Greater dispositional optimism has been related to less severe pain; however, whether optimism is associated with endogenous pain modulation has not yet been examined. The beneficial effects of dispositional optimism often vary according to cultural dynamics. Thus, assessing optimism–pain relationships across different ethnic groups is warranted. This study sought to examine the association between optimism and conditioned pain modulation (CPM), and test whether this association differs according to ethnicity. Optimism and CPM were assessed in a sample of healthy, ethnically diverse young adults. CPM was determined by comparing pressure pain thresholds obtained before and during exposure to a cold pressor task. All participants completed a validated measure of dispositional optimism. Greater reported optimism was significantly associated with enhanced CPM, and the strength of this association did not vary according to individuals’ ethnic background. These findings suggest that an optimistic disposition may potentiate endogenous pain inhibition.
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Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
Allison, P. J., Guichard, C., Fung, K., & Gilain, L. (2003). Dispositional optimism predicts survival status 1 year after diagnosis in head and neck cancer patients. Journal of Clinical Oncology, 21, 543–548.
Bandura, A., O’Leary, A., Taylor, C. B., Gauthier, J., & Gossard, D. (1987). Perceived self-efficacy and pain control: Opioid and nonopioid mechanisms. Journal of Personality and Social Psychology, 53, 563–571.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the beck depression inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
Blyth, F. M., March, L. M., Brnabic, A. J. N., Jorm, L. R., Williamson, M., & Cousins, M. J. (2001). Chronic pain in Australia: A prevalence study. Pain, 89, 127–134.
Byrnes, D. M., Antoni, M. H., Goodkin, K., Efantis-Potter, J., Asthana, T., Simon, J., et al. (1998). Stressful events, pessimism, natural killer cell cytotoxicity, and cytotoxic/suppressor T cells in HIV + black women at risk for cervical cancer. Psychosomatic Medicine, 60, 714–722.
Cadden, S. W. (1993). The ability of inhibitory controls to ‘switch-off’ activity in dorsal horn convergent neurones in the rat. Brain Research, 628, 65–71.
Campbell, C. M., Edwards, R. R., & Fillingim, R. B. (2005). Ethnic differences in responses to multiple experimental pain stimuli. Pain, 113, 20–26.
Campbell, C. M., France, C. R., Robinson, M. E., Logan, H. L., Geffken, G. R., & Fillingim, R. B. (2008a). Ethnic differences in the nociceptive flexion reflex (NFR). Pain, 134, 91–96.
Campbell, C. M., France, C. R., Robinson, M. E., Logan, H. L., Geffken, G. R., & Fillingim, R. B. (2008b). Ethnic differences in diffuse noxious inhibitory controls. Journal of Pain, 9, 759–766.
Carver, C. S., & Scheier, M. F. (1981). Attention and self-regulation: A control-theory approach to human behavior. New York, NY: Springer.
Cathcart, S., & Pritchard, D. (2006). Reliability of pain threshold measurement in young adults. Journal of Headache and Pain, 7, 21–26.
Chang, E. C. (1996). Cultural differences in optimism, pessimism, and coping: Predictors of subsequent adjustment in Asian American and Caucasian American college students. Journal of Counseling Psychology, 43, 113–123.
Chang, E. C., Sanna, L. J., Kim, J. M., & Srivastava, K. (2010). Optimistic and pessimistic bias in European Americans and Asian Americans: A preliminary look at distinguishing between predictions for physical and psychological health outcomes. Journal of Cross-Cultural Psychology, 41, 465–470.
Costello, N. L., Bradgon, E. E., Light, K. C., Sigurdsson, A., Bunting, S., Grewen, K., et al. (2002). Temporomandibular disorder and optimism: Relationships to ischemic pain sensitivity and interleukin-6. Pain, 100, 99–110.
de Souza, J. B., Potvin, S., Goffaux, P., Charest, J., & Marchland, S. (2009). The deficit of pain inhibition in fibromyalgia is more pronounced in patients with comorbid depressive symptoms. Clinical Journal of Pain, 25, 123–127.
