., Montanari, M., Moja, L., & Apolone, G. (2008). Prevalence of undertreatment in cancer pain. A review of published literature. Annals of Oncology, 19, 1985–1991.
Denison, E., Åsenlöf, P., & Lindberg, P. (2004). Self-efficacy, fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients in primary health care. Pain, 111, 245–252.
Edwards, R. R., Bingham, C. O., Bathon, J., & Haythornthwaite, J. A. (2006). Catastrophizing and pain in arthritis, fibromyalgia, and other rheumatic diseases. Arthritis Care & Research, 55, 325–332.
Fillingim, R. B., King, C. D., Ribeiro-Dasilva, M. C., Rahim-Williams, B., & Riley, J. L. (2009). Sex, gender, and pain: a review of recent clinical and experimental findings. The Journal of Pain, 10, 447–485.
Gedney, J. J., & Logan, H. (2004). Memory for stress-associated acute pain. The Journal of Pain, 5, 83–91.
Hicks, C. L., von Baeyer, C. L., Spafford, P. A., van Korlaar, I., & Goodenough, B. (2001). The Faces Pain Scale–Revised: toward a common metric in pediatric pain measurement. Pain, 93, 173–183.
Institute of Medicine. (IOM). Committee on Advancing Pain Research, Care, and Education. (2011a). Relieving pain in America: A blueprint for transforming prevention, care, education, and research. Washington: National Academies Press.
Institute of Medicine. (IOM). (2011b). Crossing the Quality Chasm: A New Health System for the Twenty-first Century. Washington: National Academy Press.
Jackson, T., Iezzi, T., Gunderson, J., Nagasaka, T., & Fritch, A. (2002). Gender differences in pain perception: The mediating role of self-efficacy beliefs. Sex Roles, 47, 561–568.
Jensen, M. P., Turner, J. A., & Romano, J. M. (1991). Self-efficacy and outcome expectancies: relationship to chronic pain coping strategies and adjustment. Pain, 44, 263–269.
Kent, G. (1985). Memory for dental pain. Pain, 21, 187–194.
Lorig, K., Chastain, R. L., Ung, E., Shoor, S., & Holman, H. R. (1989). Development and evaluation of a scale to measure perceived self‐efficacy in people with arthritis. Arthritis & Rheumatism, 32, 37–44.
Max, M. B., Donovan, M., Miaskowski, C. A., Ward, S. E., Gordon, D., Bookbinder, M., ...Janjan, N. (1995). Quality improvement guidelines for the treatment of acute pain and cancer pain. Journal of the American Medical Association, 274, 1874–1880.
McCracken, L. M., Zayfert, C., & Gross, R. T. (1992). The Pain Anxiety Symptoms Scale: development and validation of a scale to measure fear of pain. Pain, 50, 67–73.
McNeil, D. W., & Rainwater, A. J. (1998). Development of the fear of pain questionnaire-III. Journal of Behavioral Medicine, 21, 389-410.
Miles, C. L., Pincus, T., Carnes, D., Taylor, S. J., & Underwood, M. (2011). Measuring pain self-efficacy. The Clinical Journal of Pain, 27, 461–470.
Mumford, E., Schlesinger, H. J., & Glass, G. V. (1982). The effect of psychological intervention on recovery from surgery and heart attacks: an analysis of the literature. American Journal of Public Health, 72, 141–151.
Noel, M., Chambers, C. T., McGrath, P. J., Klein, R. M., & Stewart, S. H. (2012). The influence of children’s pain memories on subsequent pain experience. Pain, 153, 1563–1572.
Norvell, K. T., Gaston-Johansson, F., & Fridh, G. (1987). Remembrance of labor pain: how valid are retrospective pain measurements? Pain, 31, 77–86.
Nunnink, S., & Meana, M. (2007). Remembering the pain: Accuracy of pain recall in endometriosis. Journal of Psychosomatic Obstetrics & Gynecology, 28, 201–208.
O’Leary, A. (1985). Self-efficacy and health. Behaviour Research and Therapy, 23, 437–451.
O’Leary, A., Shoor, S., Lorig, K., & Holman, H. R. (1988). A cognitive-behavioral treatment for rheumatoid arthritis. Health Psychology, 7, 527–544.
Ruben, M. A., & Hall, J. A. (2013). “I Know Your Pain” Proximal and Distal Predictors of Pain Detection Accuracy. Personality and Social Psychology Bulletin, 39, 1346–1358.
Salovey, P., Smith, A. F., Turk, D. C., Jobe, J. B., & Willis, G. B. (1993). The accuracy of memory for pain: not so bad most of the time. American Pain Society Journal, 2, 184–191.
Schwarzer, R., & Fuchs, R. (1996). Self-efficacy and health behaviours. In M. Conner & P. Norman (Eds.), Predicting health behaviour: Research and Practice with Social Cognition Models (pp. 163–196). Buckingham: Open University Press.
Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982). The self-efficacy scale: Construction and validation. Psychological Reports, 51, 663–671.
Smith, G. M., Egbert, L. D., Markowitz, R. A., Mosteller, F., & Beecher, H. K. (1966). An experimental pain method sensitive to morphine in man: The submaximtum effort tourniquet technique. Journal of Pharmacology and Experimental Therapeutics, 154, 324–332.
Sullivan, M. J., Bishop, S. R., & Pivik, J. (1995). The pain catastrophizing scale: development and validation. Psychological Assessment, 7, 524–532.
Sullivan, M. J., Thorn, B., Haythornthwaite, J. A., Keefe, F., Martin, M., Bradley, L. A., & Lefebvre, J. C. (2001). Theoretical perspectives on the relation between catastrophizing and pain. Clinical Journal of Pain, 17, 52–64.
Vlaeyen, J. W., Kole-Snijders, A. M., Boeren, R. G., & Van Eek, H. (1995). Fear of movement/(re) injury in chronic low back pain and its relation to behavioral performance. Pain, 62, 363–372.
Waldenström, U., & Schytt, E. (2009). A longitudinal study of women’s memory of labour pain from 2 months to 5 years after the birth. BJOG: An International Journal of Obstetrics & Gynaecology, 116, 577–583.
Walentynowicz, M., Bogaerts, K., Van Diest, I., Raes, F., & Van den Bergh, O. (2015). Was it so bad? The role of retrospective memory in symptom reporting. Health Psychology, 34, 1166–1174.
Wilson, C. L., & Ruben, M. A. (2011). A pain in her arm: Romantic attachment orientations and the tourniquet task. Personal Relationships, 18, 24–265.