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Social influence and pain response in women and men

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Abstract

The purpose of this study was to examine the effects of social influence on responses to acute pain in women and men in a randomized experimental design. Sixty-eight undergraduates (32 women; 36 men) were randomly assigned to perform a cold pressor task either alone or in the presence of a same-sex friend. Expressions of pain were assessed with the short form of the McGill Pain Questionnaire. Overall social support was measured using the Krause social support assessment scale. The presence of a same-sex friend significantly increased pain reports in women, but not in men. Persons who reported high levels of social support on the Krause scale also reported greater cold pressor pain. Results suggest that the presence of a friend can increase pain report to an acute laboratory pain stimulus in women. These findings are consistent with models of social reinforcement in chronic pain syndromes.

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References

  • Allen, K., Blascovich, J., & Mendes, W. B. (2002). Cardiovascular reactivity and the presence of pets, friends, and spouses: The truth about cats and dogs. Psychosomatic Medicine, 64, 727–739. doi:10.1097/01.PSY.0000024236.11538.41.

    Article  PubMed  Google Scholar 

  • Barbee, B. P., Cunningham, M. R., Winstead, B. A., Derlega, V. J., Gulley, M. R., Yankeelov, P. A., et al. (1993). Effects of gender role expectations on the ‘social support process’. The Journal of Social Issues, 49, 175–190.

    Article  Google Scholar 

  • Barrera, M. J. (1986). Distinctions between social support concepts, measures, and models. American Journal of Community Psychology, 14, 413–425. doi:10.1007/BF00922627.

    Article  Google Scholar 

  • Beehr, T. A., & McGrath, J. E. (1992). Social support, occupational stress and anxiety. Anxiety, Stress, and Coping, 5, 7–19. doi:10.1080/10615809208250484.

    Article  Google Scholar 

  • Belle, D. (1987). Gender differences in the social moderators of stress. In R. C. Barnett, L. Biener, & G. K. Baruch (Eds.), Gender and stress (pp. 257–277). New York: Free Press.

    Google Scholar 

  • Berscheid, E., Snyder, M., & Omoto, A. M. (1989). The relationship closeness inventory: Assessing the closeness of interpersonal relationships. Journal of Personality and Social Psychology, 57, 792–807. doi:10.1037/0022-3514.57.5.792.

    Article  Google Scholar 

  • Brown, J. L., Sheffield, D., Leary, M. R., & Robinson, M. E. (2003). Social support and experimental pain. Psychosomatic Medicine, 65, 276–283. doi:10.1097/01.PSY.0000030388.62434.46.

    Article  PubMed  Google Scholar 

  • Bruehl, S., Burns, J., & McCubbin, J. A. (1998). Altered cardiovascular/pain regulatory relationships in chronic pain. International Journal of Behavioral Medicine, 5, 63–75. doi:10.1207/s15327558ijbm0501_5.

    Article  PubMed  Google Scholar 

  • Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357. doi:10.1037/0033-2909.98.2.310.

    Article  PubMed  Google Scholar 

  • Cummins, R. (1989). Locus of control and social support: Clarifiers of the relationship between job stress and job satisfaction. Journal of Applied Social Psychology, 19, 772–788. doi:10.1111/j.1559-1816.1989.tb01258.x.

    Article  Google Scholar 

  • Defares, P. B., Brandjes, M., Nass, C. H. T., & van der Ploeg, J. D. (1984). Coping styles and vulnerability of women at work in residential setting. Ergonomics, 27, 427–454. doi:10.1080/00140138408963521.

    Article  Google Scholar 

  • Edwards, R. R. (2005). Individual differences in endogenous pain modulation as a risk factor for chronic pain. Neurology, 65, 437–443. doi:10.1212/01.wnl.0000171862.17301.84.

    Article  PubMed  Google Scholar 

  • Fillingim, R. B. (2000). Sex, gender and pain: Women and men really are different. Current Review of Pain, 4, 24–30.

