Worry and chronic pain patients: A description and analysis of individual differences

Eccleston, Christopher; Crombez, Geert; Aldrich, Sarah; Stannard, Cathy

doi:10.1053/eujp.2001.0252

Cited by 69 publications

(39 citation statements)

References 26 publications

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“…Perseverative thoughts, which may be common in chronic pain conditions characterized by uncertain and diffuse treatment and prognosis, are, therefore, a likely instance of reduced self-regulation and a failure of executive control [47]. In fact, worry is among the most prevalent psychosocial symptoms associated with chronic pain [48,49], and perceived symptoms of illness are frequently a source of worry [50]. Pain patients may also worry and ruminate about the state of their health, their well-being, and the prospect of their future.…”

Section: Emotion Regulationmentioning

confidence: 99%

Executive Functions, Self-Regulation, and Chronic Pain: A Review

2009

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Section: Emotion Regulationmentioning

confidence: 99%

Executive Functions, Self-Regulation, and Chronic Pain: A Review

2009

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“…Regions such as SII and posterior insular cortices appear to be the first stations that house processes by which attention profoundly shapes both behavioral responses to pain and subjective pain experience (Lorenz and Garcia-Larrea, 2003). In clinical contexts, attention toward pain can aggravate chronic pain and the associated subjective experience (Aldrich et al, 2000;Eccleston et al, 2001). Furthermore, it can interfere with concurrent cognitive activities (Eccleston and Crombez, 1999).…”

Section: Introductionmentioning

confidence: 99%

Attention to Painful Stimulation Enhances γ-Band Activity and Synchronization in Human Sensorimotor Cortex

Hauck

Lorenz²,

Engel³

2007

J. Neurosci.

143

137

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A number of cortical regions are involved in processing pain-related information. The SI and SII somatosensory cortices process mainly sensory discriminative attributes but also play an important role in recognition and memory of painful events. Regions such as SII and the posterior insula appear to be the first stations that house processes by which attention profoundly shapes both behavioral responses and subjective pain experience. We investigated the influence of directed attention on pain-induced oscillations and synchronization processes using magnetoencephalogram in combination with an oddball paradigm in 20 healthy subjects. The subject's task was to count rare painful electrical stimuli applied to one finger, while ignoring frequent stimuli at a different finger. A high detection ratio was observed for all blocks and subjects. Early evoked oscillations in the ␦-band increased with higher stimulus intensity and directed attention, most prominently at contralateral sensorimotor sites. Furthermore, suppression and rebound of ␤ activity were observed after painful stimulation. Moreover, induced oscillatory activity in the high ␥-band increased with directed attention, an effect being significantly stronger for high compared with low stimulus intensity. Coupling analysis performed for this high ␥ response revealed stronger functional interactions between ipsilateral and contralateral sites during attention. We conclude that pain-induced high-frequency activity in sensorimotor areas may reflect an attentional augmentation of processing, leading to enhanced saliency of pain-related signals and thus to more efficient processing of this information by downstream cortical centers.

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“…A more plausible explanation may be found in the idea that those who catastrophize, tend to worry or ruminate about pain during other tasks in many situations [3], and that this negative mental set is not easily paused or stopped [15].…”

mentioning

confidence: 99%

The role of motivation in distracting attention away from pain: An experimental study

Verhoeven

Crombez

Eccleston

et al. 2010

Pain

Self Cite

124

128

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Research on the effectiveness of distraction as a method of pain control is inconclusive. One mechanism pertains to the motivational relevance of distraction tasks. In this study the motivation to engage in a distraction task during pain was experimentally manipulated. Undergraduate students (N=73) participated in a cold pressor test (CPT) and were randomly assigned to three groups: a distraction-only group performed a tone-detection task during ther CPT, a motivated-distraction group performed the same task and received a monetary reward for good task performance, and a control group did not perform the tone-detection task. Results indicated that engagement in the distraction task was better in the motivated-distraction group in comparison with the distraction-only group. Participants in both distraction groups experienced less pain compared to the control group. There were no overall differences in pain intensity between the two distraction groups. The effect of distraction was influenced by the level of catastrophic thinking about pain. For low catastrophizers, both distraction groups reported less pain as compared to the nondistracted control group. This was not the case for high catastrophizers. For high catastrophizers it mattered whether the distraction task was motivationally relevant:High catastrophizers reported less intense pain in the motivated distraction group, as compared to the non-distracted control group. We conclude that increasing the motivational relevance of the distraction task may increase the effects of distraction, especially for those who catastrophize about pain.

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Worry and chronic pain patients: A description and analysis of individual differences

Cited by 69 publications

References 26 publications

Executive Functions, Self-Regulation, and Chronic Pain: A Review

Executive Functions, Self-Regulation, and Chronic Pain: A Review

Attention to Painful Stimulation Enhances γ-Band Activity and Synchronization in Human Sensorimotor Cortex

The role of motivation in distracting attention away from pain: An experimental study

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