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A THINK-ALOUD TECHNIQUE IN PAIN MANAGEMENT

This exploratory study of pain reactions examined the effects of cognitive coping style, repeated trials, and cognitive strategy in addition to examining two cognitive assessment devices, an open-ended questionnaire and a think-aloud technique. College students (N = 80) were administered two pain trials of a cold pressor. Expected differences between Control, Distraction, Think-Silently, and Think-Aloud groups were not found. Almost all subjects attempted to cope regardless of instructed coping strategy. Copers and catastrophizers responded differently to self-efficacy level and strength, pain tolerance, and perceived pain. Changes in dependent measures due to a repeated cold pressor trial were found with increased anxiety, changes in self-efficacy, decreased heart rates, and increased perceived pain. Differences in high and low tolerance groups were found with associations of high tolerance with a coping cognitive style, low anxiety for catastrophizers, high anxiety for copers, consistent high self-efficacy level and strength for copers, no heart rate or perceived pain differences, an increased number of calculations for the Distraction group, and fewer statements for the Think-Aloud group. Sex differences were found with males demonstrating higher self-efficacy strength and pain tolerance levels than females. Within group differences were reviewed briefly as were unexpected results. The open-ended questionnaire was administered immediately following the second cold pressor trial and yielded information on cognitive coping style. The Think-Aloud assessment yielded considerably less information on cognitive activity but the content was generally supportive of the content of the open-ended questionnaire. The use of the think-aloud technique as a valid assessment device was questionable without training. Implications for future studies of pain examining / cognitive activity, with or without pretests, and possible mediating and accompanying variables were discussed. In addition, limitations in generalizability to chronic and clinical pain were reviewed. / Source: Dissertation Abstracts International, Volume: 48-10, Section: B, page: 3109. / Thesis (Ph.D.)--The Florida State University, 1987.

Identiferoai:union.ndltd.org:fsu.edu/oai:fsu.digital.flvc.org:fsu_76171
ContributorsFRENZEL, MARY PATRICIA., Florida State University
Source SetsFlorida State University
Detected LanguageEnglish
TypeText
Format216 p.
RightsOn campus use only.
RelationDissertation Abstracts International

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