    PubMed  Google Scholar 

  • Fillingim, R. B., Doleys, D. M., Edwards, R. R., & Lowery, D. (2003). Spousal responses are differentially associated with clinical variables in women and men with chronic pain. The Clinical Journal of Pain, 19, 217–224. doi:10.1097/00002508-200307000-00004.

    Article  PubMed  Google Scholar 

  • Fischer, J., Sollie, D., & Morrow, K. (1986). Social networks in male and females adolescents. Journal of Adolescent Research, 6, 1–14. doi:10.1177/074355488611002.

    Article  Google Scholar 

  • Gil, K. M., Keefe, F. J., Crisson, J. E., & Van Dalfsen, P. J. (1987). Social support and pain behavior. Pain, 29, 209–217. doi:10.1016/0304-3959(87)91037-2.

    Article  PubMed  Google Scholar 

  • Harlow, R. C., & Cantor, N. (1995). To whom do people turn when things go poorly? Task orientation and functional social contacts. Journal of Personality and Social Psychology, 69, 329–340. doi:10.1037/0022-3514.69.2.329.

    Article  PubMed  Google Scholar 

  • Helfer, S. G., & McCubbin, J. A. (2001). Does gender affect the relation between blood pressure and pain sensitivity? International Journal of Behavioral Medicine, 8, 220–229. doi:10.1207/S15327558IJBM0803_4.

    Article  Google Scholar 

  • Helstroem, B., & Lundberg, U. (2000). Pain perception to the cold pressor test during the menstrual cycle in relation to estrogen levels and a comparison with men. Integrative Physiological and Behavioral Science, 35, 132–141. doi:10.1007/BF02688772.

    Article  Google Scholar 

  • Jackson, T., Lezzi, T., Chen, H., Ebnet, S., & Eglitis, K. (2005). Gender, interpersonal transactions, and the perception of pain: An experimental analysis. Journal of Pain, 6, 228–236. doi:10.1016/j.jpain.2004.12.004.

    Article  PubMed  Google Scholar 

  • Jolliffe, C. D., & Nicholas, M. K. (2004). Verbally reinforcing pain reports: An experimental test of the operant model of chronic pain. Pain, 107, 167–175. doi:10.1016/j.pain.2003.10.015.

    Article  PubMed  Google Scholar 

  • Jones, A., Spindler, H., Zachariae, & Jorgensen, R. (2002). The effect of situation-evoked anziety and gender on pain report using the cold pressor test. Scandinavian Journal of Psychology, 43, 307–313. doi:10.1111/1467-9450.00299.

    Article  PubMed  Google Scholar 

  • Kasch, H., Qerama, E., Bach, F., & Jensen, T. (2005). Reduced cold pressor pain tolerance in non-recovered whiplash patients: A 1-year prospective study. European Journal of Pain (London, England), 5, 561–569. doi:10.1016/j.ejpain.2004.11.011.

    Article  Google Scholar 

  • Kerns, R. D., Rosenberg, R., & Otis, J. D. (2002). Self-appraised problem solving and pain-relevant social support as predictors of the experience of chronic pain. Annals of Behavioral Medicine, 24, 100–105. doi:10.1207/S15324796ABM2402_06.

    Article  PubMed  Google Scholar 

  • Kinicki, A. J., & McKee, F. M. (1996). Annual review, 1991–1995: Occupational health. Journal of Vocational Behavior, 49, 190–220. doi:10.1006/jvbe.1996.0040.

    Article  Google Scholar 

  • Koltzenburg, M., Porkorny, R., Gasser, U., & Richarz, U. (2007). Differential sensitivity of three experimental pain models in detecting the analgesic effects of transdermal fentanyl and buprenorphine. Pain, 128, 292–294.

    Article  Google Scholar 

  • Krause, N. (1999). Assessing change in social support during late life. Research on Aging, 21, 539–569. doi:10.1177/0164027599214002.

    Article  Google Scholar 

  • LaRocco, J. M., House, J. S., & French, H. R. P., Jr. (1980). Social support, occupational stress, and health. Journal of Health and Social Behavior, 21, 202–218. doi:10.2307/2136616.

