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Cardiovascular Psychophysiology

Dr. Christopher R. France Video

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Current Projects

PAIN RESEARCH

Pain and Risk for Hypertension

Factors like family history of hypertension, high blood pressure, and increased cardiovascular reactivity have been associated with decreased sensitivity to pain. Our research on pain perception as a potential marker of hypertension risk looks at:

  • Mechanisms of decreased pain perception in individuals with hypertension and/ or a family history of the disorder
  • Hypoalgesia predicting longitudinal blood pressure changes in individuals at high and low risk for hypertension
  • The relationship between pain and emotion in the context of hypertension risk

Pain-related Fear

Pain-related fear refers to constructs such as pain catastrophizing and kinesiophobia (fear that physical activity will exacerbate pain or prompt reinjury) and is linked with hypervigilance to pain, avoidance, and disability. Pain-related fear has been linked to the development and maintenance of chronic pain conditions. We work with healthy participants and individuals with chronic pain to examine:

  • The effect of pain-related fear on pain perception, behavior, and psychosocial adjustment.
  • The relationship between pain-related fear and patterns of movement.

Nociceptive Flexion Reflex Assessment

The nociceptive flexion reflex (NFR) allows withdrawal from noxious stimuli. NFR assessment is often used in experimental and clinical pain research as an index of descending modulation by the central nervous system (i.e., the brain). Evidence for this comes from findings that NFR threshold and amplitude are not always linearly associated with subjective pain intensity.

 
BLOOD DONATION RESEARCH

Given the growing demand for blood products, attracting and retaining blood donors has become a national priority. The ultimate aim of our work in this area is to enhance the donation experience in order to sustain an adequate blood supply for individuals in need of blood products. Accordingly, we focus on:

Recruitment of Blood Donors

Development of materials to educate prospective donors about the donation process and to maximize the potential of a positive donation experience

Retention of Blood Donors

  • Coping strategies to attenuate donation reactions (e.g., nausea, dizziness, lightheadedness)
  • Psychosocial and physiological predictors of donor return behavior (e.g., physical reactions, self-efficacy, satisfaction)
  • Post-donation interventions to enhance donor return (e.g., motivational interviewing)

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Snapshots

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Personnel

Photo Name Position Email Telephone
         
Christopher R. France, Ph.D. Christopher R. France, Ph.D. Laboratory Director france@ohio.edu (740) 593-1079

Janis France, Ph.D. Janis France, Ph.D. Project Director francej@ohio.edu (740) 593-4557

Erin Hockman Erin Hockman Graduate Student eh248002@ohio.edu (740) 593-1061

Jennifer Kowalsky Jennifer Kowalsky Graduate Student jk167608@ohio.edu (740) 593-1061

Sarah McGlone Sarah McGlone Graduate Student sm160006@ohio.edu (740) 593-1061

Kadian Sinclair Kadian Sinclair Graduate Student ks577406@ohio.edu (740) 593-1061

Zina Trost Zina Trost Graduate Student zt229504@ohio.edu (740) 593-1061

Diane Turcotte Diane Turcotte Graduate Student dt361807@ohio.edu (740) 593-1061

Regina Warfel Regina Warfel Graduate Student rw333205@ohio.edu (740) 593-1061

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Recent Publications

France, C.R., Ditto, B., France, J.L. & Himawan, L.K. (in press). Psychometric Properties of the Blood Donation Reactions Inventory - A subjective measure of presyncopal reactions to blood donation. Transfusion.

   

France, C.R., Masters, K.S., Belar, C.D., Kerns, R.D., Klonoff, E.A., Larkin, K.T., Smith, T.W., Suchday, S., & Thorn, B.E. (in press). Application of the competency model to clinical health psychology. Professional Psychology: Research & Practice.

   

Wilkinson, D.Z., & France, C.R. (in press). Attenuation of Positive and Negative Affect in Men and Women at Increased Risk for Hypertension: A Function of Endogenous Barostimulation? Psychophysiology.

   

Campbell, C.M., France, C.R., Robinson, M.E., Logan, H.L., Geffken, G.R., & Fillingim, R.B. (in press). Ethnic differences in diffuse noxious inhibitory controls (DNIC). The Journal of Pain.

