A neurocognitive model of attention to pain: Behavioral and neuroimaging evidence

Legrain, Valéry; Damme, Stefaan Van; Eccleston, Christopher; Davis, Karen D.; Seminowicz, David A.; Crombez, Geert

doi:10.1016/j.pain.2009.03.020

Cited by 402 publications

(416 citation statements)

References 29 publications

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“…Further investigation is warranted on the effects of other characteristics of pain, both bottom up (e.g., novelty) and top down (e.g., motivational significance). 27 This study has some limitations. First, the use of this task switching paradigm in a pain context is novel, so replication is necessary.…”

Section: Discussionmentioning

confidence: 91%

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The Interruptive Effect of Pain in a Multitask Environment: An Experimental Investigation

Ryckeghem

Crombez

Eccleston

et al. 2012

The Journal of Pain

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Daily life is characterized by the need to stop, start, repeat, and switch between multiple tasks. Here, we experimentally investigate the effects of pain, and its anticipation, in a multi-task environment. Using a task switching paradigm participants repeated and switched between three tasks, of which one predicted the possible occurrence of pain. Half of the participants received low intensity pain (N=30) and half high intensity pain (N=30). Results showed that pain interferes with the performance of a simultaneous task, independent of the pain intensity. Furthermore pain interferes with the performance on a subsequent task. These effects are stronger with high intensity pain than with low intensity pain. Finally, and of particular importance in this study, interference of pain on a subsequent task was larger when participants switched to another task than when participants repeated the same task. PerspectiveThis article is concerned with the interruptive effect of pain on people"s task performance by using an adapted task switching paradigm. This adapted paradigm may offer unique possibilities to investigate how pain interferes with task performance while people repeat and switch between multiple tasks in a multi-task environment.

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Section: Discussionmentioning

confidence: 91%

“…Most often, attention is prioritized towards pain, which interrupts the smooth-running of goal-directed behavior. 17,27 Performance on a cognitive task is known to be hindered by the simultaneous presence of pain 2,7,10,11,12,13,16,24,32,43, but also see 31,36,45 or pain-related information (e.g. pain words).…”

Section: Introductionmentioning

confidence: 99%

The Interruptive Effect of Pain in a Multitask Environment: An Experimental Investigation

Ryckeghem

Crombez

Eccleston

et al. 2012

The Journal of Pain

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“…This was surprising given that perceptions around the nature of the pain experienced are considered to influence the attentional effects of pain [15]. However, scores on these self-report measures were not particularly high, and most participants reported moderate, rather than highly intense levels of pain.…”

Section: Menstrual Pain and Attention 22mentioning

confidence: 94%

The effects of menstrual-related pain on attentional interference

Keogh

Cavill

Moore

et al. 2014

Pain

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Please cite only the published version using the reference above.See http://opus.bath.ac.uk/ for usage policies.Please scroll down to view the document. Greater attentional interference effects were found to occur during the menstrual pain phase compared to the non-pain phase. Interestingly, the nature of this effect was a general worsening in performance (e.g., slowing, less accurate), rather than a specific attentional deficit. These results add to a growing literature that generally indicates that attentional interference occurs across a range of different types of pain, including common painful episodes. However, they also highlight that the specific nature of this interference effect may depend on the type pain under consideration. Implications of these findings are also considered.Menstrual pain and attention 3 SummaryMenstrual cycle-related pain results in a general attentional interference effect in healthy women.Menstrual pain and attention 4

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“…Behavioural as well as neuropsychological studies have revealed that the capture of attention by pain is enhanced when pain is intense, novel, and threatening [5,6,7,11,34]. It may well be that distraction is less effective in these situations [13].…”

Section: Introductionmentioning

confidence: 99%

The role of motivation in distracting attention away from pain: An experimental study

Verhoeven

Crombez

Eccleston

et al. 2010

Pain

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Research on the effectiveness of distraction as a method of pain control is inconclusive. One mechanism pertains to the motivational relevance of distraction tasks. In this study the motivation to engage in a distraction task during pain was experimentally manipulated. Undergraduate students (N=73) participated in a cold pressor test (CPT) and were randomly assigned to three groups: a distraction-only group performed a tone-detection task during ther CPT, a motivated-distraction group performed the same task and received a monetary reward for good task performance, and a control group did not perform the tone-detection task. Results indicated that engagement in the distraction task was better in the motivated-distraction group in comparison with the distraction-only group. Participants in both distraction groups experienced less pain compared to the control group. There were no overall differences in pain intensity between the two distraction groups. The effect of distraction was influenced by the level of catastrophic thinking about pain. For low catastrophizers, both distraction groups reported less pain as compared to the nondistracted control group. This was not the case for high catastrophizers. For high catastrophizers it mattered whether the distraction task was motivationally relevant:High catastrophizers reported less intense pain in the motivated distraction group, as compared to the non-distracted control group. We conclude that increasing the motivational relevance of the distraction task may increase the effects of distraction, especially for those who catastrophize about pain.

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A neurocognitive model of attention to pain: Behavioral and neuroimaging evidence

Cited by 402 publications

References 29 publications

The Interruptive Effect of Pain in a Multitask Environment: An Experimental Investigation

The Interruptive Effect of Pain in a Multitask Environment: An Experimental Investigation

The effects of menstrual-related pain on attentional interference

The role of motivation in distracting attention away from pain: An experimental study

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