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Erschienen in: Journal of Behavioral Medicine 5/2012

01.10.2012

Will it hurt less if I believe I can control it? Influence of actual and perceived control on perceived pain intensity in healthy male individuals: a randomized controlled study

verfasst von: Matthias J. Müller

Erschienen in: Journal of Behavioral Medicine | Ausgabe 5/2012

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Abstract

We explored the effects of uncontrollability and subjective helplessness (SHL) on perceived pain intensity (PPI) in 64 healthy men randomly assigned to groups receiving controllable (C) or uncontrollable (UC) painful electric skin stimuli. SHL (d = 1.43), perceived unpleasantness (d = 1.03), and PPI (d = 0.58) were more pronounced in the UC group than in the C group. Multiple regression and bootstrap analyses for testing mediation showed a direct relationship between stressor uncontrollability and PPI (r = 0.28; P < .05), which disappeared when adjusted for the SHL increase (β = 0.49, P < .001). SHL changes were associated with objective uncontrollability (r = 0.59, P < .001). PPI and unpleasantness were positively correlated (r = 0.37, P < .01). The study suggests that the effect of objective controllability on pain intensity ratings is mediated mainly by ratings of SHL.
Literatur
Zurück zum Zitat Abramson, L. Y., Teasdale, J. D., & Seligman, M. E. P. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 49–74.PubMedCrossRef Abramson, L. Y., Teasdale, J. D., & Seligman, M. E. P. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 49–74.PubMedCrossRef
Zurück zum Zitat Amat, J., Aleksejev, R. M., Paul, E., Watkins, L. R., & Maier, S. F. (2010). Behavioral control over shock blocks behavioral and neurochemical effects of later social defeat. Neuroscience, 165, 1031–1038.PubMedCrossRef Amat, J., Aleksejev, R. M., Paul, E., Watkins, L. R., & Maier, S. F. (2010). Behavioral control over shock blocks behavioral and neurochemical effects of later social defeat. Neuroscience, 165, 1031–1038.PubMedCrossRef
Zurück zum Zitat Bär, K. J., Brehm, S., Boettger, M. K., Boettger, S., Wagner, G., & Sauer, H. (2005). Pain perception in major depression depends on pain modality. Pain, 117, 97–103.PubMedCrossRef Bär, K. J., Brehm, S., Boettger, M. K., Boettger, S., Wagner, G., & Sauer, H. (2005). Pain perception in major depression depends on pain modality. Pain, 117, 97–103.PubMedCrossRef
Zurück zum Zitat Berna, C., Leknes, S., Holmes, E. A., Edwards, R. R., Goodwin, G. M., & Tracey, I. (2010). Induction of depressed mood disrupts emotion regulation neurocircuitry and enhances pain unpleasantness. Biological Psychiatry, 67, 1083–1090.PubMedCrossRef Berna, C., Leknes, S., Holmes, E. A., Edwards, R. R., Goodwin, G. M., & Tracey, I. (2010). Induction of depressed mood disrupts emotion regulation neurocircuitry and enhances pain unpleasantness. Biological Psychiatry, 67, 1083–1090.PubMedCrossRef
Zurück zum Zitat Brunstein, J. C. (1986). Attributionsstil und Depression; erste Befunde zur Reliabilität und Validität eines deutschsprachigen Attributionsstilfragebogens. Zeitschrift für Differentielle Psychologie und Diagnostik, 7, 45–53. Brunstein, J. C. (1986). Attributionsstil und Depression; erste Befunde zur Reliabilität und Validität eines deutschsprachigen Attributionsstilfragebogens. Zeitschrift für Differentielle Psychologie und Diagnostik, 7, 45–53.
