Pain communication through body posture

the development and validation of a stimulus set

Joseph Walsh, C Eccleston, E Keogh

Research output: Contribution to journalArticle

14 Citations (Scopus)
107 Downloads (Pure)

Abstract

Pain can be communicated non-verbally through facial expressions, vocalisations, and bodily movements. Most studies have focussed on the facial display of pain but there is little research on postural display. Stimulus sets for facial and vocal expressions of pain have been developed, but there is no equivalent for body-based expressions. Reported here is the development of a new stimulus set of dynamic body postures that communicate pain and basic emotions. This stimulus set is designed to facilitate research into the bodily communication of pain.
We report a three-phase development and validation study. First 16 actors performed affective body postures for pain, as well as happiness, sadness, fear, disgust, surprise, anger, and neutral expressions. Second, 20 observers independently selected the best image stimuli based on the accuracy of emotion identification and valence/arousal ratings. Third, to establish reliability, this accuracy and valence rating procedure was repeated with a second independent group of 40 participants.
A final set of 144 images with good reliability was established and is made available. Results demonstrate that pain, along with basic emotions, can be communicated through body posture. Cluster analysis demonstrates pain and emotion are recognised with a high degree of specificity. Additionally, pain was rated as the most unpleasant (negative valence) of the expressions, and was associated with a high level of arousal. For the first time, specific postures communicating pain are described. The stimulus set is provided as a tool to facilitate the study of non-verbal pain communication, and its possible uses are discussed.
Original languageEnglish
Pages (from-to)2282-2290
JournalPain
Volume155
Issue number11
DOIs
Publication statusPublished - Nov 2014

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Posture
Communication
Pain
Emotions
Facial Expression
Arousal
Facial Pain
Happiness
Validation Studies
Anger
Research
Fear
Cluster Analysis

Keywords

  • pain
  • nonverbal behaviour

Cite this

Pain communication through body posture : the development and validation of a stimulus set. / Walsh, Joseph; Eccleston, C; Keogh, E.

In: Pain, Vol. 155, No. 11, 11.2014, p. 2282-2290.

Research output: Contribution to journalArticle

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