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Investigating Pain-Related Avoidance Behavior using a Robotic Arm-Reaching Paradigm
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Perceived control and negative affect predict expected and experienced acute clinical pain: a structural modeling

Jeffrey J Gedney1, Henrietta Logan

  • 1Department of Community Dentistry and Behavioral Science, University of Florida, Gainesville, FL 32610, USA.

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Patient perception of control influences pain during dental procedures. A desire for control and prediction of control lead to negative emotions, increasing pain expectation and experience.

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Area of Science:

  • Psychology
  • Pain Management
  • Health Psychology

Background:

  • Personal control, negative emotions, and pain expectancy are known risk factors for pain.
  • These factors' simultaneous association in dental pain experience requires examination.

Purpose of the Study:

  • To investigate the mutual association of personal control perception, negative emotional states, and pain expectancy in dental extraction pain.
  • To understand the cognitive mediation of personal control in acute pain perception.

Main Methods:

  • Structural equation modeling was employed to analyze the relationships between desired/predicted personal control, negative emotional state, and pain expectation.
  • A sample of 381 emergency dental patients was used, with data split for model generation and confirmation.

Main Results:

  • The study confirmed a sequential pathway influencing pain experience.
  • Model fit indices, coefficients of determination, and factor loadings indicated significant relationships.

Conclusions:

  • A desire for and prediction of control over treatment aversiveness positively impacts emotional state.
  • Negative emotional state subsequently increases pain expectation and experienced pain levels.
  • Perception of personal control is a crucial, cognitively-mediated factor in acute procedural pain.