Does subjective social status affect pain thresholds? - an experimental examination.

Past research regarding the relationship between different constructs of social status and different aspects of pain has yielded divergent results. So far, there are few experimental studies to investigate the causal relationship between social status and pain. Therefore, the present study aimed to examine the effect of perceived social status on pain thresholds by experimentally manipulating participants' subjective social status (SSS). 51 female undergraduates were randomly assigned to a low- or high-status condition. Participants' perceived social standing was temporarily elevated (high SSS condition) or reduced (low SSS condition). Before and after experimental manipulation participants' pressure pain thresholds were assessed. The manipulation check confirmed that participants in the low-status condition reported significantly lower SSS than participants in the high-status condition. A linear mixed model revealed a significant group x time interaction for pain thresholds: Whereas participants' pain thresholds in the low SSS condition increased post manipulation, pain thresholds of participants in the high SSS condition decreased post manipulation (β = 0.22; 95% CI, 0.002 to 0.432; p < .05). Findings suggest that SSS may have a causal effect on pain thresholds. This effect could either be due to a change in pain perception or a change in pain expression. Future research is needed to determine the mediating factors.

[1]  B. Takkouche,et al.  Socioeconomic status and occurrence of chronic pain: a meta-analysis. , 2020, Rheumatology.

[2]  J. Vlaeyen,et al.  Hide your Pain: Social Threat Increases Pain Reports and Aggression, but Reduces Facial Pain Expression and Empathy. , 2020, The journal of pain : official journal of the American Pain Society.

[3]  K. Kondo,et al.  Socioeconomic inequalities in low back pain among older people: the JAGES cross-sectional study , 2019, International Journal for Equity in Health.

[4]  Z. Križan,et al.  Subjective Social Status and Health: A Meta-Analysis of Community and Society Ladders , 2018, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[5]  J. Hoebel,et al.  Subjective social status and health: Multidisciplinary explanations and methodological challenges , 2018, Journal of health psychology.

[6]  C. Eccleston,et al.  When pain gets stuck: the evolution of pain chronification and treatment resistance , 2018, Pain.

[7]  James M. Dahlhamer,et al.  Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016 , 2018, MMWR. Morbidity and mortality weekly report.

[8]  J. Vlaeyen,et al.  Pain as a threat to the social self: a motivational account. , 2018, Pain.

[9]  C. Quaedflieg,et al.  Fear of pain and cortisol reactivity predict the strength of stress‐induced hypoalgesia , 2018, European journal of pain.

[10]  K. Matthews,et al.  Is Subjective Social Status a Unique Correlate of Physical Health? A Meta-Analysis , 2017, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[11]  Timothy W. Smith,et al.  Social status, everyday interpersonal processes, and coronary heart disease: A social psychophysiological view , 2017 .

[12]  H. Zeeb,et al.  Social Inequalities and Depressive Symptoms in Adults: The Role of Objective and Subjective Socioeconomic Status , 2017, PloS one.

[13]  K. Craig,et al.  Updating the definition of pain. , 2016, Pain.

[14]  Torben Schubert,et al.  The effect of subjective social status on depressive thinking: An experimental examination , 2016, Psychiatry Research.

[15]  W. Rief,et al.  Subjective Social Status and Cardiovascular Reactivity: An Experimental Examination , 2016, Front. Psychol..

[16]  M. Detry,et al.  Analyzing Repeated Measurements Using Mixed Models. , 2016, JAMA.

[17]  F. Sani,et al.  The pain of low status: the relationship between subjective socio-economic status and analgesic prescriptions in a Scottish community sample , 2016, Psychology, health & medicine.

[18]  David A. Magezi,et al.  Linear mixed-effects models for within-participant psychology experiments: an introductory tutorial and free, graphical user interface (LMMgui) , 2015, Front. Psychol..

[19]  W. Rief,et al.  Subjektiver sozialer Status. MacArthur-Skalen zur Erfassung des wahrgenommenen sozialen Status im sozialen Umfeld (SSS-U) und in Deutschland (SSS-D) , 2014, Verhaltenstherapie.

[20]  S. Barreto,et al.  Subjective social status, self-rated health and tobacco smoking: Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) , 2014, Journal of health psychology.

[21]  Yanling Hu,et al.  Factors associated with the pressure pain threshold in healthy Chinese men. , 2013, Pain medicine.

[22]  G. Miller,et al.  Socioeconomic status and health: mediating and moderating factors. , 2013, Annual review of clinical psychology.

[23]  Timothy W. Smith,et al.  Subjective Social Status: Construct Validity and Associations with Psychosocial Vulnerability and Self-Rated Health , 2013, International Journal of Behavioral Medicine.

[24]  J. Kleijnen,et al.  Chronic Diseases in the European Union: The Prevalence and Health Cost Implications of Chronic Pain , 2012, Journal of pain & palliative care pharmacotherapy.

[25]  Heather M. Claypool,et al.  Social Exclusion and Pain Sensitivity , 2012, Personality & social psychology bulletin.

[26]  R. Lipton,et al.  Chronic Migraine: Epidemiology and Disease Burden , 2011, Current pain and headache reports.

[27]  Michael W. Kraus,et al.  Having less, giving more: the influence of social class on prosocial behavior. , 2010, Journal of personality and social psychology.

[28]  Michael W. Kraus,et al.  Social Class, Contextualism, and Empathic Accuracy , 2010, Psychological science.

[29]  E. Alleva,et al.  A Trouble Shared Is a Trouble Halved: Social Context and Status Affect Pain in Mouse Dyads , 2009, PloS one.

[30]  R. Høifødt,et al.  The effect of experimenter gender on autonomic and subjective responses to pain stimuli , 2007, PAIN.

[31]  T. Campbell,et al.  The effects of experimenter status and cardiovascular reactivity on pain reports , 2006, Pain.

[32]  Matthew D. Lieberman,et al.  An experimental study of shared sensitivity to physical pain and social rejection , 2006, Pain.

[33]  C. Nathan DeWall,et al.  Alone but feeling no pain: Effects of social exclusion on physical pain tolerance and pain threshold, affective forecasting, and interpersonal empathy. , 2006, Journal of personality and social psychology.

[34]  Antonia Barke,et al.  The effects of experimenter characteristics on pain reports in women and men , 2004, Pain.

[35]  David R. Williams,et al.  Subjective social status: reliability and predictive utility for global health , 2004 .

[36]  E. Nussbaum,et al.  Reliability of clinical pressure-pain algometric measurements obtained on consecutive days. , 1998, Physical therapy.

[37]  R. Ohrbach,et al.  Pressure pain thresholds in normal muscles: reliability, measurement effects, and topographic differences , 1989, Pain.

[38]  Michael W. Kraus,et al.  Sartorial symbols of social class elicit class-consistent behavioral and physiological responses: a dyadic approach. , 2014, Journal of experimental psychology. General.