   

Emery, C.F., France, C.R., Harris, J., Norman, G., & Van Arsdalen, C. (2008). Effects of progressive muscle relaxation training on nociceptive flexion reflex threshold in healthy young adults: A randomized trial. Pain, 138, 375-379.

   

Edwards, L., Ring, C., France, C.R., al’Absi, M., McIntyre, D., Carroll, D., & Martin, U. (2008). Effects of opioid blockade on nociceptive flexion reflex thresholds and nociceptive responding in hypertensive and normotensive individuals. International Journal of Psychophysiology, 69, 96-100.

   

Trost, Z., France, C.R., & Thomas, J.S. (2008). Exposure to movement in chronic back pain: Evidence of successful generalization across a reaching task. Pain, 137, 26-33.

   

Rhudy, J.L., Green, B., Arnau, R.C., & France, C.R. (2008). Taxometric analysis of biceps femoris EMG following electrocutaneous stimulation over the sural nerve: Determining the latent structure of the nociceptive flexion reflex (NFR). International Journal of Psychophysiology, 69, 18-26.

   

Thomas, J.S., France, C.R., Sha, D., & Vander Wiele, N. (2008). The influence of pain-related fear on peak muscle activity and force generation during maximal isometric trunk exertions. Spine, 33, E342-E348.

   

France, J.L., France, C.R., & Himawan, L.K. (2008). Re-donation intentions among experienced blood donors: Does gender make a difference? Transfusion and Apheresis Science, 38, 159-166.

   

Thomas, J.S., & France, C.R. (2008). The relationship between pain-related fear and lumbar flexion during natural recovery from low back pain. European Spine Journal, 17, 97-103.

   

France, C.R., Montalva, R., France, J.L., & Trost, Z. (2008). Enhancing Attitudes and Intentions in Prospective Blood Donors: Evaluation of a New Donor Recruitment Brochure. Transfusion, 48, 526-530.

   

Thomas, J.S, France, C.R., Lavender, S.A., & Johnson, M. (2008). Effects of fear of movement on spine velocity and acceleration following recovery from low back pain. Spine, 33, 564-570.

   

Ring, C., France, C.R., al’Absi, M., Edwards, L., McIntyre, D., Carroll, D., & Martin, U. (2008). Effects of Naltrexone on electrocutaneous pain in patients with hypertension compared to normotensive individuals. Biological Psychology, 77, 191-196.

   

Campbell, C.M., France, C.R., Robinson, M.E., Logan, H.L., Geffken, G.R., & Fillingim, R.B. (2008). Ethnic differences in the nociceptive flexion reflex (NFR). Pain, 134, 91-96.

   

Thomas, J.S, France, C.R., Sha, D., Vander Wiele, N.J., Moenter, S., & Swank, K. (2007). The effect of chronic low back pain on trunk muscle activations in target reaching movements with various loads. Spine, 32, E801-E808.

   

Ditto, B., France, C.R., Albert, M., & Byrne, N. (2007). Dismantling applied tension: mechanisms of a treatment to reduce blood donation-related symptoms. Transfusion, 47, 2217-2222.

   

Ferguson, E., France, C.R., Abraham, C., Ditto, B., & Sheeran, P. (2007). Improving Blood Donor Recruitment and Retention: Integrating Theoretical Advances From Social and Behavioral Science Research Agendas. Transfusion, 47, 1999-2010.

   

Edwards, L., Ring, C., France, C.R., al’Absi, M., McIntyre, D., Carroll, D., & Martin, U. (2007). Nociceptive flexion reflex thresholds and pain during rest and computer game play in patients with hypertension and individuals at risk for hypertension. Biological Psychology, 76, 72-82.

   

Thomas, J.S., & France, C.R. (2007). Pain-related Fear is Associated with Avoidance of Spinal Motion During Recovery from Low Back Pain. Spine, 31, E460-E466.

   

Bruehl, S., al’Absi, M., France, C.R., France, J., Harju, A., Burns, J.W., & Chung, O.Y. (2007). Anger Management Style and Endogenous Opioid Function: Is Gender a Moderator? Journal of Behavioral Medicine, 30, 209-219.

