Clinical relevance of attentional biases in pediatric chronic pain: an eye-tracking study

Soltani, Sabine; Ryckeghem, Dimitri Van; Vervoort, Tine; Heathcote, Lauren C.; Yeates, Keith; Sears, Christopher R.; Noel, Melanie

doi:10.1097/j.pain.0000000000002346

Cited by 8 publications

(2 citation statements)

References 77 publications

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“…Technological advancements in recent years have enabled clinicians to incorporate increasingly affordable and progressively convenient psychophysiological biomarkers, as also evident in pain research (e.g., [77,78]). Eye movement analysis provides a window to cognitive and affective processes [75,76], and as with other biomarkers, there are initial explorations of their utility for evaluating pain (e.g., [79][80][81]). This study is part of these recent efforts, indicating that the integration of an eye-tracker integrated unidimensional pain rating scale, the NPRS ETI , in a hospital-based pain clinic is both feasible and can be used with a relatively diverse adult chronic pain patient population.…”

Section: Discussionmentioning

confidence: 99%

Integrating the Numerical Pain Rating Scale (NPRS) with an Eye Tracker: Feasibility and Initial Validation

Braw,

Ratmansky,

Goor-Aryeh

2024

Pain Management - From Acute to Chronic and Beyond

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This chapter details the integration of a Numerical Rating Scale (NPRSETI) with a portable eye tracker, enabling the assessment of pain in conditions in which verbal communication and use of hands are limited (e.g., advanced Amyotrophic lateral sclerosis, ALS). After detailing the construction of the NPRSETI, we describe its validation in an outpatient pain clinic. More specifically, thirty chronic pain patients performed the NPRSETI and filled a conventional NPRS (order was pseudo-randomized). Eye movements, including gaze direction and additional eye movement measures (e.g., saccade rate), were recorded, while participants rated their pain using the NPRSETI. The study’s findings indicated no significant differences in pain severity ratings of the NPRSETI and conventional NPRS. Notably, ratings using the two scales were highly correlated (r = 0.99). NPRSETI’s ratings were also strongly associated with participants’ currently experienced pain rating using the Brief Pain Inventory (BPI). The findings provide initial proof of concept for integrating conventional pain rating scales with an eye tracker and validate the NPRSETI compared with the well-validated and commonly used NPRS. Enhanced usability and decreasing costs of eye trackers will ease the additional research mandated to validate these preliminary findings and hopefully advance their integration into clinical practice.

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Section: Discussionmentioning

confidence: 99%

Integrating the Numerical Pain Rating Scale (NPRS) with an Eye Tracker: Feasibility and Initial Validation

Braw,

Ratmansky,

Goor-Aryeh

2024

Pain Management - From Acute to Chronic and Beyond

View full text Add to dashboard Cite

show abstract

“…In this regard, it would be useful to develop a consensus-based criterion on what magnitude of change would be relevant in a sports environment, as exists in other scientific domains. 50,51 Another limitation of this study is that it was carried out with a small sample of coaches, since our objective was to provide in-depth information about the coaches that participated in the study, recording many matches and coding each match with three different instruments. Therefore, our study provides initial empirical evidence, but we recommend future research to strengthen the present findings by increasing the size of the sample.…”

Section: Discussionmentioning

confidence: 99%

Comparing three observation instruments of the coach's behaviour in grassroots football