Zurück zum Zitat Burns, J. W., Elfant, E., & Quartana, P. J. (2010). Suppression of pain-related thoughts and feelings during pain-induction: Sex differences in delayed pain responses. Journal of Behavioral Medicine, 33, 200–208.PubMedCrossRef Burns, J. W., Elfant, E., & Quartana, P. J. (2010). Suppression of pain-related thoughts and feelings during pain-induction: Sex differences in delayed pain responses. Journal of Behavioral Medicine, 33, 200–208.PubMedCrossRef
Zurück zum Zitat Carlsson, K., Andersson, J., Petrovic, P., Petersson, K. M., Ohman, A., & Ingvar, M. (2006). Predictability modulates the affective and sensory-discriminative neural processing of pain. Neuroimage, 32, 1804–1814.PubMedCrossRef Carlsson, K., Andersson, J., Petrovic, P., Petersson, K. M., Ohman, A., & Ingvar, M. (2006). Predictability modulates the affective and sensory-discriminative neural processing of pain. Neuroimage, 32, 1804–1814.PubMedCrossRef
Zurück zum Zitat Cho, S., Heiby, E. M., McCracken, L. M., Lee, S. M., & Moon, D. E. (2010). Pain-related anxiety as a mediator of the effects of mindfulness on physical and psychosocial functioning in chronic pain patients in Korea. Journal of Pain, 11, 789–797.PubMedCrossRef Cho, S., Heiby, E. M., McCracken, L. M., Lee, S. M., & Moon, D. E. (2010). Pain-related anxiety as a mediator of the effects of mindfulness on physical and psychosocial functioning in chronic pain patients in Korea. Journal of Pain, 11, 789–797.PubMedCrossRef
Zurück zum Zitat Christianson, J. P., Ragole, T., Amat, J., Greenwood, B. N., Strong, P. V., Paul, E. D., et al. (2010). 5-hydroxytryptamine 2C receptors in the basolateral amygdala are involved in the expression of anxiety after uncontrollable traumatic stress. Biological Psychiatry, 67, 339–345.PubMedCrossRef Christianson, J. P., Ragole, T., Amat, J., Greenwood, B. N., Strong, P. V., Paul, E. D., et al. (2010). 5-hydroxytryptamine 2C receptors in the basolateral amygdala are involved in the expression of anxiety after uncontrollable traumatic stress. Biological Psychiatry, 67, 339–345.PubMedCrossRef
Zurück zum Zitat Christianson, J. P., Thompson, B. M., Watkins, L. R., & Maier, S. F. (2009). Medial prefrontal cortical activation modulates the impact of controllable and uncontrollable stressor exposure on a social exploration test of anxiety in the rat. Stress, 12, 445–450.PubMedCrossRef Christianson, J. P., Thompson, B. M., Watkins, L. R., & Maier, S. F. (2009). Medial prefrontal cortical activation modulates the impact of controllable and uncontrollable stressor exposure on a social exploration test of anxiety in the rat. Stress, 12, 445–450.PubMedCrossRef
Zurück zum Zitat Courvoisier, D. S., & Perneger, T. V. (2010). Validation of alternative formulations of job strain. Journal of Occupational Health, 52, 5–13.PubMedCrossRef Courvoisier, D. S., & Perneger, T. V. (2010). Validation of alternative formulations of job strain. Journal of Occupational Health, 52, 5–13.PubMedCrossRef
Zurück zum Zitat Derbyshire, S. W., Jones, A. K., Gyulai, F., Clark, S., Townsend, D., & Firestone, L. L. (1997). Pain processing during three levels of noxious stimulation produces differential patterns of central activity. Pain, 73, 431–445.PubMedCrossRef Derbyshire, S. W., Jones, A. K., Gyulai, F., Clark, S., Townsend, D., & Firestone, L. L. (1997). Pain processing during three levels of noxious stimulation produces differential patterns of central activity. Pain, 73, 431–445.PubMedCrossRef
Zurück zum Zitat Drugan, R. C., Ader, D. N., & Maier, S. F. (1985). Shock controllability and the nature of stress-induced analgesia. Behavioral Neurosciences, 99, 791–801.CrossRef Drugan, R. C., Ader, D. N., & Maier, S. F. (1985). Shock controllability and the nature of stress-induced analgesia. Behavioral Neurosciences, 99, 791–801.CrossRef
Zurück zum Zitat Drugan, R. C., Basile, A. S., Ha, J. H., Healy, D., & Ferland, R. J. (1997). Analysis of the importance of controllable versus uncontrollable stress on subsequent behavioral and physiological functioning. Brain Research and Brain Research Protocols, 2, 69–74.CrossRef Drugan, R. C., Basile, A. S., Ha, J. H., Healy, D., & Ferland, R. J. (1997). Analysis of the importance of controllable versus uncontrollable stress on subsequent behavioral and physiological functioning. Brain Research and Brain Research Protocols, 2, 69–74.CrossRef
Zurück zum Zitat Erdmann, G., & Jahnke, W. (2008). SVF—Stressverarbeitungsfragebogen: Stress, Stressverarbeitung und ihre Erfassung durch ein mehrdimensionales Testsystem, 4.A. Göttingen: Hogrefe. Erdmann, G., & Jahnke, W. (2008). SVF—Stressverarbeitungsfragebogen: Stress, Stressverarbeitung und ihre Erfassung durch ein mehrdimensionales Testsystem, 4.A. Göttingen: Hogrefe.
