Attentional Avoidance of Negative Experiences as Predictor of Postoperative Pain Ratings and Consumption of Analgesics: Comparison with Other Psychological Predictors

Lautenbacher, Stefan; Huber, Claudia; Baum, Corinna; Rossaint, Rolf; Hochrein, Sieglinde; Heesen, M.

doi:10.1111/j.1526-4637.2011.01076.x

Cited by 45 publications

(27 citation statements)

References 19 publications

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“…Although the two pain patient groups (especially the chronic pain patients) scored higher on the PVAQ compared to the pain-free individuals, similar associations between PVAQ and the other scales were found across pain-free and pain patient samples. Using the (non-validated) German version of the PVAQ in a previous study, we also found significant associations between the PVAQ and the other two scales in cancer patients undergoing surgery [40] (the data from that study were not included in the present study and thus, represent independent evidence). This suggests that individuals who are more vigilant to pain or who focus more on pain also catastrophize more about pain and experience more pain-related fear.…”

Section: Discussionmentioning

confidence: 64%

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Psychometric Properties of the German Version of the Pain Vigilance and Awareness Questionnaire (PVAQ) in Pain-Free Samples and Samples with Acute and Chronic Pain

et al. 2016

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PurposeThe way individuals attend to pain is known to have a considerable impact on the experience and chronification of pain. One method to assess the habitual “attention to pain” is the Pain Vigilance and Awareness Questionnaire (PVAQ). With the present study, we aimed to test the psychometric properties of the German version of the PVAQ across pain-free samples and across patients with acute and chronic pain.MethodTwo samples of pain-free individuals (student sample (N = 255)/non-student sample (N = 362)) and two clinical pain samples (acute pain patients (N = 105)/chronic pain patients (N = 36)) were included in this cross-sectional evaluation of the German PVAQ. Factor structure was assessed using exploratory and confirmatory factor analyses. Reliability was assessed using internal consistency (Cronbach’s alpha). Construct validity was tested by assessing correlations between PVAQ and theoretically related constructs.ResultsExploratory factor analysis (non-student sample) and confirmatory factor analysis (student sample, acute pain patient sample) suggested that a two-factor solution best fitted our data (“attention to pain,” “attention to changes in pain”). Internal consistency ranged from acceptable to good in all four samples. As hypothesized, the PVAQ correlated significantly with theoretically related constructs in all four samples, suggesting good construct validity in pain-free individuals and in pain patients.ConclusionThe German PVAQ shows good psychometric properties across samples of pain-free individuals and patients suffering from pain that are comparable to PVAQ versions of other languages. Thus, the German PVAQ seems to be a measure of pain vigilance equally valid as found in other countries.

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Section: Discussionmentioning

confidence: 64%

“…Although the German version of the 16-item PVAQ was already used in several studies from our lab [15–17, 40], we have not yet systemically elaborated these properties. In order to make the PVAQ available to all German-speaking researchers and clinicians, a validation of the German version was necessary.…”

Section: Discussionmentioning

confidence: 99%

Psychometric Properties of the German Version of the Pain Vigilance and Awareness Questionnaire (PVAQ) in Pain-Free Samples and Samples with Acute and Chronic Pain

et al. 2016

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“…In order to eliminate the possible effects of demographic and environmental factors, such as socio-economic and education status, race, sex, and age, 3,13,26,36 we selected healthy female Han Chinese undergraduates as a relatively homogenous population accounting for differences in living environments, educational background, and age. Also, in the replication sample similar entry criteria including race, sex and age range were used.…”

Section: A N U S C R I P Tmentioning

confidence: 99%

The Effect of SCN9A Variation on Basal Pain Sensitivity in the General Population: An Experimental Study in Young Women

Duan

Guo

Zhang

et al. 2015

The Journal of Pain

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“…In addition, avoidance has been shown to increase the chances of developing chronic pain (Vlaeyen and Linton, 2000), as well as affecting the recovery process (Vlaeyen and Crombez, 1999). Moreover, individual differences in both avoidance-like behavior as well as hypervigilant behavior have been shown to be valid predictors of postoperative pain (Goodin et al, 2009; Lautenbacher et al, 2009, 2010, 2011; Pulvers and Hood, 2013; Grosen et al, 2014; Wong et al, 2014). …”

Section: Introductionmentioning

confidence: 99%

Evidence for a Priori Existence of Attentional Bias Subgroups in Emotional Processing of Aversive Stimuli

Heck

Oosterman

Kleijn

et al. 2017

Front. Behav. Neurosci.

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Little is known regarding inter-individual differences in attentional biases for pain-related information; more knowledge is crucial, since these biases have been associated with differences in pain processing as well as in predicting the risk of postoperative pain. The present study investigated EEG correlates of attentional bias patterns for pain-related information, with specific focus on avoidance- and vigilance-like behavior. Forty-one participants performed a dot-probe task, where neutral and pain-related words were used to create neutral, congruent, incongruent, and double (two pain-related words) trials. EEG was recorded, which was used to generate ERP's of the word-processing phase and the post-dot phase. Participants were placed in two subgroups based on the direction of their attentional bias (either positive; toward the pain-related words, or negative; away from pain-related words). Using t-profiles, four latency windows were identified on which the two subgroups differed significantly. These latency windows yield areas which correspond with the P1-N1 domain and the P3b for the word-processing phase, while the post-dot phase latency windows cover the areas of the P200 and the P3b. The two subgroups show differences on congruent, incongruent, and the double trials, but interestingly also on the neutral trials. Most notably, the area in the word-phase associated with the P3b is diminished in the subgroup showing a negative bias. The deflections associated with both early and late attentional components, including the P3B, as well as a positive deflection in the timeframe of proposed response evaluation processes differ significantly between subgroups. In this study we demonstrated that different attentional biases exist in the healthy population, by showing differences in ERP's. We also show differences in processing neutral trials, which suggests there are fundamental differences between these groups in processing words in general.

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Attentional Avoidance of Negative Experiences as Predictor of Postoperative Pain Ratings and Consumption of Analgesics: Comparison with Other Psychological Predictors

Cited by 45 publications

References 19 publications

Psychometric Properties of the German Version of the Pain Vigilance and Awareness Questionnaire (PVAQ) in Pain-Free Samples and Samples with Acute and Chronic Pain

Psychometric Properties of the German Version of the Pain Vigilance and Awareness Questionnaire (PVAQ) in Pain-Free Samples and Samples with Acute and Chronic Pain

The Effect of SCN9A Variation on Basal Pain Sensitivity in the General Population: An Experimental Study in Young Women

Evidence for a Priori Existence of Attentional Bias Subgroups in Emotional Processing of Aversive Stimuli

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