Subjects served as their own control when tooth pulp shock was delivered in laboratory and clinical situations. Significantly heightened pain was observed in the clinical dental setting. The dental setting proved more anxiety-provoking and associated with reduced tolerance for pain, suggesting that cognitive contexts of a dental setting may elicit heightened subjective pain responses.
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References
1.
Chapman, C.R. ; Gehrig, J.D.; and Wilson, M.E.: Acupuncture Compared with 33 Percent Nitrous Oxide for Dental Analgesia: A Sensory Decision Theory Evaluation, Anesthesiology, 42:532-537, 1975.
2.
Chen, A.C.N.: Behavioral and Brain-evoked Potential Evaluation of Placebo Effects: Contrast of Cognitive and Endorphin Mechanisms. Presented at Second Annual Meeting, American Pain Society, New York, 1980.
3.
Barber, J. and Mayer, D.: Evaluation of the Efficacy and Neural Mechanism of a Hypnotic Analgesic Procedure in Experimental and Clinical Dental Pain, Pain4:41-48, 1977.
4.
Klepac, K.R. ;McDonald, M.;Hauge, G.; and Dowling, J.: Reaction to Pain Among Subjects High and Low in Dental Fear, J Behav Med3:373-384, 1980.
5.
Chapman, C.R. ; Chen, A.C.; and Harkins, S.: Brain-evoked Potentials as Correlates of Laboratory Pain: A Review and Perspective. In: Advances in Neurology (Advances in Pain Research and Therapy), Vol. III, Bonica, J.J. and Albe-Fessard, D., Eds., New York: Raven Press , 1979, pp. 791-803.
6.
Chatrian, G.E. ; Canfield, R.C.; Knaus, J.A.; and Lettich, E.: Cerebral Responses to Electrical Tooth Pulp Stimulation in Man, Neurology25(8):745-757, 1975.
7.
Beecher, H.K. : Quantification of the Subjective Pain Experience . In: Psychology of Perception, Hoch, P.H. and Zubin, J., Eds., New York: Grune and Stratton, 1965 , pp. 111-128.
8.
Lasagna, L.: Analgesic Methodology: A Brief History and Commentary, J Clin Pharm20:373-376, 1980.
9.
Lazarus, R.: Psychological Stress and the Coping Process. New York: McGraw-Hill, 1966.
10.
Dworkin, S.F. : Anxiety and Performance in the Dental Environment , J Am Soc Psychosom Dent Med19:88-103, 1967.
