Attentional and emotional mechanisms related to pain as predictors of chronic postoperative pain: A comparison with other psychological and physiological predictors

Lautenbacher, Stefan; Huber, Claudia; Schöfer, Dorothea; Kunz, Miriam; Parthum, Andreas; Weber, Peter G.; Carbon, Roman; Grießinger, Norbert; Sittl, Reinhard

doi:10.1016/j.pain.2010.08.041

Cited by 122 publications

(115 citation statements)

References 54 publications

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“…This task was adapted from previous research [29,30,52,54]. For this task participants needed to detect a visual target (i.e.…”

Section: Dot-probe Taskmentioning

confidence: 99%

“…In a second phase, we measured attentional bias towards cues that signal the possible occurrence of a painful ECS [62,67], and towards words that describe the sensory experience of the painful stimulus (ECS) (e.g. [71]) using well-established behavioural paradigms (respectively spatial cueing task [62,63,64,67] and dot probe task [4,26,30,52,54]). In a third phase, we tested the efficacy of directing attention away from painful stimuli (ECS) to decrease pain experience (e.g.…”

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confidence: 99%

“…Second, the growing literature on attentional bias towards pain-related information suggests that the prioritisation of attention towards pain-related information is a useful predictor of pain-related outcomes (see [5,7,42], but see also [29,30]). Some consider such biases as etiopathological factors in the development, maintenance or exacerbation of pain problems [53,54].…”

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confidence: 99%

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Attentional bias towards pain-related information diminishes the efficacy of distraction

Ryckeghem

Crombez²,

Hulle³

et al. 2012

Pain

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IntroductionThe ability of attention to modulate pain processing [32,51,57,66] makes it a key factor in how people cope with pain. Distraction, defined as directing attention away from pain, is probably one of the most intuitively and commonly used coping strategies [33]. Although distraction seems to be omnipresent in pain treatment programs for acute and chronic pain [20,41], results on its efficacy are variable. Some studies found that distraction reduces pain [36,39,44,57,58,65], whereas other studies reported no effect [25,35] or even counter-productive effects [8,21]. An understanding of the conditions under which distraction works is therefore required. Both pain-related factors (e.g., intensity, novelty, threat) and factors related to the task towards which attention is directed (e.g., task difficulty, motivational significance) are likely to play a role [19,32,66].A tendency to selectively attend to pain has been argued to hamper the efficacy of distraction [15,32,72], and is largely discussed in the context of hypervigilance and attentional bias towards pain-related information [15,31]. Indeed, it is reasonable to assume that an attentional bias towards pain-related information may bring along difficulties to direct attention away from pain and, hence, result in a failure of distraction to diminish the experience of pain. However, there is no direct test of this idea. Most often, studies on attentional bias in pain aimed to validate the phenomenon (e.g. [23,34,45,52]), or attempted to identify its antecedent conditions (e.g. catastrophic thinking about pain, state/trait anxiety) [4,46,47,62]. In this study we focussed upon one of the putative consequences of We hypothesized that participants would show an attentional bias towards both cues signalling the experimental pain stimulus and words describing this pain stimulus. Furthermore, we expected that self-reported pain would be less when attention was directed away from pain than when it was directed towards pain. The crucial hypothesis of this study, however, was that a larger attentional bias would be associated with smaller effects of distraction. Finally, we wanted to explore whether an attentional bias towards pain-related information would mediate the relationship between catastrophic thinking about pain and the efficacy of distraction.4 Method ParticipantsThe sample consisted of 56 undergraduate students from Ghent University, who received course credits for participation (45 females; Mage = 18.1years, SD = 1.1; 55 Caucasian) with normal or corrected-to-normal vision. Exclusion criteria included a self-reported current pain problem (e.g. fibromyalgia, back pain) or a self-reported current psychiatric problem (e.g., psychosis, anxiety disorder).Furthermore, all participants were required to have Dutch as a first language, because the experiment, including all instructions and stimulus materials, was undertaken in Dutch. Based on these criteria, two persons were excluded due to a headache on time of testing. One additional participant was excluded...

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“…This task was adapted from previous research [29,30,52,54]. For this task participants needed to detect a visual target (i.e.…”

Section: Dot-probe Taskmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Attentional bias towards pain-related information diminishes the efficacy of distraction

Ryckeghem

Crombez²,

Hulle³

et al. 2012

Pain

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“…Since the patient's attention is heightened, he or she is likely to notice more disturbing symptoms and perceive the neutral stimuli as painful (cf. Lautenbacher et al, 2010;Rollman, 2009). According to behavioural theories, hypervigilance is reinforced by the patient's relatives and friends, since his or her complaints meet with their attention and care or bring small benefits such as being excused from the chores.…”

Section: Hypervigilance and Painmentioning

confidence: 99%

Irrational Suffering – An Impact of Cognitive Behavioural Therapy on the Depression Level and the Perception of Pain in Cancer Patients

Wojtyna¹

2012

Mental Illnesses - Evaluation, Treatments and Implications

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“…It therefore remains possible that attentional bias towards pain-related information is merely an epiphenomenon of chronic pain [28]. The few studies that explored the predictive value of attentional bias towards pain-related information are restricted to predicting experimental pain sensitivity in healthy volunteers [5,6] and predicting post-operative pain in people undergoing a painful medical procedure [25,26,35].…”

Section: Introductionmentioning

confidence: 99%

The predictive value of attentional bias towards pain-related information in chronic pain patients: A diary study

Ryckeghem

Crombez²,

Goubert³

et al. 2013

Pain

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Attentional and emotional mechanisms related to pain as predictors of chronic postoperative pain: A comparison with other psychological and physiological predictors

Cited by 122 publications

References 54 publications

Attentional bias towards pain-related information diminishes the efficacy of distraction

Attentional bias towards pain-related information diminishes the efficacy of distraction

Irrational Suffering – An Impact of Cognitive Behavioural Therapy on the Depression Level and the Perception of Pain in Cancer Patients

The predictive value of attentional bias towards pain-related information in chronic pain patients: A diary study

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