Edwards, R. R., Campbell, C., Jamison, R. N., & Wiech, K. (2009). The neurobiological underpinnings of coping with pain. Current Directions in Psychological Science, 18, 237–241.
Edwards, C. L., Fillingim, R. B., & Keefe, F. (2001). Race, ethnicity and pain. Pain, 94, 133–137.
Edwards, R. R., Ness, T. J., Weigent, D. A., & Fillingim, R. B. (2003). Individual differences in diffuse noxious inhibitory controls (DNIC): Association with clinical variables. Pain, 106, 427–437.
Fuentes, M., Hart-Johnson, T., & Green, C. R. (2007). The association among neighborhood socioeconomic status, race and chronic pain in black and white older adults. Journal of the National Medical Association, 99, 1160–1169.
Garafolo, J. P. (2000). Perceived optimism and chronic pain. In R. J. Gatchel & J. N. Weisberg (Eds.), Personality characteristics of patients with pain (pp. 203–217). Washington, DC: American Psychological Association.
Gatchel, R. J., Peng, Y. B., Peters, M. L., Fuchs, P. N., & Turk, D. C. (2007). The biopsychosocial approach to chronic pain: Scientific advances and future directions. Psychological Bulletin, 133, 581–624.
Geers, A. L., Wellman, J. A., Fowler, S. L., Helfer, S. G., & France, C. R. (2010). Dispositional optimism predicts placebo analgesia. Journal of Pain, 11, 1165–1171.
Geers, A. L., Wellman, J. A., Helfer, S. G., Fowler, S. L., & France, C. R. (2008). Dispositional optimism and thoughts of well-being determine sensitivity to an experimental pain task. Annals of Behavioral Medicine, 36, 304–313.
Giltay, E. J., Geleijnse, J. M., Zitman, F. G., Hoekstra, T., & Schouten, E. G. (2004). Dispositional optimism and all-cause and cardiovascular mortality in a prospective cohort of elderly Dutch men and women. Archives of General Psychiatry, 61, 1126–1135.
Goodin, B. R. (2009). A biopsychosocial explanation of an experimental pain outcome. PhD dissertation, University of Maryland, Baltimore County, United States, Maryland. Retrieved July 12, 2011, from Dissertations & Theses: Full Text (Publication No. AAT 3389006).
Goodin, B. R., McGuire, L., Allshouse, M., Stapleton, L., Haythornthwaite, J. A., Burns, N., et al. (2009). Associations between catastrophizing and endogenous pain-inhibitory processes: Sex differences. Journal of Pain, 10, 180–190.
Heinonen, K., Raikkonen, K., Matthews, K. A., Scheier, M. F., Raitakari, O. T., Pulkki, L., et al. (2006). Socioeconomic status in childhood and adulthood: Associations with dispositional optimism and pessimism over a 21-year follow up. Journal of Personality, 74, 1111–1126.
Hu, J. W. (1990). Response properties of nociceptive and non-nociceptive neurons in the rat’s trigeminal subnucleus caudalis (medullary dorsal horn) related to cutaneous and deep craniofacial afferent stimulation and modulation by diffuse noxious inhibitory controls. Pain, 41, 331–345.
Ji, L., Zhang, Z., Usborne, E., & Guan, Y. (2004). Optimism across cultures: In response to the severe acute respiratory syndrome outbreak. Asian Journal of Social Psychology, 7, 25–34.
King, C. D., Wong, F., Currie, T., Mauderli, A. P., Fillingim, R. B., & Riley, J. L., I. I. I. (2009). Deficiency in endogenous modulation of prolonged heat pain in patients with irritable bowel syndrome and temporomandibular disorder. Pain, 143, 172–178.
Lai, J. C. L., & Yue, X. (2000). Measuring optimism in Hong Kong and mainland Chinese with the revised life orientation test. Personality and Individual Differences, 28, 781–796.
