Skip to main content
Log in

Interactive Effects of Viewing a Contraction Monitor and Information-Seeking Style on Reported Childbirth Pain

  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

The effects of attention to sensory information(viewing the contraction monitor), information-seekingstyles (monitoring and blunting), cognitive copingstrategies (attention, distraction, control), anxiety, and self-efficacy expectancies on women's painreports during childbirth were studied. Forty-eightwomen completed questionnaires upon admission to thelabor room, and reported their pain on an analogue scale while viewing and not viewing thecontraction monitor during the active phase of labor.They were interviewed again at the maternity ward 1 to2 days later. Monitors experienced less pain, andblunters more pain while viewing the monitor,controlling for contraction amplitudes. Women viewingthe monitor used more attention andcontrol-predictability strategies than when not viewing,particularly if they had a monitoring information-seeking style;when not viewing the monitor they used more distractionstrategies, particularly if they had a bluntinginformation-seeking style. Reported use ofattention,distraction, and control-predictabilitycoping strategies hadsignificant negative correlations with pain reports.Pain anxiety was positively, and self-efficacyexpectations negatively, related to pain reports.Theoretical and practical implications of these findingsare discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  • Arntz, A., Dreessen, L., & Merckelbach, H. (1991). Attention, not anxiety, influences pain. Behaviour Research and Therapy, 29, 41–50.

    Google Scholar 

  • Arntz. A., van Eck, M., & Heijmans, M. (1990). Predictions of dental pain: The fear of any expected evil is worse than the evil itself. Behaviour Research and Therapy, 28, 29–34.

    Google Scholar 

  • Arntz, A., & Schmidt, A. J. M. (1989). Perceived control and the experience of pain. In A. Steptoe & A. Appels (Eds.), Stress, personal control and health(pp. 132–162). New York: Wiley.

    Google Scholar 

  • Auerbach, S. M., Martelli, M. F., & Mercuri, L. G. (1983). Anxiety, information, interpersonal impacts, and adjustment to stressful health care situation. Journal of Personality and Social Psychology, 44, 1284–1296.

    Google Scholar 

  • Baker, S. L., & Kirsch, I. (1991). Cognitive mediators of pain perception and tolerance. Journal of Personality and Social Psychology, 61, 504–510.

    Google Scholar 

  • Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37, 122–147.

    Google Scholar 

  • Bandura, A., O'Leary, A., Taylor, C. B., Gauthier, J., & Gossard, D. (1987). Perceived self-efficacy and pain control: Opioid and nonopioid mediators. Journal of Personality and Social Psychology, 53, 563–571.

    Google Scholar 

  • Baron, R. S., & Logan, H. (1993). Desired control, felt control, and dental pain: Recent findings and remaining issues. Motivation and Emotion, 17, 181–204.

    Google Scholar 

  • Chapman, C. R., & Turner, J. A. (1986). Psychological control of acute pain. Journal of Pain and Symptom Management, 1, 9–20.

    Google Scholar 

  • Chaves, J. F., & Brown, J. M. (1978). Self-generated strategies for the control of pain and stress. Paper presented at the annual meeting of the American Psychological Association, Toronto.

  • Cioffi, D. (1991). Beyond attentional strategies: A cognitive-perceptual model of somatic interpretation. Psychological Bulletin, 109, 25–41.

    Google Scholar 

  • Contrada, R., Leventhal, H., & O'Leary, A. (1990). Personality and health. In L. Pervin (Ed.), Handbook of Personality: Theory and research(pp. 638–669). New York: Guilford Press.

    Google Scholar 

  • Dar, R., & Leventhal, H. (1993). Schematic processes in pain perception. Cognitive Therapy and Research, 17, 341–357.

    Google Scholar 

  • DeGood, D. (1975). Cognitive control factors in vascular stress responses. Psychophysiology, 12, 399–401.

    Google Scholar 

  • Feinsilver, C. ( 1979). Preparation of adult patients for cardiac catheterization and coronary cineangiography. International Journal of Nursing Studies, 15, 211–221.

    Google Scholar 

  • Fernandez, E. A. (1986). A classification system of cognitive coping strategies for pain. Pain, 26, 141–151.

    Google Scholar 

  • Heyneman, N. E., Fremouw, W. J., Gano, D., Kirkland, F., & Heiden, L. (1990). Individual differences and the effectiveness of different coping strategies for pain. Cognitive Therapy and Research, 14, 63–77.