Zurück zum Zitat Foster, N. E., Bishop, A., Thomas, E., Main, C., Horne, R., Weinman, J., et al. (2008). Illness perceptions of low back pain patients in primary care: What are they, do they change and are they associated with outcome? Pain, 136, 177–187.PubMedCrossRef Foster, N. E., Bishop, A., Thomas, E., Main, C., Horne, R., Weinman, J., et al. (2008). Illness perceptions of low back pain patients in primary care: What are they, do they change and are they associated with outcome? Pain, 136, 177–187.PubMedCrossRef
Zurück zum Zitat Janke, W., & Debus, G. (1978). EWL–Eigenschaftswörterliste. Eine mehrdimensionale Methode zur Beschreibung von Aspekten des Befindens. Göttingen: Hogrefe Verlag. Janke, W., & Debus, G. (1978). EWL–Eigenschaftswörterliste. Eine mehrdimensionale Methode zur Beschreibung von Aspekten des Befindens. Göttingen: Hogrefe Verlag.
Zurück zum Zitat Kimmel, H. D., King, J., Hudy, J. J., & Gardner, K. A. (1980). A mutual inductance shocker. Behavioral Research Methods and Instrumentation, 12, 605–606.CrossRef Kimmel, H. D., King, J., Hudy, J. J., & Gardner, K. A. (1980). A mutual inductance shocker. Behavioral Research Methods and Instrumentation, 12, 605–606.CrossRef
Zurück zum Zitat Lazarus, R. S. (1991). Emotion and adaptation. New York: Oxford University Press. Lazarus, R. S. (1991). Emotion and adaptation. New York: Oxford University Press.
Zurück zum Zitat Lazarus, R. S., & Folkman, S. (1987). Transactional theory and research on emotions and coping. European Journal of Personality, 1, 141–170.CrossRef Lazarus, R. S., & Folkman, S. (1987). Transactional theory and research on emotions and coping. European Journal of Personality, 1, 141–170.CrossRef
Zurück zum Zitat Maier, S. F. (1986). Stressor controllability and the nature of stress-induced analgesia. Annals of the New York Academy of Sciences, 467, 55–72.PubMedCrossRef Maier, S. F. (1986). Stressor controllability and the nature of stress-induced analgesia. Annals of the New York Academy of Sciences, 467, 55–72.PubMedCrossRef
Zurück zum Zitat Maier, S. F., Drugan, R. C., & Grau, J. W. (1982). Controllability, coping behavior, and stress-induced analgesia in the rat. Pain, 12, 47–56.PubMedCrossRef Maier, S. F., Drugan, R. C., & Grau, J. W. (1982). Controllability, coping behavior, and stress-induced analgesia in the rat. Pain, 12, 47–56.PubMedCrossRef
Zurück zum Zitat Meredith, P. J., Strong, J., & Feeney, J. A. (2006). The relationship of adult attachment to emotion, catastrophizing, control, threshold and tolerance, in experimentally-induced pain. Pain, 120, 44–52.PubMedCrossRef Meredith, P. J., Strong, J., & Feeney, J. A. (2006). The relationship of adult attachment to emotion, catastrophizing, control, threshold and tolerance, in experimentally-induced pain. Pain, 120, 44–52.PubMedCrossRef
Zurück zum Zitat Mohr, C., Leyendecker, S., & Helmchen, C. (2008). Dissociable neural activity to self- vs. externally administered thermal hyperalgesia: A parametric fMRI study. European Journal of Neuroscience, 27, 739–749.PubMedCrossRef Mohr, C., Leyendecker, S., & Helmchen, C. (2008). Dissociable neural activity to self- vs. externally administered thermal hyperalgesia: A parametric fMRI study. European Journal of Neuroscience, 27, 739–749.PubMedCrossRef
Zurück zum Zitat Müller, M. J. (1998). Bedeutung und Prävalenz subjektiver Unkontrollierbarkeit und Hilflosigkeit bei gesunden männlichen Probanden. Psychologische Beiträge, 40, 328–339. Müller, M. J. (1998). Bedeutung und Prävalenz subjektiver Unkontrollierbarkeit und Hilflosigkeit bei gesunden männlichen Probanden. Psychologische Beiträge, 40, 328–339.
