Perceived self-efficacy and pain control

Opioid and nonopioid mechanisms

Dados Bibliográficos

ID6203098
AutoresAlbert Bandura, Ann O''Leary, Ann O’leary (0000-0001-8129-3121), Ann O'Leary, A O'Leary (0009-0004-9855-9685), C Barr Taylor (0000-0002-4564-6548), Janel Gauthier (0000-0003-2348-2818), Denis Gossard, et al et al
Ano1987
Volume53
Fascículo3
Páginas563-571
Data de publicação1987-01-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoJournal of Personality and Social Psychology (JOURNAL)
Identificadores do periódicoISSN: 0022-3514 • E-ISSN: 1939-1315
EditoraAmerican Psychological Association (APA) (PUBLISHER)
DOI10.1037//0022-3514.53.3.563
PMID2821217
OpenAlexW2166653039
IdiomaEN
Citações recebidas45

In this experiment, we tested for opioid and nonopioid mechanisms of pain control through cognitive means and the relation of opioid involvement to perceived coping efficacy. Subjects were taught cognitive methods of pain control, were administered a placebo, or received no intervention. Their pain tolerance was then measured at periodic intervals after they were administered either a saline solution or naloxone, an opiate antagonist that blocks the effects of endogenous opiates. Training in cognitive control strengthened perceived self-efficacy both to withstand and to reduce pain; placebo medication enhanced perceived efficacy to withstand pain but not reductive efficacy; and neither form of perceived self-efficacy changed without any intervention. Regardless of condition, the stronger the perceived self-efficacy to withstand pain, the longer subjects endured mounting pain stimulation. The findings provide evidence that attenuation of the impact of pain stimulation through cognitive control is mediated by both opioid and nonopioid mechanisms. Cognitive copers administered naloxone were less able to tolerate pain stimulation than were their saline counterparts. The stronger the perceived self-efficacy to reduce pain, the greater was the opioid activation. Cognitive copers were also able to achieve some increase in pain tolerance even when opioid mechanisms were blocked by naloxone, which is in keeping with a nonopioid component in cognitive pain control. We found suggestive evidence that placebo medication may also activate some opioid involvement. Because placebos do not impart pain reduction skills, it was perceived self-efficacy to endure pain that predicted degree of opioid activation.

(+)-Naloxone · Anesthesia · Chronic pain · Cognition · Endogenous opioid · Opioid · Opioid antagonist · Pain control · Perceived control · Placebo · Psychiatry · Self-control · Clinical Psychology · Empathy and Medical Education · Internal Medicine · Medicine · Neuroscience, Education and Cognitive Function · Pain Management and Placebo Effect · Psychology · Social Psychology