Skip to main content
Log in

Desired control, felt control, and dental pain: Recent findings and remaining issues

  • Published:
Motivation and Emotion Aims and scope Submit manuscript

Abstract

This paper reviews a series of studies examining how desire for control among dental patients affects their reaction to dental treatment. This research (across eight samples) indicates that low perceived control is associated with heightened stressful responding before and during dental treatment only among patients reporting high desire for control Thus, the impact of low perceived control appears to be moderated by desire for control. An additional finding is that manipulations of control (e.g., providing information, stress inoculation training) primarily impact patients reporting both a high desire for control (during treatment) and low initial perceived control. These data suggest that consideration of patients' desire for control in addition to their perceived control increases our ability to predict their level of dental stress. Additionally, these data provide initial support for the view that the discrepancy between high desire for control and low perceived control play a causal role in patient's perceptions of dental pain and fear.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Ahles, T. A., Blanchard, E. B., & Leventhal, H. (1983). Cognitive control of pain: Attention to the sensory aspects of the cold pressor stimulus.Cognitive Therapy and Research, 7 159–178.

    Google Scholar 

  • Anderson, R., Baron, R., & Logan, H. (1991). Distraction, control and dental stress.Journal of Applied Social Psychology, 21(2 156–171.

    Google Scholar 

  • Auerbach, S. M., Kendall, P. C., Cuttler, H. F., & Levitt, N. R. (1976). Anxiety, locus of control, type of preparation information, and adjustment to dental surgery.Journal of Consulting and Clinical Psychology, 44 809–818.

    Google Scholar 

  • Auerbach, S., Martelli, M., & Mercuri, L. (1983). Anxiety, information, interpersonal impacts, and adjustment to a stressful health care situation.Journal of Personality and Social Psychology, 44(6 1284–1296.

    Google Scholar 

  • Averill, J. R. (1973). Personal control over aversive stimuli and its relationship to stress.Psychological Bulletin, 80 286–303.

    Google Scholar 

  • Baron, R. S., Logan, H., & Hoppe, S. (1993). Emotional and sensory focus as mediators of dental pain among patients differing in desired and felt control.Health Psychology, 12 381–389.

    Google Scholar 

  • Brock, T. C. (1967). Communication discrepancy and intent to persuade as determinants of counter argument production.Journal of Experimental Social Psychology, 3 296–309.

    Google Scholar 

  • Burger, J. (1989). Negative reactions to increases in perceived personal control.Journal of Personality and Social Psychology, 56 246–256.

    Google Scholar 

  • Burger, J. M. (1992).Desire for control. New York: Plenum.

    Google Scholar 

  • Burger, J., & Cooper, H. (1979). The desirability of control.Motivation and Emotion, 3 381–393.

    Google Scholar 

  • Calvert-Boyanowsky, J., & Leventhal, H. (1975). The role of information in attenuating behavioral responses to stress: A reinterpretation of the misattribution phenomenon.Journal of Personality and Social Psychology, 32 214–221.

    Google Scholar 

  • Cioffi, D. (1991). Beyond attentional strategies: A cognitive-perceptual model of somatic interpretation.Psychological Bulletin, 109 25–41.

    Google Scholar 

  • Corah, N., Bissel, D., & Illig, S. (1978). Effects of perceived control on stress reduction in adult dental patient.Journal of Dental Research, 57 74–76.

    Google Scholar 

  • Corah, N., Gale, E., & Illig, S. (1979). Psychological stress reduction during dental procedures.Journal of Dental Research, 58 1347–1351.

    Google Scholar 

  • Folkman, S., & Lazarus, R. (1985). If it changes it must be a process: Study of emotion and coping during three stages of a college examination.Journal of Personality and Social Psychology, 48 150–170.

    Google Scholar 

  • Gracely, R. H., McGrath, P., & Dubner, R. (1978). Ratio scales of sensory and affective verbal pain descriptions.Pain, 5 5–18.

    Google Scholar 

  • Huskisson, E. C. (1983). Visual Analogue Scales. In R. Melzack (Ed.),Pain measurement and assessment (pp. 33–37). New York: Raven Press.

    Google Scholar 

  • Johnson, J. E., & Leventhal, H. (1974). Effects of accurate expectations and behavioral instructions on reactions during a noxious medical examination.Journal of Personality and Social Psychology, 29 710–718.

    Google Scholar 

  • Kleinknecht, R. A., & Bernstein, D. A. (1978). The assessment of dental fear.Behavior Therapy, 9 626–634.

    Google Scholar 

  • Langer, E., Janis, I., & Wolfer, J. (1975). Reduction of psychological stress in surgical patients.Journal of Experimental Social Psychology, 11(15 155–165.

    Google Scholar 

  • Law, A., Logan, H., & Baron, R. S. (1993).The mediating effect of desired and felt control on stress inoculation training as a treatment for dental stress. Unpublished manuscript. University of Iowa.

  • Lazarus, R. S. (1981). The stress and the coping paradigm. In C. Eisdorfer, D. Cohen, A. Kleinman, & P. Maxim (Eds.),Models for clinical psychopathology (pp. 1770–183, 192–201). Jamaica, NY: Spectrum.

