Cognitive Coping Style and the Effectiveness of Distraction or Sensation-Focused Instructions in Chronic Pain Patients

Fox, Lisa G.; Walsh, Jane C.; Morrison, Todd G.; Gorman, David O’; Ruane, Nancy; Mitchell, Caroline; Carey, John J.; Coughlan, Robert J.; McGuire, Brian E.

doi:10.1371/journal.pone.0142285

Cited by 9 publications

(10 citation statements)

References 41 publications

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“…At least 2 within‐subject studies with counterbalanced conditions in which individuals with chronic pain were assessed did not present any relief from pain with auditory distraction tasks. However, despite showing a trend, the heterogeneity of the groups evaluated (ie, different causes of chronic pain) makes the evidence insufficient to draw conclusions regarding the impact of auditory tasks on chronic pain.…”

Section: Discussionmentioning

confidence: 99%

Pain and Distraction According to Sensory Modalities: Current Findings and Future Directions

et al. 2019

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Background: This review discusses the findings in the literature on pain and distraction tasks according to their sensory modality. Distraction tasks have been shown to reduce (experimentally induced) acute pain and chronic pain. This can be influenced by nature and by the sensory modalities used in the distraction tasks. Yet the effect on reducing pain according to the sensory modality of the distraction task has received little attention. Methods: A bibliographic search was performed in different databases. The studies will be systematized according to the sensory modality in which the distraction task was applied.Results: The analyzed studies with auditory distractors showed a reduction of acute pain in adults. However, these are not effective at healthy children and in adults with chronic pain. Visual distractors showed promising results in acute pain in adults and children. Similarly, tactile and mixed distractors decreased acute pain in adults. Conclusion: Distraction tasks by diverse sensory modalities have a positive effect on decreasing the perception of acute pain in adults. Future studies are necessary given the paucity of research on this topic, particularly with tactile distractors (there is only one study). Finally, the most rigorous methodology and the use of ecological contexts are encouraged in future research. &

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Section: Discussionmentioning

confidence: 99%

Pain and Distraction According to Sensory Modalities: Current Findings and Future Directions

et al. 2019

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“…It should be noted that there are other explanations. For example, various methods of distraction potentially including physical activity can be used as a modifying tactic to reduce pain [43].…”

Section: Discussionmentioning

confidence: 99%

Co-existing patterns of MRI lesions were differentially associated with knee pain at rest and on joint loading: a within-person knee-matched case-controls study

Liu

Lane

Hunter

et al. 2020

BMC Musculoskelet Disord

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Background To assess the association of co-existing MRI lesions with knee pain at rest or on joint loading. Methods We included participants from Osteoarthritis Initiative whose pain score, measured by WOMAC sub-scales, differed by ≥1 point at rest (in bed at night, sitting/lying down) or on joint loading (walking, stairs) between two knees. Cartilage morphology, bone marrow lesions, meniscus extrusion, meniscus morphology, Hoffa’s synovitis and synovitis-effusion were assessed using the compartment-specific MRI Osteoarthritis Knee Score. We performed latent class analyses to identify subgroups of co-existing MRI lesions and fitted a conditional logistic regression model to examine their associations with knee pain. Results Among 130 eligible participants, we identified five subgroups of knees according to patterns of co-existing MRI lesions: I. minimal lesions; II. mild lesions; III. moderate morphological lesions; IV. moderate multiple reactive lesions; and V. severe lesions. Compared with subgroup I, the odds ratios (ORs) and 95% confidence intervals (CI) of greater pain in bed at night were 1.6 (0.3, 7.2), 2.2 (0.5, 9.5), 6.2 (1.3, 29.6) and 11.2 (2.1, 59.2) for subgroups II-V, respectively. A similar association was observed between aforementioned subgroups and pain with sitting/lying down. The ORs (95% CI) of greater pain with walking were 1.0 (reference), 1.7 (0.5, 6.1), 0.7 (0.2, 2.3), 5.0 (1.4, 18.6) and 7.9 (2.0, 31.5) for subgroup I-V, respectively. The corresponding analysis for pain on stairs showed similar results. Conclusions Distinct patterns of co-existing MRI lesions have different implications for the pathogenesis of osteoarthritic knee pain occurring with/without joint loading.

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“…Using this paradigm, future work can systematically investigate what task-related and task-unrelated factors give the greatest affective-motivational value and how much inter-individual variation exists while systematically controlling for attentional processes. Such work will have important implications for developing effective behavioural strategies for managing acute and chronic pain [ 69 – 70 ].…”

Section: Discussionmentioning

confidence: 99%

An incremental dual-task paradigm to investigate pain attenuation by task difficulty, affective content and threat value

et al. 2018

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There is accumulating evidence that task demands and psychological states can affect perceived pain intensity. Different accounts have been proposed to explain this attenuation based either on how limited attentional resources are allocated to the pain stimulus or on how the threat value of the pain stimulus biases attention. However, the evidence for both proposals remains mixed. Here we introduce an incremental dual-task paradigm in which participants were asked to detect pain on their fingertip without any additional tasks during baseline phases or while concurrently detecting visual targets during task phases. The force applied to participants’ fingertip in all phases increased incrementally until they detected moderate pain. In Experiment 1, we used coloured shapes and in Experiment 2 we used affective images as visual targets. We also manipulated the threat value of the pain stimulus in Experiment 2. For both experiments, we found that a concurrent task attenuated perceived pain intensity: mean force was significantly greater for the same moderate pain during task compared to baseline phases. Furthermore although task difficulty and affective content did not affect pain perception, the threat value of the pain stimulus moderated the magnitude of pain attenuation.

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Cognitive Coping Style and the Effectiveness of Distraction or Sensation-Focused Instructions in Chronic Pain Patients

Cited by 9 publications

References 41 publications

Pain and Distraction According to Sensory Modalities: Current Findings and Future Directions

Pain and Distraction According to Sensory Modalities: Current Findings and Future Directions

Co-existing patterns of MRI lesions were differentially associated with knee pain at rest and on joint loading: a within-person knee-matched case-controls study

An incremental dual-task paradigm to investigate pain attenuation by task difficulty, affective content and threat value

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