    Google Scholar 

  • Holroyd, K. A., Penzien, D. B., Hursey, K. G., Tobin, D. L., Rogers, L., Holm, J. E., Marcille, P. J., Hall, J. R., & Chilla, A. G. (1984). Change mechanisms in EMG biofeedback training: Change underlying improvements in tension headache. Journal of Clinical and Consulting Psychology, 52, 1039–1053.

    Google Scholar 

  • Huskisson, E. C. (1974). Measurement of pain. The Lancet, 2, 1127–1131.

    Google Scholar 

  • Johnson, J. E. (1973). Effects of accurate expectations about sensations on the sensory and distress components of pain. Journal of Personality and Social Psychology, 27, 261–271.

    Google Scholar 

  • Johnson, J., Kirchoff, K., & Endress, M. (1975). Deterring children's distress behavior during orthopedic cast removal. Nursing Research, 75, 404–410.

    Google Scholar 

  • Johnson, J., Morrissey, J., & Leventhal, H. (1973). Psychological preparation for an endoscopic examination. Gastrointestinal Endoscopy, 19, 180–182.

    Google Scholar 

  • Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients. General Hospital Psychiatry, 4, 33–47.

    Google Scholar 

  • Kendall, P. C., & Watson, D. (1981). Psychological preparations for stressful medical procedures. In C. K. Prokop & I.A Bradley (Eds.), Medical psychology: Contributions to behavioral medicine. New York: Academic Press.

    Google Scholar 

  • Kendall, P. C., Williams, L., Pachacek, T. F., Graham, L. E., Shisslak, C., & Herzoff, N. (1979). Cognitive behavioral and patient education interventions in cardiac catheterization procedures: The Palo Alto medical psychology project. Journal of Consulting and Clinical Psychology, 47, 49–58.

    Google Scholar 

  • Kent, G. (1984). Anxiety, pain and type of dental procedure. Behaviour Research and Therapy, 22, 465–469.

    Google Scholar 

  • Krohne, H. W. (1989). The concept of coping modes: Relating cognitive person variables to actual coping behavior. Advances in Behaviuor Research and Therapy, 1, 235–248.

    Google Scholar 

  • Leventhal, E. A., Leventhal, H., Shacham, S., & Easterling, D. V. (1989). Active coping reduces reports of pain from childbirth. Journal of Consulting and Clinical Psychology, 57, 365–371.

    Google Scholar 

  • Leventhal, H. (1992). I know distraction works even though it doesn't! Health Psychology, 11, 208–209.

    Google Scholar 

  • Leventhal, H., Brown, D., Shacham, S., & Engquist, G. (1979). Effects of preparatory information about sensations, threat of pain, and attention on cold pressor distress. Journal of Personality and Social Psychology, 37, 688–714.

    Google Scholar 

  • Leventhal, H., & Everhart, D. (1980). Emotion, pain, and physical illness. In: C. E. Izard (Ed.), Emotions and Psychopathology(pp. 263–299). New York: Plenum Press.

    Google Scholar 

  • Litt, M. D. (1988a). Cognitive mediators of stressful experience: Self-efficacy and perceived control. Cognitive Therapy and Research, 12, 241–260.

    Google Scholar 

  • Litt, M. D. (1988b). Self-efficacy and perceived control: Cognitive mediators of pain tolerance. Journal of Personality and Social Psychology, 54, 149–160.

    Google Scholar 

  • Lowe, N. K. ( 1987). Individual variation in childbirth pain. Journal of Psychosomatic Obstetrics and Gynecology, 7, 183–192.

    Google Scholar 

  • Lowe, N. K. (1992). Differences in first and second stage labor pain between nulliparous and multiparous women. Journal of Psychosomatic Obstetrics and Gynaecology, 13, 243–253.

    Google Scholar 

  • Ludwick-Rosenthal, R., & Neufeld, R. W. J. (1988). Stress management during noxious medical procedures: An evaluative review of outcome studies. Psychological Bulletin, 104, 326–342.

    Google Scholar 

  • Ludwick-Rosenthal, R., & Neufeld, R. W. J. (1993). Preparation for undergoing an invasive medical procedure: Interacting effects of information and coping style. Journal of Consulting and Clinical Psychology, 61, 156–164.

