Wednesday, December 16, 2020

The effect of optimism on facial expression of pain: Implications for pain communication

Abstract

Background

There is a broad range of evidence on optimism dampening the pain experience, as assessed by subjective self‐report. Facial expression of pain conveys supplementary information about the pain experience, is an integral part of pain communication and assists psychosocial pain coping. Nevertheless, the effect of induced optimism on facial activity during pain has to our knowledge not been examined.

Methods

In our experiment, 40 healthy participants underwent two blocks of thermal stimulation containing phasic non‐painful and painful stimuli. Between the two blocks, the Best Possible Self imagery and writing task was performed to induce situational optimism, while a control group wrote about their typical day. Facial activity and self‐report ratings of intensity and unpleasantness were recorded. Facial activity was analyzed using the Facial Action Coding System.

Results

The optimism manipulation was successful in increasing state optimism. It did not affect self‐report ratings, but resulted in a stronger facial expression of pain, caused especially by increases in Action Units 4 (furrowed brows) and 6_7 (narrowed eyes).

Conclusions

All Action Units, which were affected by the optimism induction, are known to be prevalent during pain stimulation. The increase in facial expression might reflect reduced inhibition of pain communication in temporarily optimistic participants. Optimism might lead to expecting positive and helpful reactions by others and, by that, to great readiness to elicit these reactions by non‐verbal social behavior.



from Wiley: European Journal of Pain: Table of Contents https://ift.tt/2WhBFt4
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