Experimentally induced anger, cardiovascular reactivity, and pain sensitivity.

It was investigated whether an angry state, induced by a computer task with harassing comments, would lead to a decrease in cold pressor pain threshold and tolerance in comparison to a neutral situation. It was hypothesized that an increase in cardiovascular activity might partially mediate effects of anger. Furthermore, it was examined whether subjects given the opportunity to express anger would show reduced cardiovascular activity and pain report compared to subjects not given this opportunity. Finally, trait measures for anger expression style and hostility were included. The results show an increase instead of the expected decrease in pain tolerance for subjects in the harassment condition compared to those in the neutral condition. While cardiovascular reactivity was positively related to pain threshold and tolerance, increased anger was associated with increased pain report. It is suggested that anger and cardiovascular reactivity may have important but sometimes opposing influences on pain.

[1]  Harald Breivik,et al.  International Association for the Study of Pain: update on WHO-IASP activities. , 2002, Journal of pain and symptom management.

[2]  L.J.M. Mulder,et al.  Computers in psychology 5 - Applications, methods, and instrumentation. , 1995 .

[3]  T. Tomazic,et al.  The Relationship of Anger, Depression, and Perceived Disability Among Headache Patients , 1992, Headache.

[4]  M E Robinson,et al.  Negative affect and the experience of chronic pain. , 1992, Journal of psychosomatic research.

[5]  H. Merskey Description of chronic pain syndromes and definitions of pain terms , 1994 .

[6]  Richard A. Bryant,et al.  Memory for pain and affect in chronic pain patients , 1993, Pain.

[7]  Julian F. Thayer,et al.  Anger inhibition, cardiovascular recovery, and vagal function: A model of the link between hostility and cardiovascular disease , 1998, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[8]  T. Milburn,et al.  Sensory and affective predictors of overall pain and emotions associated with affective pain. , 1994, The Clinical journal of pain.

[9]  L. McCracken Learning to live with the pain: acceptance of pain predicts adjustment in persons with chronic pain , 1998, Pain.

[10]  George Varghese,et al.  Psychosocial factors in chronic spinal cord injury pain , 1991, Pain.

[11]  B. Ditto Parental history of essential hypertension, active coping, and cardiovascular reactivity. , 1986, Psychophysiology.

[12]  R. Hamer,et al.  An emotional component analysis of chronic pain , 1990, Pain.

[13]  A. Tellegen Brief manual for the Differential Personality Questionnaire , 1982 .

[14]  H. Vertommen,et al.  De MPQ-DLV : een standaard Nederlandstalige versie van de McGill Pain Questionnaire voor België en Nederland , 1989 .

[15]  Charles D. Spielberger,et al.  The experience and expression of anger : Construction and validation of an anger expression scale , 1985 .

[16]  Margaret A. Chesney,et al.  Anger and hostility in cardiovascular and behavioral disorders , 1985 .

[17]  D. Watson,et al.  Health complaints, stress, and distress: exploring the central role of negative affectivity. , 1989, Psychological review.

[18]  C. Cleeland,et al.  The effects of induced mood on laboratory pain , 1991, Pain.

[19]  A. Taylor,et al.  Psychologic distress of chronic pain sufferers and their spouses. , 1990, Journal of pain and symptom management.

[20]  H. Merskey,et al.  Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy. , 1994, Pain. Supplement.

[21]  D. Turk,et al.  The scope and significance of anger in the experience of chronic pain , 1995, Pain.

[22]  J. Hatch,et al.  Anger and Hostility in Tension‐Type Headache , 1991, Headache.

[23]  Consumption of Attention versus Affect Elicited by Cognitions in Modifying Acute Pain , 1989, Psychological reports.

[24]  D. Watson,et al.  Negative affectivity: the disposition to experience aversive emotional states. , 1984, Psychological bulletin.

[25]  S. Morley,et al.  Memory for pain: a review , 1990, Pain.

[26]  J. Chibnall,et al.  Anger, Depression, and Disability: A Path Analysis of Relationships in a Sample of Chronic Posttraumatic Headache Patients , 1995, Headache.

[27]  C. France,et al.  Parental history of hypertension and enhanced cardiovascular reactivity are associated with decreased pain ratings. , 1995, Psychophysiology.

[28]  D. Turk,et al.  Anger in chronic pain: investigations of anger targets and intensity. , 1999, Journal of psychosomatic research.

[29]  W. Maixner,et al.  Blood pressure, gender, and parental hypertension are factors in baseline and poststress pain sensitivity in normotensive adults , 1997, International journal of behavioral medicine.

[30]  C. Spielberger,et al.  Manual for the State-Trait Anxiety Inventory , 1970 .

[31]  J. Burns,et al.  Cardiovascular reactivity to psychological stress may enhance subsequent pain sensitivity , 1997, Pain.

[32]  R. Daldrup,et al.  Inability to express intense affect: a common link between depression and pain? , 1986, Journal of consulting and clinical psychology.

[33]  I. Pilowsky,et al.  Pain, anger and illness behaviour. , 1976, Journal of psychosomatic research.

[34]  Laboratory pain and styles of coping with anger. , 1997, The Journal of psychology.

[35]  R. Catchlove,et al.  Pain and anger: Inadequate expression in chronic pain patients. , 1987 .

[36]  T. W. Smith Hostility and health: current status of a psychosomatic hypothesis. , 1992, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[37]  R. Melzack The McGill Pain Questionnaire: Major properties and scoring methods , 1975, PAIN.

[38]  Walter W. Cook,et al.  Proposed hostility and Pharisaic-virtue scales for the MMPI. , 1954 .

[39]  On Specific Behavior of Migraine Patients in an Anger‐Provoking Situation , 1987, Headache.

[40]  John L. Reeves,et al.  Memory for pain: Relation between past and present pain intensity , 1985, Pain.

[41]  H. Kraemer,et al.  Characteristics of successful and unsuccessful dieters: An application of signal detection methodology , 1998, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[42]  J. Hokanson,et al.  The dynamics of aggression : individual, group, and international analyses , 1971 .

[43]  C. Spielberger,et al.  STAI manual for the State-trait anxiety inventory ("self-evaluation questionnaire") , 1970 .