    Article  PubMed  Google Scholar 

  • Melzack, R. (1987). The short form of the McGill Pain Questionnaire. Pain, 30, 191–197. doi:10.1016/0304-3959(87)91074-8.

    Article  PubMed  Google Scholar 

  • Myers, C. D., Robinson, M. E., Riley, J. L., III, & Sheffield, D. (2001). Sex, gender, and blood pressure: contributions to experimental pain report. Psychosomatic Medicine, 63, 545–550.

    PubMed  Google Scholar 

  • Nestmann, F., & Schmerl, C. (1991). The lady is not for burning—the gender paradox in prevention and social support. In G. Albrecht, H. Otto, S. Karstedt-Henke, & K. Bollert (Eds.), Social prevention and the social sciences: Theoretical controversies, research problems, and evaluation strategies (pp. 217–234). New York: Walter de Gruyter.

    Google Scholar 

  • Nouwen, A., Cloutier, C., Warbrick, T., & Sheffield, D. (2006). Effects of focusing and distracting on cold pressor-induced pain in chronic back pain patients and control subjects. Journal of Pain, 7, 62–71.

    Article  PubMed  Google Scholar 

  • Olstad, R., Sexton, H., & Sogaard, J. (2001). The Finnmark study. A prospective population study of the social support buffer hypothesis, specific stressors and mental distress. Social Psychiatry and Psychiatric Epidemiology, 36, 582–589. doi:10.1007/s127-001-8197-0.

    Article  PubMed  Google Scholar 

  • Reevy, G. M., & Maslach, C. (2001). Use of social support: Gender and personality differences. Sex Roles, 44, 437–459. doi:10.1023/A:1011930128829.

    Article  Google Scholar 

  • Robinson, M. E., Gagnon, C. M., Riley, J. L., III, & Price, D. D. (2003). Altering gender role expectations: Effects on pain tolerance, pain threshold, and pain ratings. Journal of Pain, 4, 284–288. doi:10.1016/S1526-5900(03)00559-5.

    Article  PubMed  Google Scholar 

  • Robinson, M. E., Riley, J. L., III, Myers, C. D., Papas, R. K., Wise, E. A., Waxenberg, L. B., et al. (2001). Gender role expectations of pain: Relationship to sex differences in pain. Journal of Pain, 2, 251–257. doi:10.1054/jpai.2001.24551.

    Article  PubMed  Google Scholar 

  • Sarason, B. R., Sarason, I. G., Hacker, T. A., & Basham, R. B. (1985). Concommitants of social support: Social skills, physical attractiveness, and gender. Journal of Personality and Social Psychology, 49, 469–480. doi:10.1037/0022-3514.49.2.469.

    Article  Google Scholar 

  • Shumaker, S. A., & Hill, D. R. (1991). Gender differences in social support and physical health. Health Psychology, 10, 102–111. doi:10.1037/0278-6133.10.2.102.

    Article  PubMed  Google Scholar 

  • Stokes, J. P., & Wilson, D. G. (1984). The inventory of socially supportive behaviors: Dimensionality, prediction, and gender differences. American Journal of Community Psychology, 12, 53–69. doi:10.1007/BF00896928.

    Article  PubMed  Google Scholar 

  • Theorell, T., Nordemar, R., & Michelsen, H. (1993). Pain thresholds during standardized psychological stress in relation to perceived psychosocial work situation. Journal of Psychosomatic Research, 37, 299–305. doi:10.1016/0022-3999(93)90039-I.

    Article  PubMed  Google Scholar 

  • Viswesvaran, C., Sanchez, J. I., & Fisher, J. (1999). The role of social support in the process of work stress: A meta-analysis. Journal of Vocational Behavior, 54, 314–334. doi:10.1006/jvbe.1998.1661.

    Article  Google Scholar 

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Correspondence to James A. McCubbin.

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McClelland, L.E., McCubbin, J.A. Social influence and pain response in women and men. J Behav Med 31, 413–420 (2008). https://doi.org/10.1007/s10865-008-9163-6

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