    Google Scholar 

  • Manning, M. M., & Wright, T. L. (1983). Self-efficacy expectancies, outcome expectancies, and the persistence of pain control in childbirth. Journal of Personality and Social Psychology, 45, 421–431.

    Google Scholar 

  • Martelli, M. F., Auerbach, S. M., Alexander, J., & Mercuri, L. G. (1987). Stress management in the health care setting: Matching interventions with patient coping styles. Journal of Consulting and Clinical Psychology, 55, 201–207.

    Google Scholar 

  • Melzack, R. (1973). The puzzle of pain. New York: Basic Books.

    Google Scholar 

  • Melzack, R., Kinch, R., Dobkin, P., Lebrun, M., & Taenzer, P. (1984). Severity of labor pain: Influence of physical as well as psychological variables. Canadian Medical Association Journal, 130, 579–584.

    Google Scholar 

  • McCaul, K. D., & Haugtvedt, C. (1982). Attention, distraction, and cold-pressor pain. Journal of Personality and Social Psychology, 43, 154–162.

    Google Scholar 

  • McCaul, K. D., & Malott, J. M. (1984). Distraction and coping with pain. Psychological Bulletin, 95, 516–533.

    Google Scholar 

  • McCaul, K. D., Monson, N., & Maki, R. H. (1992). Does distraction reduce pain-produced distress among college students? Health Psychology, 11, 210–217.

    Google Scholar 

  • Miller, S. M. (1979). Controllability and human stress: Method, evidence and theory. Behaviuor Research and Therapy, 17, 287–304.

    Google Scholar 

  • Miller, S. (1987). Monitoring and Blunting: Validation of a questionnaire to assess styles of information seeking under threat. Journal of Personality and Social Psychology, 52, 345–353.

    Google Scholar 

  • Miller, S. M. (1989). Cognitive informational styles if coping with threat and frustration. Advances in Behaviour Research and Therapy, 11, 223–234.

    Google Scholar 

  • Miller, S. M. (1991). To see or not to see: Cognitive informational styles in the coping process. In M. Rosenbaum (Ed.), Learned resourcefulness: on coping skills, self-control, and adaptive behavior. New York: Springer.

    Google Scholar 

  • Miller, S. M., & Birnbaum, A. (1988). Putting the life back into life events: Toward a cognitive social learning analysis of the coping process. In S. Fisher & J. Reason (Eds.), Life stress, cognition, and health, (pp. 497–509). Chichester, England: Wiley.

    Google Scholar 

  • Miller, S. M., Brody, D. S., & Summerton, J. S. (1988). Styles of coping with threat: Implications for health. Journal of Personality and Social Psychology, 54, 345–353.

    Google Scholar 

  • Miller, S. M., Combs, C., & Stoddard, E. (1989). Information, coping and control in patients undergoing surgery and stressful medical procedures. In A. Steptoe & A. Appels (Eds.), Stress, personal control and health(pp. 107–130). New York: Wiley.

    Google Scholar 

  • Miller, S. M., & Mangan, C. E. (1983). Interaction effects of information and coping style in adapting to gynecological stress: Should the doctor tell all? Journal of Personality and Social Psychology, 45, 223–236.

    Google Scholar 

  • Muris, P., Zuuren, F. J. van., Jong, P. J. de, Beurs, E. de, & Hanewald, G. (1994). Monitoring and blunting coping styles: The Miller behavioural style scale and its correlates, and the development of an alternative questionnaire. Personality and Individual Differences, 17, 9–19.

    Google Scholar 

  • Nerenz, D., Leventhal, H., Love, R., & Ringler, K. (1984). Psychological aspect of cancer chemotherapy. International Review of Applied Psychology, 22, 521–529.

    Google Scholar 

  • Neufeld, R. W. J., & Thomas, P. (1977). Effects of perceived efficacy of a prophylactic controlling mechanism on self-control under painful stimulation. Canadian Journal of Behavioral Science, 9, 224–232.

    Google Scholar 

  • Newton, J. R., & Reading, A. E. (1977). The effects of psychological preparation on pain at intrauterine device insertion. Contraception, 16, 523–532.

    Google Scholar 

  • Pearce, S. (1983) A review of cognitive-behavioural methods for the treatment of chronic pain. Journal of Psychosomatic Research, 27, 431–440.

