Effects of pain acceptance and pain control strategies on physical impairment in individuals with chronic low back pain

Psychosocial treatments for chronic pain are effective. There is a need, however, to understand the processes involved in determining how these treatments contribute to behavior change. Control and acceptance strategies represent two potentially important processes involved in treatment, although they differ significantly in approach. Results from laboratory-based studies suggest that acceptance-oriented strategies significantly enhance pain tolerance and behavioral persistence, compared with control-oriented strategies. There is a need, however, to investigate processes of acceptance and control directly in clinical settings. The present study investigated the effects of three brief instructional sets (pain control, pain acceptance, continued practice) on demonstrated physical impairment in 74 individuals with chronic low back pain using an analogue experimental design. After controlling for baseline performance, the pain acceptance group demonstrated greater overall functioning on a set of 7 standardized physical tasks relative to the other two groups, which did not differ from one another. Further, the acceptance group exhibited a 16.3% improvement in impairment, whereas the pain control group worsened by 8.3% and the continued practice group improved by 2.5%. These results suggest that acceptance may be a key process involved in behavior change in individuals with chronic pain.     

Consumer credit card use: the roles of creditor disclosure and anticipated emotion

In response to federal legislative reform aimed, in part, at reducing consumer bankruptcy filings, the authors conducted 2 experiments examining the role of affect in purchasing behavior. In Experiment 1, they examined consumer debtors, and in Experiment 2, they examined nondebtors. In both experiments, they investigated purchasing decisions made during a simulated online shopping trip, with some participants receiving standard disclosures of interest rates and money owed and with other participants receiving information under the new enhanced disclosure regulations. Results demonstrated support for the influence of anticipated affect in credit card use among both debtors and nondebtors and indicated that anticipated emotion may moderate the impact of the enhanced disclosure regulations.     

Business or pleasure? Utilitarian versus hedonic considerations in emotion regulation

It is widely accepted that emotions have utilitarian as well as hedonic consequences. Nevertheless, it is typically assumed that individuals regulate emotions to obtain hedonic, rather than utilitarian, benefits. In this study, the authors tested whether individuals represent the utility of pleasant and unpleasant emotions and whether they would be motivated to experience unpleasant emotions if they believed they could be useful. First, findings revealed that participants explicitly viewed approach emotions (e.g., excitement) as useful for obtaining rewards, but viewed avoidance emotions (e.g., worry) as useful for avoiding threats. Second, this pattern was replicated in implicit representations of emotional utility, which were dissociated from explicit ones. Third, implicit, but not explicit, representations of emotional utility predicted motives for emotion regulation. When anticipating a threatening task, participants who viewed emotions such as worry and fear as useful for avoiding threats preferred to engage in activities that were likely to increase worry and fear (vs. excitement) before the task. These findings demonstrate that utilitarian considerations play an important, if underappreciated, role in emotion regulation.     

Same situation--different emotions: how appraisals shape our emotions

Appraisal theories of emotion hold that it is the way a person interprets a situation--rather than the situation itself--that gives rise to one emotion rather than another emotion (or no emotion at all). Unfortunately, most prior tests of this foundational hypothesis have simultaneously varied situations and appraisals, making an evaluation of this assumption difficult. In the present study, participants responded to a standardized laboratory situation with a variety of different emotions. Appraisals predicted the intensity of individual emotions across participants. In addition, subgroups of participants with similar emotional response profiles made comparable appraisals. Together, these findings suggest that appraisals may be necessary and sufficient to determine different emotional reactions toward a particular situation.     

Emotion Regulation in Adulthood: Timing Is Everything

Emotions seem to come and go as they please. However, we actually hold considerable sway over our emotions: We influence which emotions we have and how we experience and express these emotions. The process model of emotion regulation described here suggests that how we regulate our emotions matters. Regulatory strategies that act early in the emotion-generative process should have quite different outcomes than strategies that act later. This review focuses on two widely used strategies for down-regulating emotion. The first, reappraisal, comes early in the emotion-generative process. It consists of changing how we think about a situation in order to decrease its emotional impact. The second, suppression, comes later in the emotion-generative process. It involves inhibiting the outward signs of emotion. Theory and research suggest that reappraisal is more effective than suppression. Reappraisal decreases the experience and behavioral expression of emotion, and has no impact on memory. By contrast, suppression decreases behavioral expression, but fails to decrease the experience of emotion, and actually impairs memory. Suppression also increases physiological responding in both the suppressors and their social partners.