Journal of Pediatric Psychology 29(5) pp. 379-388, 2004
Journal of Pediatric Psychology vol. 29 no. 5 © Society of Pediatric Psychology 2004; all rights reserved
Role of Anticipatory Anxiety and Anxiety Sensitivity in Children's and Adolescents' Laboratory Pain Responses
1 National Rural Behavioral Health Center, Department of Clinical and Health Psychology, College of Health Professions, University of Florida, 2 Pediatric Pain Program, Departments of Pediatrics, Anesthesiology, Psychiatry, and Biobehavioral Sciences, David Geffen School of Medicine at the University of California, Los Angeles, 3 Department of Psychology, University of California, Los Angeles
All correspondence should be sent to Jennie C. I. Tsao, National Rural Behavioral Health Center, Department of Clinical and Health Psychology, University of Florida, P.O. Box 100165, Gainesville, Florida 32610–0165. E-mail: jtsao{at}mednet.ucla.edu
Objective To examine relationships among trait anxiety sensitivity, state task-specific anticipatory anxiety, and laboratory pain responses in healthy children and adolescents. Methods Participants (N=118, 49.2% female, ages 8–18 years) completed a measure of anxiety sensitivity and rated anticipatory anxiety prior to undergoing thermal, pressure, and cold pain tasks. Linear and logistic regressions were used to test the hypothesis that anxiety sensitivity and anticipatory anxiety would predict incremental variance in pain response after controlling for sex, age, and anxious symptoms. Results Anticipatory anxiety accounted for 35–38% of unique variance in pain report across tasks, and 10% of unique variance in thermal tolerance. Anxiety sensitivity was unrelated to pain responses. Conclusions Task-specific anxiety is an important predictor of pain report and, in certain cases, pain tolerance. Interventions designed to reduce task-specific anticipatory anxiety may help reduce pain responses in children and adolescents.
Key words: laboratory pain; anxiety; anxiety sensitivity; children; adolescents.
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