Attentional Bias to Activity of Different Parts of the Body in Children With Functional Abdominal Pain: An Experimental Study

Veek, Shelley M. C. van der; Derkx, Bert; Plak, Rachel D.; Benninga, Marc A.; Boer, Frits; Lindauer, R. J. L.; Haan, Erik de

doi:10.1093/jpepsy/jsu004

Cited by 19 publications

(8 citation statements)

References 30 publications

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“…A second study, which did use a pain-free comparison group [1], reported greater attention for pain-related words in patients with functional abdominal pain (aged 10-16 years) at both brief (20ms) and long (1250ms) presentation times, but only after a laboratory stressor (failure versus success feedback regarding their performance on a challenging computer game). A subsequent study, also of patients (aged 8-17 years) with functional abdominal pain reported no attention biases for pictorial stimuli depicting pain in either group [69] at either brief (20ms) or long (1250ms) presentation times. Most recently, a study assessed selective attention bias for pain-related faces (presented for 500ms) amongst patients with chronic pain aged 10-18 years in the context of a larger attention training controlled trial (for the reduction of pain symptoms) [30].…”

Section: Attention Biasesmentioning

confidence: 84%

“…However, because most of the studies used similar age ranges, it is difficult to attribute differences in results across studies to differences in age. However, where studies did investigate the main effects of age on bias [3,69], these effects were non-significant. A final possibility is that attention biases are as weak in this age range as they are in adults, and may not contribute to pain outcomes.…”

Section: Attention Biasesmentioning

confidence: 99%

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Cognitive Biases in Children and Adolescents With Chronic Pain: A Review of Findings and a Call for Developmental Research

Lau

Heathcote

Beale

et al. 2018

The Journal of Pain

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Section: Attention Biasesmentioning

confidence: 84%

Section: Attention Biasesmentioning

confidence: 99%

Cognitive Biases in Children and Adolescents With Chronic Pain: A Review of Findings and a Call for Developmental Research

Lau

Heathcote

Beale

et al. 2018

The Journal of Pain

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“…Our findings also extend understanding of cognitive factors in pediatric pain. Previous studies have indicated that youth with chronic pain are characterised by biases in the way they attend to [3,4,24,63] and remember [32] pain-related information. We present here evidence that biased interpretations of ambiguous bodily-threat information are also relevant for the experience of chronic pain in youth.…”

Section: Discussionmentioning

confidence: 99%

Biased interpretations of ambiguous bodily threat information in adolescents with chronic pain

Heathcote

Jacobs

Eccleston

et al. 2017

Pain

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Adult patients with chronic pain are consistently shown to interpret ambiguous health and bodily information in a pain-related and threatening way. This interpretation bias may play a role in the development and maintenance of pain and disability. However, no studies have yet investigated the role of interpretation bias in adolescent patients with pain, despite that pain often first becomes chronic in youth. We administered the Adolescent Interpretations of Bodily Threat (AIBT) task to adolescents with chronic pain (N = 66) and adolescents without chronic pain (N = 74). Adolescents were 10 to 18 years old and completed the study procedures either at the clinic (patient group) or at school (control group). We found that adolescents with chronic pain were less likely to endorse benign interpretations of ambiguous pain and bodily threat information than adolescents without chronic pain, particularly when reporting on the strength of belief in those interpretations being true. These differences between patients and controls were not evident for ambiguous social situations, and they could not be explained by differences in anxious or depressive symptoms. Furthermore, this interpretation pattern was associated with increased levels of disability among adolescent patients, even after controlling for severity of chronic pain and pain catastrophizing. The current findings extend our understanding of the role and nature of cognition in adolescent pain, and provide justification for using the AIBT task in longitudinal and training studies to further investigate causal associations between interpretation bias and chronic pain.

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“…These effects may be attributable to increased avoidance of health-threat rather than engagement with it (De Ruiter and Brosschot, 1994), however, or stimulus negativity more generally (Posserud et al, 2009). Studies using the dot-probe and exogenous cueing paradigms have not found evidence of attentional bias in MUS patients (Chapman and Martin, 2011;Hou et al, 2008;Martin and Alexeeva, 2010;Martin and Chapman, 2010;van der Veek et al, 2014;Witthöft et al, 2006).…”

Section: Interoceptive Hypervigilance Thresholds and Awarenessmentioning

confidence: 95%

Symptoms and the body: Taking the inferential leap

Bergh

Witthöft

Petersen

et al. 2017

Neuroscience & Biobehavioral Reviews

403

354

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a b s t r a c tThe relationship between the conscious experience of physical symptoms and indicators of objective physiological dysfunction is highly variable and depends on characteristics of the person, the context and their interaction. This relationship often breaks down entirely in the case of "medically unexplained" or functional somatic symptoms, violating the basic assumption in medicine that physical symptoms have physiological causes. In this paper, we describe the prevailing theoretical approach to this problem and review the evidence pertaining to it. We then use the framework of predictive coding to propose a new and more comprehensive model of the body-symptom relationship that integrates existing concepts within a unifying framework that addresses many of the shortcomings of current theory. We describe the conditions under which a close correspondence between the experience of symptoms and objective physiology might be expected, and when they are likely to diverge. We conclude by exploring some theoretical and clinical implications of this new account.

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Attentional Bias to Activity of Different Parts of the Body in Children With Functional Abdominal Pain: An Experimental Study

Abstract: Children with FAP seemed more strongly influenced by information about gut activity than healthy children. The present study should be replicated for intervention purposes.

Cited by 19 publications

References 30 publications

Cognitive Biases in Children and Adolescents With Chronic Pain: A Review of Findings and a Call for Developmental Research

Cognitive Biases in Children and Adolescents With Chronic Pain: A Review of Findings and a Call for Developmental Research

Biased interpretations of ambiguous bodily threat information in adolescents with chronic pain

Symptoms and the body: Taking the inferential leap

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