Beliefs About Expectations Moderate the Influence of Expectations on Pain Perception
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Expectations congruently influence, or bias, pain perception. Recent social psychological research reveals that individuals differ in the extent to which they believe in expectation biases and that individuals who believe in expectation biases may adjust for this bias in their perceptions and reactions. That is, idiosyncratic beliefs about expectations can moderate the influence of expectations on experience.
Prior research has not examined whether idiosyncratic beliefs about expectations can alter the degree to which one's expectations influence pain perception. Using a laboratory pain stimulus, we examined the possibility that beliefs about expectation biases alter pain responses following both pain- and placebo-analgesic expectations.
Participants' beliefs about expectation biases were measured. Next, participants were randomly assigned to receive either a pain expectation or a placebo-analgesia expectation prior to a cold-pressor task. After the task, participants rated their pain.
Beliefs about expectation biases significantly influenced pain reports. Specifically, pain reports were more influenced by provided expectations the less participants believed in expectation biases (i.e., pain expectations resulted in more pain than analgesia expectations).
Beliefs about the expectation bias are an important and under-examined predictor of pain and placebo analgesia.
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- Kirsch I. How expectancies shape experience. Washington: American Psychological Association; 1999. CrossRef
- Pollo A, Benedetti F. Pain and the placebo effect. In: Moore RJ, editor. Biobehavioral approaches to pain. New York: Springer; 2009. p. 65–84. CrossRef
- Price D, Finniss DG, Benedetti F. A comprehensive review of the placebo effect: recent advances and current thought. Annu Rev Psychol. 2008;59:565–90. CrossRef
- Turner JA, Deyo RA, Loeser D, Von Korff M, Fordyce WE. The importance of placebo effects in pain treatment and research. J Am Med Assoc. 1994;271:1609–14. CrossRef
- Hróbjartsson A, Gotzsche PC. Is the placebo powerless? An analysis of clinical trials comparing placebo with no treatment. N Engl J Med. 2001;344:1594–601. CrossRef
- Geers AL, Kosbab K, Weiland PE, Helfer SG, Welman JA. Further evidence for individual differences in placebo responding: an interactionist perspective. J Psychosom Res. 2007;62:563–70. CrossRef
- Hyland ME, Whalley B, Geraghy AWA. Dispositional predictors of placebo responding: a motivational interpretation of flower essence and gratitude therapy. J Psychosom Res. 2007;62:331–40. CrossRef
- Levine ME, Stern RM, Koch KL. The effects of manipulating expectations through placebo and nocebo administration on gastric tachyarrhythmia and motion-induced nausea. Psychosom Med. 2006;68:478–86. CrossRef
- Storms MD, Nisbett RE. Insomnia and the attribution process. J Pers Soc Psychol. 1970;16:319–28. CrossRef
- Handley IM, Albarracín D, Brown RD, Li H, Kumkale EC, Kumkale GT. When the expectations from a message will not be realized: naïve theories can eliminate expectation-congruent judgments via correction. J Exp Soc Psychol. 2009;45:933–9. CrossRef
- Wegener DT, Petty RE. Flexible correction processes in social judgment: the role of naïve theories in corrections for perceived bias. J Pers Soc Psychol. 1995;68:36–51. CrossRef
- Isbell LM, Wyer RS. Correcting for mood-induced bias in the evaluation of political candidates: the roles of intrinsic and extrinsic motivation. Pers Soc Psychol Bull. 1999;25:237–49. CrossRef
- Wilson TD, Brekke N. Mental contamination and mental correction: unwanted influences on judgments and evaluations. Psychol Bull. 1994;116:117–42. CrossRef
- Melzack R. The short form of the McGill pain questionnaire. Pain. 1987;30:191–7. CrossRef
- Montgomery GH, Kirsch I. Classical conditioning and the placebo effect. Pain. 1997;72:107–13. CrossRef
- Aiken LS, West SG. Multiple regression: testing and interpreting interactions. Newbury Park: Sage; 1991.
- Lennox R, Wolfe R. Revision of the self-monitoring scale. J Pers Soc Psychol. 1984;46:1349–64. CrossRef
- Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test. J Pers Soc Psychol. 1994;67:1063–78. CrossRef
- Strathman A, Gleicher F, Boninger DS, Edwards CS. The consideration of future consequences: weighing immediate and distant outcomes of behavior. J Pers Soc Psychol. 1994;66:742–52. CrossRef
About this Article
- Beliefs About Expectations Moderate the Influence of Expectations on Pain Perception
International Journal of Behavioral Medicine
Volume 20, Issue 1 , pp 52-58
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- Springer US
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- Cold pressor
- Author Affiliations
- 1. Department of Psychology, Montana State University, 319 Traphagen Hall, Bozeman, MT, 59717, USA
- 2. University of Toledo, 2801 W. Bancroft St., Toledo, OH, 43606-3390, USA
- 3. Adrian College, Adrian, MI, USA
- 4. Department of Psychology, University of Toledo, 2801 W. Bancroft St., Toledo, OH, 43606-3390, USA