   

France, J.L., France, C.R., & Himawan, L. (2007). A Path Analysis of Intention to Re-Donate among Experienced Blood Donors: An Extension of the Theory of Planned Behavior. Transfusion, 47, 1006-1013.

   

Rader, A.W., France, C.R., & Carlson, B. (2007). Donor retention as a function of donor reactions to whole blood and automated double red cell collections. Transfusion, 47, 995-1001.

   

France, C.R., al’Absi, M., Ring, C., France, J.L., Harju, A., & Wittmers, L. (2007). Nociceptive Flexion Reflex and Pain Rating Responses during Endogenous Opiate Blockade with Naltrexone in Healthy Young Adults. Biological Psychology, 75, 95-100.

   

Ring, C., France, C.R., al’Absi, M., Beesley, L., Edwards, L., McIntyre, D., Carroll, D., & Martin, U. (2007). Effects of opioid blockade with naltrexone and distraction on cold and ischemic pain in hypertension. Journal of Behavioral Medicine, 30, 59-68.

   

Rhudy, J.L. & France, C.R. (2007). Defining the nociceptive flexion reflex (NFR) threshold in human participants: A comparison of different scoring criteria. Pain, 128, 244-253.

   

Ceballos, N.A., France, C.R., al’Absi, M. (2007). Influence of naltrexone administration on dehydroepiandrosterone (DHEA) sulfate levels in male and female participants. Biological Psychology, 74, 414-416.

   

French, D., France, C.R., Vigneau, F., French, J.A., Evans, R.T. (2007). Fear of Movement/(re)injury in Chronic Pain: A Psychometric Assessment of the Original English Version of the Tampa Scale for Kinesiophobia (TSK). Pain, 127, 42-51.

   

Campbell, T., Holder, M.D., & France, C.R. (2006). The effects of experimenter status and cardiovascular reactivity on pain reports. Pain, 125, 264-269.

   

Stewart, K.R., France, C.R., Rader, A.W., Stewart, J.C. (2006). Phlebotomist interpersonal skill predicts a reduction in reactions among volunteer blood donors. Transfusion, 46, 1394-1401.

   

Ditto, B., & France, C.R. (2006). Vasovagal Symptoms Mediate the Relationship Between Pre-Donation Anxiety and Subsequent Blood Donation in Female Volunteers. Transfusion, 46, 1006-1010.

   

Ditto, B., & France, C.R. (2006). The effects of applied tension on symptoms in French-speaking blood donors: A randomized trial. Health Psychology, 25, 433-437.

   

Emery, C.F., Keefe, F.J., France, C.R., Affleck, G., Waters, S., Fondow, M.D.M., McKee, D.C., France, J.L., Hackshaw, K.V., Caldwell, D.S., & Stainbrook, D. (2006). Effects of a brief coping skills training intervention on nociceptive flexion reflex threshold in patients having osteoarthritic knee pain: A preliminary laboratory study of sex differences. Journal of Pain and Symptom Management, 31, 262-269.

   

al'Absi, M., France, C.R., Harju, A., France, J., & Wittmers, L. (2006). Adrenocortical and Nociceptive Responses to Opioid Blockade in Hypertension-Prone Men and Women. Psychosomatic Medicine, 68, 292-298.

   

Stewart, J.C., France, C.R., & Suhr, J.A. (2006). The Effect of Cardiac Cycle Phase on Reaction Time among Individuals at Varying Risk for Hypertension. Journal of Psychophysiology, 20, 1-8.

   

France, C.R., France, J.L., Patterson, S.M. (2006). Blood pressure and cerebral oxygenation responses to skeletal muscle tension: A comparison of two physical maneuvers to prevent vasovagal reactions. Clinical Physiology and Functional Imaging, 26, 21-25.

   

France, C.R., al'Absi, M., Ring, C., France, J.L., Brose, J., Spaeth, D., Harju, A., Nordehn, G., & Wittmers, L.E. (2005). Assessment of opiate modulation of pain and nociceptive responding in young adults with a parental history of hypertension. Biological Psychology, 70, 168-174.

   

France, C.R., Rader, A., & Carlson, B. (2005). Donors who react may not come back: Analysis of repeat donation as a function of phlebotomist ratings of vasovagal reactions. Transfusion and Apheresis Science, 33, 99-106.

