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The Effect of State Anxiety on Pain Thresholds
Abstract
Pain is a subjective experience affected by a range of psychological factors, including
anxiety. Anxiety is an adaptive response to real or potential danger, divided into two sub-
categories; state anxiety and trait anxiety. Induced state anxiety has consistently been found
to decrease pain thresholds. The current study aims to extend these findings, in light of
contradictory research leaving a gap in the ability to explain the relationship fully. 48
participants, with a mean age of 20.67 years partook in one of three conditions; increased
anxiety, reduced anxiety or control. An algometer was used to measure pain thresholds pre
and post-anxiety manipulation alongside the state subscale of the State-Trait Anxiety
Inventory for Adults (STAI-Ad) as a state anxiety manipulation check. A 3x2 mixed
ANOVA revealed no significant effect of time (pre/post) or anxiety on pain thresholds,
however revealed a significant interaction between time and anxiety, with significantly
decreased post-anxiety manipulation pain thresholds compared to pre-anxiety manipulation in
the reduced anxiety condition. The findings infer that a reduction in anxiety significantly
increases pain thresholds, whereas an increase in anxiety has no significant effect on pain
thresholds. Future research should account for methodological issues within the current study
and focus on utilising an alternative or prolonged method of anxiety induction.

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The Effect of State Anxiety on Pain Thresholds

  • 1. The Effect of State Anxiety on Pain Thresholds Abstract Pain is a subjective experience affected by a range of psychological factors, including anxiety. Anxiety is an adaptive response to real or potential danger, divided into two sub- categories; state anxiety and trait anxiety. Induced state anxiety has consistently been found to decrease pain thresholds. The current study aims to extend these findings, in light of contradictory research leaving a gap in the ability to explain the relationship fully. 48 participants, with a mean age of 20.67 years partook in one of three conditions; increased anxiety, reduced anxiety or control. An algometer was used to measure pain thresholds pre and post-anxiety manipulation alongside the state subscale of the State-Trait Anxiety Inventory for Adults (STAI-Ad) as a state anxiety manipulation check. A 3x2 mixed ANOVA revealed no significant effect of time (pre/post) or anxiety on pain thresholds, however revealed a significant interaction between time and anxiety, with significantly decreased post-anxiety manipulation pain thresholds compared to pre-anxiety manipulation in the reduced anxiety condition. The findings infer that a reduction in anxiety significantly increases pain thresholds, whereas an increase in anxiety has no significant effect on pain thresholds. Future research should account for methodological issues within the current study and focus on utilising an alternative or prolonged method of anxiety induction.