Do cheerfulness, exhilaration, and humor production moderate pain tolerance? A FACS study

Prior studies have shown that watching a funny film leads to an increase in pain tolerance. The present study aimed at separating three factors considered potentially essential (mood, behavior, and cognition related to humor) and examined whether they are responsible for this effect. Furthermore, the study examined whether trait cheerfulness and trait seriousness, as measured by the State-Trait-Cheerfulness-Inventory (STCI; Ruch et al. 1996), moderate changes in pain tolerance. Fifty-sixty female subjects were assigned randomly to three groups, each having a different task to pursue while watching a funny film: (1) get into a cheerful mood without smiling or laughing ("Cheerfulness"); (2) smile and laugh extensively ("Exhilaration"); and (3) produce a humorous commentary to the film ("Humor production"). Pain tolerance was measured using the cold pressor test before, immediately after, and twenty minutes after the film. Results indicated that pain tolerance increased for participants from before to after watching the funny film and remained high for the twenty minutes. This effect was moderated by facial but not verbal indicators of enjoyment of humor. Participants low in trait seriousness had an overall higher pain tolerance. Subjects with a high score in trait cheerfulness showed an increase in pain tolerance after producing humor while watching the film whereas subjects low in trait cheerfulness showed a similar increase after smiling and laughter during the film

The influence of a virtual companion on amusement when watching funny films

We investigated the role of a virtual companion and trait cheerfulness on the elicitation of amusement. Ninety participants watched funny films in four conditions: either alone, with a virtual companion laughing or verbally expressing amusement at fixed time points (pre-scripted), or additionally joining the participant’s laughter (responsive companion). Amusement was assessed facially and vocally by coding Duchenne Displays and laughter vocalizations. Participants’ cheerful mood pre and post the film watching and positive experience were assessed. Results showed that high trait cheerful individuals generally experienced and expressed more amusement than low trait cheerful individuals. The presence of a virtual companion (compared to being alone) led to more laughter for individuals low in trait cheerfulness. Unexpectedly, the responsive companion did not elicit more amusement than the pre-scripted companion. The general disliking of virtual companions and gelotophobia related negatively to amusement. Amusement expressing virtual companions may be used in interventions aiming at eliciting positive responses, especially for individuals with higher thresholds for amusement.European Union Seventh Framework Programme (FP7/2007-2013) under Grant Agreement No. 27078

Post-operative pain management through music-induced analgesia: Investigating musical constructs

Distraction and attention-diversion approaches are widely integrated into pain management. Music-induced analgesia, the ability of music to reduce pain perception, is a clinically-relevant approach for managing pain, anxiety and psychological well-being. Research categorises audio-analgesic interventions as homogenous, however enquiry is required to identify which musical constructs may be therapeutically effective. This study investigated the impact of harmony and rhythm on acute, post-operative pain in a sample of 98 patients scheduled for knee surgery. Four music listening groups were compared against controls using silent relaxation. After surgery using standardised anaesthesia, participants undertook a 15-minute intervention per day of in-patient stay. Measures of pain intensity, pain interference, salivary cortisol concentration and mood were obtained. All participants showed reductions in pain from pre- to post-test, indicating silent relaxation was as effective as music listening. Salivary cortisol concentrations showed that music with high harmonicity/rhythmicity reduced cortisol concentration to a greater extent on Day 1 than music with low harmonicity/rhythmicity. These findings validate the homogenous use of auditory distraction for audio-analgesia, and importantly emphasise the core role of compositional musical constructs in maximising early postoperative recovery. Results support the need for additional psychobiological research examining the efficacy of audio-analgesic attention-diversion interventions used in pain management