    Google Scholar 

  • Lefcourt, H. (1982).Locus of control: Current trends in theory & research (2nd edition). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Leventhal, E. A., Leventhal, H., Shacham, S., & Easterling, D. V. (1989). Active coping reduces reports of pain from childbirth.Journal of Consulting and Clinical Psychology, 57 365–372.

    Google Scholar 

  • Leventhal, H. (1982). The integration of emotion and cognition: A view from the perceptual-motor theory of emotion. In M. S. Clark & S. T. Fiske (Eds.),Affect and cognition (pp. 121–156). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Leventhal, H. (1990). Emotional and behavioral processes. In M. Johnston & L. Wallace (Eds.),Stress and medical procedures (pp. 25–57). New York: Oxford University Press.

    Google Scholar 

  • Leventhal, H., Brown, D., Shacham, S., & Engquist, G. (1979). Effect of preparatory information about sensations, threat of pain and attention on cold pressor distress.Journal of Personality and Social Psychology, 37 688–714.

    Google Scholar 

  • Logan, H., & Baron, R. S. (1987). Perceived control and dental fear.Journal of Dental Research, 66 345.

    Google Scholar 

  • Logan, H., & Baron, R. S. (1993).Sensory focus and procedural information as therapeutic treatments for dental stress. Unpublished manuscript. University of Iowa.

  • Logan, H., Baron, R. S., Keeley, K., Law, A., Moreland, M., & Stein, S. (1991). Desired and felt control as mediators of stress in a dental setting.Health Psychology, 10(5 352–359.

    Google Scholar 

  • Logan, H., Baron, R. S., & Moreland, M. (1992).Preparatory information for root canal treatment: Does sensory information influence emotional processing. Unpublished manuscript, University of Iowa.

  • Malow, R. M., West, J. A., & Sutker, P. B. (1987). A sensory decision theory analysis of anxiety and pain responses in chronic drug abusers.Journal of Abnormal Psychology, 96 184–189.

    Google Scholar 

  • Meichenbaum, D. H. (1985).Stress inoculation training. New York: Pergamon Press.

    Google Scholar 

  • Miller, N., & Baron, R. S. (1973). On measuring counterarguing.Journal for the Theory of Social Behavior, 3 101–118.

    Google Scholar 

  • Miller, S. M. (1987). Monitoring and blunting: Validation of a questionnaire to assess styles of information seeking under threat.Journal of Personality and Social Psychology, 52 345–353.

    Google Scholar 

  • Miller, S. M., & Mangan, C. (1983). Interacting effects of information and coping style in adapting to gynecologic stress: Should the doctor tell all?Journal of Personality and Social Psychology, 45(1 223–236.

    Google Scholar 

  • Moreland, M., Logan, H., & Baron, R. S. (1991).Manipulating control with sensory procedural information. Unpublished manuscript. University of Iowa (originally presented as Moreland & Logan).

  • Padilla, G. V., Grant, M. M., Rains, B. L., Hansen, B. C., Bergstrom, N., Wong, H. L., Hanson, R., & Kubo, W. (1981). Distress reduction and the effects of preparatory teaching films and patient control.Research in Nursing and Health, 4 375–387.

    Google Scholar 

  • Risner, A., & Logan, H. (1991).Stressful responding and pain among chronic, acute and non-pain subjects. Unpublished manuscript. University of Iowa.

  • Schultheis, K., Peterson, L., & Shelby, V. (1987). Preparation for stressful medical procedures and person × treatment interactions.Clinical Psychology Review, 7 329–352.

    Google Scholar 

  • Smith, R. A., Wallston, B. S., Wallston, K. A., Forsberg, P. R., & King, J. E. (1984). Measuring desire for control of health care processes.Journal of Personality and Social Psychology, 47 415–426.

    Google Scholar 

  • Sternbach, R. A. (1986). Clinical aspects of pain. In R. A. Sternbach (Ed.),The psychology of pain (2nd ed.). New York: Raven Press.

    Google Scholar 

  • Suls, J., & Fletcher, B. (1985). The relative efficacy of avoidant and nonavoidant coping strategies: A meta-analysis.Health Psychology, 4(3 249–288.

    Google Scholar 

  • Suls, J., & Wan,, C. K. (1989). Effects of sensory and procedural information on coping with stressful medical procedures and pain: A meta-analysis.Journal of Consulting and Clinical Psychology, 57(3 372–379.

    Google Scholar 

  • Thompson, S. (1981). Will it hurt less if I can control it? A complex answer to a simple question.Psychological Bulletin, 90 89–101.

    Google Scholar 

  • Wallston, K., Wallston, B., & DeVellis, R. (1978). Development of Multidimensional Health Locus of Control (MHLC) Scales.Health Education Monographs, 6 160–170.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This research was supported by grant USPHS-NIH 5 RO1 DEO 9419-02 (H. L. and R. B. coprincipal investigators) and by BRSG/College of Dentistry seed money.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Baron, R.S., Logan, H. Desired control, felt control, and dental pain: Recent findings and remaining issues. Motiv Emot 17, 181–204 (1993). https://doi.org/10.1007/BF00992219

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00992219

Keywords

Navigation