Congruence between coping style and cognitive strategy was hypothesized to maximize the management of acute pain. Forty-eight undergraduates, half repressors and half sensitizers, were assigned to cognitive distraction, sensation monitoring, or no instruction, after which they were exposed to pressure stimulation. Two 2 × 3 (coping style x experimental condition) ANOVAs of pain tolerance and distress ratings did not yield interactions, but demonstrated that cognitive distraction facilitated higher tolerance than sensation monitoring or no instruction. These findings are discussed in terms of flexibility in cognitive coping and the methodological paradigms used in analogue research on pain, and are generalized to acute clinical pain.
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References
1.
McCaulK. D.MalottJ. M., Distraction and Coping with Pain, Psychological Bulletin, 95, pp. 516–533, 1984.
2.
SuisJ.FletcherB., The Relative Efficacy of Avoidant and Nonavoidant Coping Strategies: A Meta-analysis, Health Psychology, 4, pp. 249–288, 1985.
3.
ShiffrinR. M.SchneiderW., Controlled and Automatic Human Information Processing: II. Perceptual Learning, Automatic Attending, and a General Theory, Psychological Review, 84, pp. 127–190, 1977.
4.
LeventhalH.EverhartD., Emotion, Pain, and Physical Illness, in Emotions in Personality and Psychopathology, IzardC. E. (ed.), Plenum, New York, 1983.
5.
MastersK. S.LambertM. J., The Relations between Cognitive Coping Strategies, Reasons for Running, Injury, and Performance of Marathon Runners, Journal of Sport and Exercise Psychology, 11, pp. 161–170, 1989.
6.
SpanosN. P.BrazilK., Imagery Monitoring and Coping Suggestions in the Reduction of Experimentally Induced Pain, Journal of Mental Imagery, 8, pp. 33–44, 1984.
7.
ByrneD., The Repression-Sensitization Scale: Rationale, Reliability, and Validity, Journal of Personality, 29, pp. 334–349, 1961.
8.
ScottL. E.ClumG. A., Examining the Interaction Effects of Coping Style and Brief Interventions in the Treatment of Postsurgical Pain, Pain, 20, pp. 279–291, 1984.
9.
DubreuilD. L.EndlerN. S.SpanosN. P., Distraction and Redefinition in the Reduction of Low and High Intensity Experimentally-Induced Pain, Imagination, Cognition and Personality, 7, pp. 155–164, 1987–1988.
10.
EfranJ. S.ChorneyR. L.AscherL. M.LukensM. D., Coping Styles, Paradox, and the Cold Pressor Task, Journal of Behavioral Medicine, 12, pp. 91–103, 1989.
11.
RothS.CohenL. J., Approach, Avoidance, and Coping with Stress, American Psychologist, 41, pp. 813–819, 1986.
12.
EpsteinS.FenzW. D., The Detection of Areas of Emotional Stress through Variations in Perceptual Threshold and Physiological Arousal, Journal of Experimental Research in Personality, 2, pp. 191–199, 1967.
13.
ForgioneA. G.BarberT. X., A Strain Gauge Pain Stimulator, Psychophysiology, 8, pp. 102–106, 1971.
14.
LeventhalH.BrownD.ShachamS.EngquistG., The Effects of Preparatory Information about Sensations, Threat of Pain, and Attention on Cold Pressor Distress, Journal of Personality and Social Psychology, 37, pp. 688–714, 1979.
15.
McCaulK. D.HaugtvedtC., Attention, Distraction, and Cold-Pressor Pain, Journal of Personality and Social Psychology, 43, pp. 154–162, 1982.
16.
AhlesT. A.BlanchardE. B.LeventhalH., Cognitive Control of Pain: Attention to the Sensory Aspects of the Cold Pressor Stimulus, Cognitive Therapy and Research, 7, pp. 159–178, 1983.
17.
StevensM. J.PfostK. S.RappB. J., Modifying Acute Pain by Matching Cognitive Style with Cognitive Treatment, Perceptual and Motor Skills, 65, pp. 919–924, 1987.
18.
MillerS. M., Monitoring and Blunting: Validation of a Questionnaire to Assess Styles of Information-seeking under Threat, Journal of Personality and Social Psychology, 54, pp. 345–353, 1987.
19.
FolkmanS.LazarusR. S., If It Changes It Must Be a Process: A Study of Emotion and Coping during Three Stages of a College Examination, Journal of Personality and Social Psychology, 48, pp. 150–170, 1985.
20.
LazarusR. S., The Costs and Benefits of Denial, in Denial of Stress, BreznitzS. (ed.), International Universities Press, New York, 1983.
21.
WilliamsD. A.ThornB. E., Can Research Methodology Affect Treatment Outcome? A Comparison of Two Cold Pressor Test Paradigms, Cognitive Therapy and Research, 10, pp. 539–545, 1986.