    Google Scholar 

  • Price, D. D., Harkins, S. W., & Baker, C. (1987). Sensory-affective relationships among different types of clinical and experimental pain. Pain, 28, 297–307.

    Google Scholar 

  • Reese, L. B. (1983). Coping with pain: The role of perceived self-efficacy. Unpublished doctoral dissertation, Stanford University.

  • Rokke, P. D., & Lall, R. (1992). The role of choice in enhancing tolerance to acute pain. Cognitive Therapy and Research, 16, 53–65.

    Google Scholar 

  • Seligman, M. E. P. (1968). Chronic fear produced by unpredictable shock. Journal of Comparative Physiology and Psychology, 66, 402–411.

    Google Scholar 

  • Shipley, R. H., Butt, J. H., Horwitz, E. A., & Farbry, J. E. (1978). Preparation for a stressful medical procedure: Effect of amount of stimulus preexposure and coping style. Journal of Counseling and Clinical Psychology, 46, 499–507.

    Google Scholar 

  • Spanos, N. P., Radtke-Bodorik, L., Ferguson, J. D., & Jones, B. (1979). The effects of hypnotic susceptibility, suggestions for analgesia, and the utilization of cognitive strategies on the reduction of pain. Journal of Abnormal Psychology, 88, 281–292.

    Google Scholar 

  • Suls, J., & Fletcher, B. (1985). The relative efficacy of avoidant and non-avoidant coping strategies: A meta-analysis. Health Psychology, 4, 249–288.

    Google Scholar 

  • Tan, S. (1982). Cognitive and cognitive-behavioral methods for pain control: A selective review. Pain, 12, 201–228.

    Google Scholar 

  • Turk, D. C., Meichenbaum, D., & Genest,M. (1982). Pain and behavioral medicine. New York: Guilford Press.

    Google Scholar 

  • Van Zuuren, F. J. (1994). Cognitive confrontation and avoidance during a naturalistic medical stressor. European Journal of Personality, 8, 371–384.

    Google Scholar 

  • Van Zuuren, F. J., & Wolfs, H. M. (1991). Styles of information seeking under threat: Personal and situational aspects of monitoring and blunting. Personality and Individual Differences, 12, 141–149.

    Google Scholar 

  • Wack, J. T., & Turk, D. C. (1984). Latent structure of strategies used to cope with nociceptive stimulation. Health Psychology, 3, 27–44.

    Google Scholar 

  • Watson, D., & Baumal, E. (1967). Effects of locus of control and expectation of future control on present performance. Journal of Personality and Social Psychology, 6, 212–215.

    Google Scholar 

  • Weisenberg, M., Wolf, Y., Mittwoch, F., Mikulincer, M. (1990). Learned resourcefulness and perceived control of pain: A preliminary examination of construct validity. Journal of Research in Personality, 24, 101–110.

    Google Scholar 

  • Weisenberg, M., Wolf, Y., Mittwoch, F., Mikulincer, M., & Aviram, O. (1985). Subject versus experimenter control in the reaction to pain. Pain, 23, 187–200.

    Google Scholar 

  • Wideman, M. V., & Singer, J. E. (1984). The role of psychological mechanisms in preparation for childbirth. American Psychologist, 39, 1357–1371.

    Google Scholar 

  • Williams, S. L., & Kinney, P. J. (1991). Performance and non-performance strategies for coping with acute pain: The role of perceived self-efficacy, expected outcomes, and attention. Cognitive Therapy and Research, 15, 1–19.

    Google Scholar 

  • Wuitchik, M. I., Bakal, D. A., & Lipshitz, J. (1989). The clinical significance of pain and cognitive activity in latent labor. Obstetrics and Gynecology, 73, 35–42.

    Google Scholar 

  • Wuitchik, M., Bakal, D., & Lipshitz, J. (1990). Relationships between pain, cognitive activity and epidural analgesia during labor. Pain, 41, 125–132.

    Google Scholar 

  • Zatzick, D. F., & Dimsdale, J. E. (1990). Cultural variations in response to painful stimuli. Psychosomatic Medicine, 52, 544–557.

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shiloh, S., Mahlev, U., Dar, R. et al. Interactive Effects of Viewing a Contraction Monitor and Information-Seeking Style on Reported Childbirth Pain. Cognitive Therapy and Research 22, 501–516 (1998). https://doi.org/10.1023/A:1018777700691

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1018777700691

Navigation