   

Bruehl, S., France, C.R., France, J., Harju, A., & al'Absi, M. (2005). How Accurate are Parental Chronic Pain Histories Provided by Offspring? Pain, 115, 390-397.

   

French, D.J., France, C.R., France, J.L., Arnott, L.F. (2005). The influence of acute anxiety on assessment of nociceptive flexion reflex thresholds in healthy young adults. Pain, 114, 358-363.

   

al'Absi, M., France, C.R., Ring, C., France, J., Harju, A., McIntyre, D., Wittmers, L.E. (2005). Nociception and Baroreceptor Stimulation in Hypertension-Prone Men and Women. Psychophysiology, 42, 83-91.

   

France, C.R., Keefe, F.J., Emery, C., Affleck, G., France, J., Waters, S., Caldwell, D., Stainbrook, D., Hackshaw, K., Edwards, C. (2004). Laboratory Pain Perception and Clinical Pain in Post-Menopausal Women and Age-Matched Men with Osteoarthritis: Relationship to Pain Coping and Hormonal Status. Pain, 113, 274-281.

   

Keefe, F.J., Affleck, G., France, C.R., Emery, C.F., Waters, S., Caldwell, D.S., Stainbrook, D., Hackshaw, K.V., Fox, L.C., and Wilson, K. (2004). Gender differences in pain, coping, and mood in individuals having osteoarthritic knee pain: A within-day analysis. Pain, 110, 571-577.

   

Hanson, S.A. & France, C.R. (2004). Pre-donation water ingestion attenuates negative reactions to blood donation. Transfusion, 44, 924-928.

   

Suhr, J.A., Stewart, J.C., & France, C.R. (2004). The relationship between blood pressure and cognitive performance in the third National Health and Nutrition Examination Survey (NHANES III). Psychosomatic Medicine, 66, 291-297.

   

France, C.R., France, J.L., Roussos, M., & Ditto, B. (2004). Mild reactions to blood donation predict a decreased likelihood of donor return. Transfusion and Apheresis Science, 30, 17-22.

   

Ditto, B., France, C.R., Lavoie, P., Roussos, M., & Adler, P.S.J. (2003). Reducing reactions to blood donation with applied muscle tension: A randomized controlled trial. Transfusion, 43, 1269-1275.

   

Edwards, L., McIntyre, D., Carroll, D., Ring, C., France, C.R., & Martin, U. (2003). Effects of artificial and natural baroreceptor stimulation on nociceptive responding and pain. Psychophysiology, 40, 762-769.

   

Stewart, J.C., France, C.R., & Sheffield, D. (2003). Hypertension awareness and pain reports: Data from the NHANES III. Annals of Behavioral Medicine, 26, 8-14.

   

Ditto, B., Wilkins, J., France, C.R., Lavoie, P., & Adler, P.S.J. (2003). On-Site Training in Applied Muscle Tension to Reduce Vasovagal Reactions to Blood Donation. Journal of Behavioral Medicine, 26, 53-65.

   

France, C.R., France, J.L., al'Absi, M., Ring, C., & McIntyre, D. (2002). Catastrophizing is related to pain ratings, but not nociceptive flexion reflex threshold. Pain, 99, 459–463.

   

France, C.R. Froese, S. & Stewart, J. (2002). Altered central nervous system processing of noxious stimuli contributes to decreased nociceptive responding in individuals at risk for hypertension. Pain, 98, 101-108.

   

Stewart, J.C. & France, C.R. (2001). Cardiovascular recovery from stress predicts longitudinal changes in blood pressure. Biological Psychology, 58, 105-120.

   

France, C.R. & Suchowiecki, S. (2001). Assessing supraspinal modulation of pain perception in individuals at risk for hypertension. Psychophysiology, 38, 107-113.

   

Bonk, V.A., France, C.R., and Taylor, B.K. (2001). Distraction reduces vasovagal reactions to blood donation in novice donors with a blunting coping style. Psychosomatic Medicine, 63, 447-452.

   

Page, G.D. & France, C.R. (2001). Identifying hypertension using the Ohio Blood Pressure History Survey. Military Medicine, 166, 233-236.

   

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