In this research, meta-analyses were performed to evaluate associations between primary appraisals of pain as a source of threat and/or challenge on responses to noxious laboratory stimuli and chronic, noncancer pain. Twenty-two laboratory pain studies comprising 2,031 participants and 59 chronic pain studies were identified for analyses. For laboratory pain, elevated threat appraisals were linked to overall increases in reported pain, reduced pain tolerance and high levels of passive coping. For chronic pain studies, threat appraisals had positive overall correlations with pain intensity, impairment, affective distress and passive coping but were negatively related to active coping.

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