Zurück zum Zitat Müller, M. J., & Netter, P. (1992). Unkontrollierbarkeit und Leistungsmotivation–Einflüsse auf Cortisol- und Testosteronkonzentrationsänderungen während einer mental-leistungsbezogenen und einer physisch-aversiven Belastungssituation. Zeitschrift für Medizinische Psychologie, 1, 103–113. Müller, M. J., & Netter, P. (1992). Unkontrollierbarkeit und Leistungsmotivation–Einflüsse auf Cortisol- und Testosteronkonzentrationsänderungen während einer mental-leistungsbezogenen und einer physisch-aversiven Belastungssituation. Zeitschrift für Medizinische Psychologie, 1, 103–113.
Zurück zum Zitat Müller, M. J., & Netter, P. (2000). Relationship of subjective helplessness and pain perception after electric skin stimuli. Stress Medicine, 16, 109–115.CrossRef Müller, M. J., & Netter, P. (2000). Relationship of subjective helplessness and pain perception after electric skin stimuli. Stress Medicine, 16, 109–115.CrossRef
Zurück zum Zitat Oka, S., Chapman, C. R., Kim, B., Shimizu, O., Noma, N., Takeichi, O., et al. (2010). Predictability of painful stimulation modulates subjective and physiological responses. Journal of Pain, 11, 239–246.PubMedCrossRef Oka, S., Chapman, C. R., Kim, B., Shimizu, O., Noma, N., Takeichi, O., et al. (2010). Predictability of painful stimulation modulates subjective and physiological responses. Journal of Pain, 11, 239–246.PubMedCrossRef
Zurück zum Zitat Osman, A., Barrios, F. X., Gutierrez, P. M., Kopper, B. A., Merrifield, T., & Grittmann, L. (2000). The Pain Catastrophizing Scale: Further psychometric evaluation with adult samples. Journal of Behavioral Medicine, 23, 351–365.PubMedCrossRef Osman, A., Barrios, F. X., Gutierrez, P. M., Kopper, B. A., Merrifield, T., & Grittmann, L. (2000). The Pain Catastrophizing Scale: Further psychometric evaluation with adult samples. Journal of Behavioral Medicine, 23, 351–365.PubMedCrossRef
Zurück zum Zitat Palomino, R. A., Nicassio, P. M., Greenberg, M. A., & Medina, E. P., Jr. (2007). Helplessness and loss as mediators between pain and depressive symptoms in fibromyalgia. Pain, 129, 185–194.PubMedCrossRef Palomino, R. A., Nicassio, P. M., Greenberg, M. A., & Medina, E. P., Jr. (2007). Helplessness and loss as mediators between pain and depressive symptoms in fibromyalgia. Pain, 129, 185–194.PubMedCrossRef
Zurück zum Zitat Peterson, C., Maier, S. F., & Seligman, M. E. P. (1995). Learned helplessness. A theory for the age of personal control. New York: Oxford University Press. Peterson, C., Maier, S. F., & Seligman, M. E. P. (1995). Learned helplessness. A theory for the age of personal control. New York: Oxford University Press.