Ordeix,

Viladrich,

Alcaraz

2023

International Journal of Sports Science & Coaching

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Coach behaviour has long been known to influence the sporting experience of grassroots players; however, it is currently unclear how the instruments used to assess their behaviour are related. Therefore, the aim of this study is to evaluate the relationships between three observational coaching behaviour tools. Sixteen matches with teams led by four female football coaches were recorded and analysed using three observational instruments: (a) Coaching Behaviour Assessment System (CBAS); (b) Multidimensional Motivational Climate Observation System (MMCOS) and (c) Coach Leadership Assessment System (CLAS). The dimensions measured by each instrument are theorised as being adaptive or maladaptive. The specific objectives of this study are targeted to assess: (a) the commonalities between the three instruments and (b) what differentiated aspects each instrument provides. The results show that both the adaptive and the maladaptive dimensions of the three instruments are positively related among themselves but negatively related to the others. The results also show that the MMCOS is sensitive to behavioural changes during the matches, while the CBAS and the CLAS do not reflect these changes but assess the stability of the behaviour. In conclusion, this research provides empirical evidence supporting the conceptual relationship between the three instruments and of the specific information that each instrument offers. Furthermore, it highlights the need to observe the sport environment more closely in a more diversified way.

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Anxiety and Depression in Youth With Chronic Pain

Dudeney,

Aaron,

Hathway

et al. 2024

JAMA Pediatr

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ImportanceFor youth with chronic pain, anxiety and depression are reported as consequences of experiencing pain and maintaining factors of ongoing pain and disability. However, prevalence estimates of anxiety and depression remain unclear.ObjectiveTo report the prevalence of clinical anxiety and depression for youth with chronic pain and compare symptoms of anxiety and depression between youth with and without chronic pain.Data SourcesMEDLINE, PsycINFO, CENTRAL, and Embase from inception to April 30, 2023.Study SelectionIncluded studies that reported prevalence data or symptom scores for anxiety and/or depression in individuals younger than 25 years (mean, ≤18 years) with chronic pain and were published in English.Data Extraction and SynthesisFrom 9648 nonduplicate records, 801 full-text articles were screened. Screening and data extraction occurred in duplicate. Prevalence was determined using event rate calculations. Between-group symptom differences were calculated using Hedges g. Analyses were conducted using the random-effects model. Reporting bias and Grading of Recommendation, Assessment, Development, and Evaluation assessments were conducted.Main Outcomes and MeasuresPrevalence of anxiety and depression (based on diagnosis and clinical cutoff scores) and differences in anxiety and depression symptoms. Moderators of prevalence and symptom differences were analyzed when data allowed.ResultsA total of 79 studies were included with a total sample of 22 956 youth (n = 12 614 with chronic pain). Most youth were female (mean, 74%), with an age range of 4 to 24 (mean [SD], 13.7 [2.10]) years. The prevalence estimate of anxiety diagnoses was 34.6% (95% CI, 24.0%-47.0%) and the portion that exceeded clinical cutoff scores was 23.9% (95% CI, 18.3%-30.6%). The prevalence of depression diagnoses was 12.2% (95% CI, 7.8%-18.7%) and the portion that exceeded clinical cutoff scores was 23.5% (95% CI, 18.7%-29.2%). Youth with chronic pain had greater symptoms of anxiety (g = 0.61; 95% CI, 0.46-0.77) and depression (g = 0.74; 95% CI, 0.63-0.85) compared with controls. Sex, age, pain location, and recruitment sample may moderate anxiety and depression. Considerable heterogeneity was reported for all outcomes. Studies had a low reporting bias, and outcomes were moderate to high quality.Conclusions and RelevanceThe findings of this meta-analysis suggest that 1 in 3 youth with chronic pain meet criteria for anxiety disorder, and 1 in 8 meet criteria for a depressive disorder. This represents a major clinical comorbidity. Moving forward, screening, prevention, and treatment of mental health should be important health care priorities for youth with chronic pain.

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Clinical relevance of attentional biases in pediatric chronic pain: an eye-tracking study

Abstract: Attentional bias was demonstrated in youth with and without chronic pain using eye-tracking. Attentional bias was not associated with key theorized antecedents or clinical outcomes.

Cited by 8 publications

References 77 publications

Integrating the Numerical Pain Rating Scale (NPRS) with an Eye Tracker: Feasibility and Initial Validation

Integrating the Numerical Pain Rating Scale (NPRS) with an Eye Tracker: Feasibility and Initial Validation

Comparing three observation instruments of the coach's behaviour in grassroots football

Anxiety and Depression in Youth With Chronic Pain

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