Classical Conditioning for Pain: The Development of a Customized Single-Case Experimental Design

Single-case experiments are increasingly popular in the behavioral sciences. Due to their flexibility, single- case designs can be customized to test a variety of experimental hypotheses. We were interested in using a single-case experimental approach to test whether pain thresholds can be influenced by Pavlovian classical conditioning. Following the example of earlier studies into this topic, we planned to measure whether participants would more frequently report specific electrocutaneous stimuli as painful when they were presented with specific vibrotactile stimuli that had previously been associated with painful electrocutaneous stimuli. First, we decided on a mean difference effect size measure derived from the Sensation and Pain Rating Scale ratings for the electrocutaneous stimuli provided by the participants. Next, we discussed several possible single-case designs and evaluated their benefits and shortcomings. Then, we ran pilot tests with a few participants based on the possible single-case designs. We also conducted a simulation study to estimate the power of a randomization test to test our hypothesis using different values for effect size, number of participants, and number of measurements. Finally, we decided on a sequentially replicated AB phase design with 30 participants based on the results from the pilot tests and the power study. We plan to implement this single-case design in a future experiment to test our hypothesis