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No evidence for a link between mental health symptoms and pain thresholds

Böhme, Rebecca Astrid LU ; Banellis, Leah ; Vejlø, Melina ; Allen, Micah G. and Fardo, Francesca (2026) In Anxiety, Stress and Coping 39(1). p.101-117
Abstract

Background and Objectives: Previous studies have suggested associations between pain perception and psychological factors such as mood, distress, fatigue, and quality of life. However, these factors and their relationship to pain sensitivity have typically been investigated in isolation and with insufficient sample sizes. To address these limitations, we examine the interplay between distinct psychological factors and thermal pain sensitivity in a large adult sample. Methods: We implemented a multivariate latent variable modeling approach in a sizable sample of adult participants (n = 257), to examine the interplay between distinct psychological factors and thermal pain sensitivity. Using exploratory factor analysis of 10 mental health... (More)

Background and Objectives: Previous studies have suggested associations between pain perception and psychological factors such as mood, distress, fatigue, and quality of life. However, these factors and their relationship to pain sensitivity have typically been investigated in isolation and with insufficient sample sizes. To address these limitations, we examine the interplay between distinct psychological factors and thermal pain sensitivity in a large adult sample. Methods: We implemented a multivariate latent variable modeling approach in a sizable sample of adult participants (n = 257), to examine the interplay between distinct psychological factors and thermal pain sensitivity. Using exploratory factor analysis of 10 mental health questionnaires, we identified three psychological factors related to distress, fatigue and bodily symptoms. Additionally, we established a measure of laboratory pain sensitivity by applying principal component analysis to three thermal pain thresholds (cold, heat, and combined cold and heat). Results: Regression analyses revealed no significant relationships between psychological factors and laboratory measures of thermal pain across individuals ranging from asymptomatic to those with subclinical and clinical mental health manifestations. Conclusion: Our findings provide no evidence supporting an association between psychological factors, either individually or collectively, and thermal pain sensitivity.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
exploratory factor analysis, mental health, Pain, thermal grill illusion, thermal perception
in
Anxiety, Stress and Coping
volume
39
issue
1
pages
17 pages
publisher
Brunner - Routledge (US)
external identifiers
  • pmid:40738485
  • scopus:105012247592
ISSN
1061-5806
DOI
10.1080/10615806.2025.2534858
language
English
LU publication?
yes
id
e8bccb3d-6f4a-4ee7-b23b-a11aa8d1a019
date added to LUP
2026-01-09 09:53:37
date last changed
2026-01-09 09:54:49
@article{e8bccb3d-6f4a-4ee7-b23b-a11aa8d1a019,
  abstract     = {{<p>Background and Objectives: Previous studies have suggested associations between pain perception and psychological factors such as mood, distress, fatigue, and quality of life. However, these factors and their relationship to pain sensitivity have typically been investigated in isolation and with insufficient sample sizes. To address these limitations, we examine the interplay between distinct psychological factors and thermal pain sensitivity in a large adult sample. Methods: We implemented a multivariate latent variable modeling approach in a sizable sample of adult participants (n = 257), to examine the interplay between distinct psychological factors and thermal pain sensitivity. Using exploratory factor analysis of 10 mental health questionnaires, we identified three psychological factors related to distress, fatigue and bodily symptoms. Additionally, we established a measure of laboratory pain sensitivity by applying principal component analysis to three thermal pain thresholds (cold, heat, and combined cold and heat). Results: Regression analyses revealed no significant relationships between psychological factors and laboratory measures of thermal pain across individuals ranging from asymptomatic to those with subclinical and clinical mental health manifestations. Conclusion: Our findings provide no evidence supporting an association between psychological factors, either individually or collectively, and thermal pain sensitivity.</p>}},
  author       = {{Böhme, Rebecca Astrid and Banellis, Leah and Vejlø, Melina and Allen, Micah G. and Fardo, Francesca}},
  issn         = {{1061-5806}},
  keywords     = {{exploratory factor analysis; mental health; Pain; thermal grill illusion; thermal perception}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{101--117}},
  publisher    = {{Brunner - Routledge (US)}},
  series       = {{Anxiety, Stress and Coping}},
  title        = {{No evidence for a link between mental health symptoms and pain thresholds}},
  url          = {{http://dx.doi.org/10.1080/10615806.2025.2534858}},
  doi          = {{10.1080/10615806.2025.2534858}},
  volume       = {{39}},
  year         = {{2026}},
}