Zurück zum Zitat Peterson, C., Semmel, A., Metalsky, G., Abramson, L. Y., Baeyer, C., & Seligman, M. E. P. (1982). The attribution style questionnaire. Cognitive Therapy Research, 6, 287–300.CrossRef Peterson, C., Semmel, A., Metalsky, G., Abramson, L. Y., Baeyer, C., & Seligman, M. E. P. (1982). The attribution style questionnaire. Cognitive Therapy Research, 6, 287–300.CrossRef
Zurück zum Zitat Piñerua-Shuhaibar, L., Villalobos, N., Delgado, N., Rubio, M. A., & Suarez-Roca, H. (2011). Enhanced central thermal nociception in mildly depressed nonpatients and transiently sad healthy subjects. Journal of Pain, 12, 360–369.PubMedCrossRef Piñerua-Shuhaibar, L., Villalobos, N., Delgado, N., Rubio, M. A., & Suarez-Roca, H. (2011). Enhanced central thermal nociception in mildly depressed nonpatients and transiently sad healthy subjects. Journal of Pain, 12, 360–369.PubMedCrossRef
Zurück zum Zitat Poppe, P., Stiensmeier-Pelster, J., & Pelster, A. (2005). ASF-E—Attributionsstilfragebogen für Erwachsene. Göttingen: Hogrefe Verlag. Poppe, P., Stiensmeier-Pelster, J., & Pelster, A. (2005). ASF-E—Attributionsstilfragebogen für Erwachsene. Göttingen: Hogrefe Verlag.
Zurück zum Zitat Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.PubMedCrossRef Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.PubMedCrossRef
Zurück zum Zitat Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007). Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42, 185–227.CrossRef Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007). Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42, 185–227.CrossRef
Zurück zum Zitat Salomons, T. V., Johnstone, T., Backonja, M. M., & Davidson, R. J. (2004). Perceived controllability modulates the neural response to pain. Journal of Neuroscience, 24, 7199–7203.PubMedCrossRef Salomons, T. V., Johnstone, T., Backonja, M. M., & Davidson, R. J. (2004). Perceived controllability modulates the neural response to pain. Journal of Neuroscience, 24, 7199–7203.PubMedCrossRef
Zurück zum Zitat Salomons, T. V., Johnstone, T., Backonja, M. M., Shackman, A. J., & Davidson, R. J. (2007). Individual differences in the effects of perceived controllability on pain perception: Critical role of the prefrontal cortex. Journal of Cognitive Neurosciences, 19, 993–1003.CrossRef Salomons, T. V., Johnstone, T., Backonja, M. M., Shackman, A. J., & Davidson, R. J. (2007). Individual differences in the effects of perceived controllability on pain perception: Critical role of the prefrontal cortex. Journal of Cognitive Neurosciences, 19, 993–1003.CrossRef
Zurück zum Zitat Samwel, H. J., Evers, A. W., Crul, B. J., & Kraaimaat, F. W. (2006). The role of helplessness, fear of pain, and passive pain-coping in chronic pain patients. Clinical Journal of Pain, 22, 245–251.PubMedCrossRef Samwel, H. J., Evers, A. W., Crul, B. J., & Kraaimaat, F. W. (2006). The role of helplessness, fear of pain, and passive pain-coping in chronic pain patients. Clinical Journal of Pain, 22, 245–251.PubMedCrossRef
Zurück zum Zitat Seligman, M. E. P. (1975). Helplessness, on depression, development and death. San Francisco: Freeman and Company. Seligman, M. E. P. (1975). Helplessness, on depression, development and death. San Francisco: Freeman and Company.