Latza, U., Kohlmann, T., Deck, R., & Raspe, H. (2000). Influence of occupational factors on the relation between socioeconomic status and self-reported back pain in a population-based sample of German adults with back pain. Spine, 25, 1390–1397.
Lautenbacher, S., Prager, M., & Rollman, G. B. (2007). Pain additivity, diffuse noxious inhibitory controls, and attention: A functional measurement analysis. Somatosensory and Motor Research, 24, 189–201.
Lee, Y. T., & Seligman, M. E. P. (1997). Are Americans more optimistic than the Chinese? Personality and Social Psychology Bulletin, 23, 32–40.
Long, B. C., & Sangster, J. I. (1993). Dispositional optimism/pessimism and coping strategies: Predictors of psychosocial adjustment of rheumatoid and osteoarthritis patients. Journal of Applied Social Psychology, 23, 1069–1091.
MacKinnon, D. P., Krull, J. L., & Lockwood, C. M. (2000). Equivalance of the mediation, confounding, and suppression effect. Prevention Science, 1, 173–181.
Millan, M. J. (2002). Descending control of pain. Progress in Neurobiology, 66, 355–474.
Moont, R., Pud, D., Sprecher, E., Sharvit, G., & Yarnitsky, D. (2010). “Pain inhibits pain” mechanisms: Is pain modulation simply due to distraction? Pain, 150, 113–120.
Morton, D. L., Watson, A., El-Deredy, W., & Jones, A. K. P. (2009). Reproducibility of placebo analgesia: Effect of dispositional optimism. Pain, 146, 194–198.
Ohrbach, R., & Gale, E. N. (1989). Pressure pain thresholds in normal muscles: Reliability, measurement effects, and topographic differences. Pain, 37, 257–263.
Pence, L., Valrie, C. R., Gil, K. M., Redding-Lallinger, R., & Daeschner, C. (2007). Optimism predicting daily pain medication use in adolescents with sickle cell disease. Journal of Pain and Symptom Management, 33, 302–309.
Piche, M., Arsenault, M., & Rainville, P. (2009). Cerebral and cerebrospinal processes underlying counterirritation analgesia. Journal of Neuroscience, 29, 14236–14246.
Pincus, T., Burton, K. A., Vogel, S., & Field, A. P. (2002). A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine, 27, E109–E120.
Popescu, A., LeResche, L., Truelove, E. L., & Drangsholt, M. T. (2010). Gender differences in pain modulation by diffuse noxious inhibitory controls: A systematic review. Pain, 150, 309–318.
Price, D. D., & McHaffie, J. G. (1988). Effects of heterotopic conditioning stimuli on first and second pain: A psychophysical evaluation in humans. Pain, 34, 245–252.
Pud, D., Granovsky, Y., & Yarnitsky, D. (2009). The methodology of experimentally induced diffuse noxious inhibitory control (DNIC)-like effect in humans. Pain, 144, 16–19.
Raikkonen, K., Matthews, K. A., Flory, J. D., Owens, J. F., & Gump, B. B. (1999). Effects of optimism, pessimism, and trait anxiety on ambulatory blood pressure and mood during everyday life. Journal of Personality and Social Psychology, 76, 104–113.
Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219–247.
Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the life orientation test. Journal of Personality and Social Psychology, 67, 1063–1078.
Scheier, M. F., Carver, C. S., & Bridges, M. W. (2001). Optimism, pessimism, and psychological well-being. In E. C. Chang (Ed.), Optimism and pessimism: Implications for theory, research, and practice (pp. 189–216). Washington, DC: American Psychological Association.
Scheier, M. F., Matthews, K. A., Owens, J. F., Schulz, R., Bridges, M. W., Magovern, G. J., et al. (1999). Optimism and rehospitalization after coronary artery bypass graft surgery. Archives of Internal Medicine, 159, 829–835.
Scheier, M. F., Weintraub, J. K., & Carver, C. S. (1986). Coping with stress: Divergent strategies of optimists and pessimists. Journal of Personality and Social Psychology, 51, 1257–1264.
