2017
DOI: 10.1016/j.jpain.2017.04.011
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Biased Intensity Judgements of Visceral Sensations After Learning to Fear Visceral Stimuli: A Drift Diffusion Approach

Abstract: This study shows that associative fear learning biases intensity judgements of visceral sensations toward perceiving such sensations as more intense. Learning-induced alterations in visceroception might therefore contribute to the development or maintenance of visceral pain.

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Cited by 19 publications
(24 citation statements)
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References 43 publications
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“…Education could target emotional aspects, such as the motivational value of reward clues, the valence of sensations and reward‐seeking behaviour . A recent study showed that innocuous digestive sensations might become frightful through associative learning . Furthermore, palatable foods may become aversive when followed by a postingestional unpleasant experience, which is probably the reason why the food immediately preceding a bout of gastroenteritis becomes disgusting and is blamed as the cause or the trigger of the illness.…”
Section: Factors That Determine the Normal Postprandial Experiencementioning
confidence: 99%
See 1 more Smart Citation
“…Education could target emotional aspects, such as the motivational value of reward clues, the valence of sensations and reward‐seeking behaviour . A recent study showed that innocuous digestive sensations might become frightful through associative learning . Furthermore, palatable foods may become aversive when followed by a postingestional unpleasant experience, which is probably the reason why the food immediately preceding a bout of gastroenteritis becomes disgusting and is blamed as the cause or the trigger of the illness.…”
Section: Factors That Determine the Normal Postprandial Experiencementioning
confidence: 99%
“…15,18 A recent study showed that innocuous digestive sensations might become frightful through associative learning. 124,125 Furthermore, palatable foods may become aversive when followed by a postingestional unpleasant experience, 126 which is probably the reason why the food immediately preceding a bout of gastroenteritis becomes disgusting and is blamed as the cause or the trigger of the illness. Hypnosis has been shown to be effective on postprandial symptoms in functional gut disorders, 127 and it would be interesting to explore the potential application of education to prevent symptoms.…”
Section: Previous Conditioning Education and Experiencementioning
confidence: 99%
“…Other components of the decision 59 making process, such as sensory processing and/or motor response execution (known collectively as non-decision 60 time; Ratcliff and McKoon, 2008) have also been shown to speed up with prior expectations (Jepma et al, 2012) 61 or when stimuli are self-relevant (Macrae et al, 2017). 62 accumulation (Tipples, 2015) even when unconsciously-presented (Lufityanto et al, 2016), as well as bias the 67 starting point towards threat (Zaman et al, 2017). There has, however, been very little investigation into how the 68 prioritisation of fearful stimuli for conscious access might be influenced by prior expectations.…”
Section: Introduction 28mentioning
confidence: 99%
“…84 Finally, using a drift diffusion approach, they demonstrated that fear learning toward an innocuous esophageal CS affected perceptual decision making about the intensities of visceral sensations, such that sensations were more likely to be categorized as more intense. 85 Taken together, these results suggest that associative learning might indeed contribute to the development of GI-specific anxiety and visceral hypersensitivity in FGIDs. This is in line with clinical findings demonstrating the effectiveness of exposure-based cognitive behavioral therapy on IBS symptom severity, and the mediation of these effects through a decrease in GI-specific fear and anxiety.…”
Section: Influence Of Life Events Stress and Other Affective Statesmentioning
confidence: 81%