Zurück zum Zitat Strigo, I. A., Simmons, A. N., Matthews, S. C., Craig, A. D., & Paulus, M. P. (2008). Increased affective bias revealed using experimental graded heat stimuli in young depressed adults: Evidence of “emotional allodynia”. Psychosomatic Medicine, 70, 338–344.PubMedCrossRef Strigo, I. A., Simmons, A. N., Matthews, S. C., Craig, A. D., & Paulus, M. P. (2008). Increased affective bias revealed using experimental graded heat stimuli in young depressed adults: Evidence of “emotional allodynia”. Psychosomatic Medicine, 70, 338–344.PubMedCrossRef
Zurück zum Zitat Sullivan, M. J. L., Bishop, S., & Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment, 7, 432–524.CrossRef Sullivan, M. J. L., Bishop, S., & Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment, 7, 432–524.CrossRef
Zurück zum Zitat Tanaka-Matsumi, J., & Kameoka, V. A. (1986). Reliabilities and concurrent validities of popular self-report measures of depression, anxiety and social desirability. Journal of Consulting and Clinical Psychology, 54, 328–333.PubMedCrossRef Tanaka-Matsumi, J., & Kameoka, V. A. (1986). Reliabilities and concurrent validities of popular self-report measures of depression, anxiety and social desirability. Journal of Consulting and Clinical Psychology, 54, 328–333.PubMedCrossRef
Zurück zum Zitat Taylor, J. A. (1953). A personality scale of manifest anxiety. Journal of Abnormal Social Psychology, 18, 285–290. Taylor, J. A. (1953). A personality scale of manifest anxiety. Journal of Abnormal Social Psychology, 18, 285–290.
Zurück zum Zitat Thompson, S. C. (1981). Will it hurt less if I can control it? A complex answer to a simple question. Psychological Bulletin, 90, 89–101.PubMedCrossRef Thompson, S. C. (1981). Will it hurt less if I can control it? A complex answer to a simple question. Psychological Bulletin, 90, 89–101.PubMedCrossRef
Zurück zum Zitat Turk, D. C., & Feldman, C. S. (1992). Noninvasive approaches to pain control in terminal illness: The contribution of psychological variables. Hospital Journal, 8, 1–23.CrossRef Turk, D. C., & Feldman, C. S. (1992). Noninvasive approaches to pain control in terminal illness: The contribution of psychological variables. Hospital Journal, 8, 1–23.CrossRef
Zurück zum Zitat Turk, D. C., Meichenbaum, D., & Genest, M. (1983). Pain and behavioral medicine: A cognitive behavioral perspective. New York: Guilford Press. Turk, D. C., Meichenbaum, D., & Genest, M. (1983). Pain and behavioral medicine: A cognitive behavioral perspective. New York: Guilford Press.
Zurück zum Zitat Villemure, C., & Bushnell, M. C. (2009). Mood influences supraspinal pain processing separately from attention. Journal of Neuroscience, 29, 705–715.PubMedCrossRef Villemure, C., & Bushnell, M. C. (2009). Mood influences supraspinal pain processing separately from attention. Journal of Neuroscience, 29, 705–715.PubMedCrossRef
Zurück zum Zitat Wager, T. D., Matre, D., & Casey, K. L. (2006). Placebo effects in laser-evoked pain potentials. Brain, Behavior, and Immunity, 20, 219–230.PubMedCrossRef Wager, T. D., Matre, D., & Casey, K. L. (2006). Placebo effects in laser-evoked pain potentials. Brain, Behavior, and Immunity, 20, 219–230.PubMedCrossRef
Zurück zum Zitat Wiech, K., Kalisch, R., Weiskopf, N., Pleger, B., Stephan, K. E., & Dolan, R. J. (2006). Anterolateral prefrontal cortex mediates the analgesic effect of expected and perceived control over pain. Journal of Neuroscience, 26, 11501–11509.PubMedCrossRef Wiech, K., Kalisch, R., Weiskopf, N., Pleger, B., Stephan, K. E., & Dolan, R. J. (2006). Anterolateral prefrontal cortex mediates the analgesic effect of expected and perceived control over pain. Journal of Neuroscience, 26, 11501–11509.PubMedCrossRef
Zurück zum Zitat Wittchen, H. U., Zaudig, M., & Fydrich, T. (1997). Strukturiertes Klinisches Interview für DSM-IV (SKID). Göttingen: Hogrefe. Wittchen, H. U., Zaudig, M., & Fydrich, T. (1997). Strukturiertes Klinisches Interview für DSM-IV (SKID). Göttingen: Hogrefe.
Metadaten
Titel
Will it hurt less if I believe I can control it? Influence of actual and perceived control on perceived pain intensity in healthy male individuals: a randomized controlled study
verfasst von
Matthias J. Müller
Publikationsdatum
01.10.2012
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 5/2012
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-011-9382-0

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