Sharot, T., Riccardi, A. M., Raio, C. M., & Phelps, E. A. (2007). Neural mechanisms mediating optimism bias. Nature, 450, 102–105.
Solberg Nes, L., & Segerstrom, S. C. (2006). Dispositional optimism and coping: A meta-analytic review. Personality and Social Psychology Review, 10, 235–251.
Sprenger, C., Bingel, U., & Buchel, C. (2011). Treating pain with pain: Supraspinal mechanisms of endogenous analgesia elicited by heterotopic noxious conditioning stimulation. Pain, 152, 428–439.
Staud, R., Cannon, R. C., Mauderli, A. P., Robinson, M. E., Price, D. D., & Vierck, C. J. (2003). Temporal summation of pain from mechanical stimulation of muscle tissue in normal controls and subjects with fibromyalgia syndrome. Pain, 102, 87–95.
Streiner, D. L. (1995). Learning how to differ: Agreement and reliability statistics in psychiatry. Canadian Journal of Psychiatry, 40, 60–66.
Sullivan, M. J., Bishop, S. R., & Pivik, J. (1995). The pain catastrophizing scale: Development and validation. Psychological Assessment, 7, 524–532.
Turk, D. C. (1996). Biopsychosocial perspective on chronic pain. In D. C. Turk & R. J. Gatchel (Eds.), Psychological approaches to pain management: A practioner’s handbook (pp. 3–32). New York, NY: Guilford Press.
Turk, D. C., & Okifuji, A. (2001). Psychological factors in chronic pain: Evolution and revolution. Journal of Consulting and Clinical Psychology, 70, 678–690.
Villanueva, L., & Le Bars, D. (1995). The activation of bulbo-spinal controls by peripheral nociceptive inputs: Diffuse noxious inhibitory controls. Biological Research, 28, 113–125.
Wager, T. D., Scott, D. J., & Zubieta, J. K. (2007). Placebo effects on human μ-opioid activity during pain. Proceedings of the National Academy of Sciences, 104, 11056–11061.
Wiech, K., Kalisch, R., Weiskopf, N., Pleger, B., Stephan, K. E., & Dolan, R. J. (2006). Anterolateral prefrontal cortex mediates the analgesic effect of expected and perceived control over pain. Journal of Neuroscience, 26, 11501–11509.
Wiech, K., Ploner, M., & Tracey, I. (2008). Neurocognitive aspects of pain perception. Trends in Cognitive Neuroscience, 12, 306–313.
Wilder-Smith, C. H., Schindler, D., Lovblad, K., Redmond, S. M., & Nirkko, A. (2004). Brain functional magnetic resonance imaging of rectal pain and activation of endogenous inhibitory mechanisms in irritable bowel syndrome patient subgroups and healthy controls. Gut, 53, 1595–1601.
Willer, J. C., Le Bars, D., & De Broucker, T. (1990). Diffuse noxious inhibitory controls in man: involvement of an opioidergic link. European Journal of Pharmacology, 182, 347–355.
Yarnitsky, D. (2010). Conditioned pain modulation (the diffuse noxious inhibitory control-like effect): Its relevance for acute and chronic pain states. Current Opinion in Anaesthiology, 23, 611–615.
Zubieta, J. K., Bueller, J. A., Jackson, L. R., Scott, D. J., Xu, Y., Koeppe, R. A., et al. (2005). Placebo effects mediated by endogenous opioid activity on μ-opioid receptors. Journal of Neuroscience, 24, 7754–7762.
This work was supported with funds from the Graduate Student Association at the University of Maryland, Baltimore County (B.R.G.) and by National Institutes of Health training grant T32NS045551-06 (B.R.G.).
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There are no conflicts of interest, or any financial interests, to report with regard to this work for any of the authors.
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Goodin, B.R., Kronfli, T., King, C.D. et al. Testing the relation between dispositional optimism and conditioned pain modulation: does ethnicity matter?. J Behav Med 36, 165–174 (2013). https://doi.org/10.1007/s10865-012-9411-7