scholarly journals Attentional Engagement for Pain-Related Information among Individuals with Chronic Pain: The Role of Pain Catastrophizing

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
J. E. Lee ◽  
S. H. Kim ◽  
S. K. Shin ◽  
A. Wachholtz ◽  
J. H. Lee
Keyword(s):  
Chronic Pain ◽  
Attentional Bias ◽  
Time Course ◽  
Pain Catastrophizing ◽  
Self Report ◽  
Related Information ◽  
Pain Disability ◽  
Attentional Engagement ◽  
Time Course Of Attention

Although the evidence of the attentional bias of chronic pain individuals toward pain-related information is established in the literature, few studies examined the time course of attention toward pain stimuli and the role of pain catastrophizing on attentional engagement toward pain-related information. This study examined the time course of attention to pain-related information and the role of pain catastrophizing on attentional engagement for pain-related information. Participants were fifty young adult participants with chronic pain (35% male, 65% female; M = 21.8 years) who completed self-report questionnaires assessing pain catastrophizing levels (Pain Catastrophizing Scale (PCS)), depression (the Center for Epidemiologic Studies Depression Scale (CES-D)), anxiety (State-Trait Anxiety Inventory (STAI)), and pain disability (the Pain Disability Index: (PDI)). Attentional engagements to pain- and anger-related information were measured by the eye tracker. Significant interaction effects were found between (1) time and stimulus type for pain-related information (F (5, 245) = 11.55, p<0.001) and (2) bias scores and pain catastrophizing (F (1, 48) = 6.736, p<0.05). These results indicated that the degree of increase for pain bias scores were significantly greater than anger bias scores as levels of pain catastrophizing increased. Results of the present study provided the evidence for the attentional bias and information processing model which has clinical implications; high levels of pain catastrophizing may impair individuals’ ability to cope with chronic pain by increasing attentional engagement toward pain-related information. The present study can add knowledge to attentional bias and pain research as this study investigated the time course of attention and the role of pain catastrophizing on attentional engagement toward pain-related information for adults with chronic pain conditions.

scholarly journals Chronic Pain Patients’ Gaze Patterns toward Pain-Related Information: Comparison between Pictorial and Linguistic Stimuli

Medicina ◽  
2019 ◽  
Vol 55 (9) ◽  
pp. 530 ◽  
Author(s):  
Lee ◽  
Beom ◽  
Choi ◽  
Lee ◽  
Lee
Keyword(s):  
Chronic Pain ◽  
Eye Tracking ◽  
Attentional Bias ◽  
Pain Catastrophizing ◽  
Pain Clinic ◽  
Related Information ◽  
Chronic Pain Patients ◽  
Attentional Engagement ◽  
Pain Patients

Background and Objectives: The attentional bias and information processing model explained that individuals who interpret pain stimuli as threatening may increase their attention toward pain-related information. Previous eye tracking studies found pain attentional bias among individuals with chronic pain; however, those studies investigated this phenomenon by using only one stimulus modality. Therefore, the present study investigated attentional engagement to pain-related information and the role of pain catastrophizing on pain attentional engagement to pain-related stimuli among chronic pain patients by utilizing both linguistic and visual stimulus. Materials and Methods: Forty chronic pain patients were recruited from the rehabilitation center, the back pain clinic, and the rheumatology department of Chung-Ang University Hospital in Seoul, Korea. Patients observed pictures of faces and words displaying pain, presented simultaneously with neutral expressions, while their eye movements were measured using the eye tracking system. A t-test and ANOVA were conducted to compare stimulus pairs for the total gaze duration. Results revealed that chronic pain patients demonstrated attentional preference toward pain words but not for pain faces. An ANOVA with bias scores was conducted to investigate the role of pain catastrophizing on attentional patterns. Results indicated that chronic pain patients with high pain catastrophizing scores gazed significantly longer at pain- and anger-related words than neutral words compared to those with low pain catastrophizing scores. The same patterns were not observed for the facial expression stimulus pairs. Conclusions: The results of the present study revealed attentional preference toward pain-related words and the significant role of pain catastrophizing on pain attentional engagement to pain-related words. However, different patterns were observed between linguistic and visual stimuli. Clinical implications related to use in pain treatment and future research suggestions are discussed.

scholarly journals Time course of attentional bias to painful facial expressions and the moderating role of attentional control: an eye-tracking study

2019 ◽  
pp. 204946371986687 ◽  
Author(s):  
Mahdi Mazidi ◽  
Mohsen Dehghani ◽  
Louise Sharpe ◽  
Behrooz Dolatshahi ◽  
Seyran Ranjbar ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Attentional Bias ◽  
Facial Expressions ◽  
Attentional Control ◽  
Time Course ◽  
Pain Catastrophizing ◽  
Moderation Effect ◽  
Significant Difference ◽  
The Relationship ◽  
Pain Patients

Introduction: This study investigated the time course of attention to pain and examined the moderating effect of attentional control in the relationship between pain catastrophizing and attentional bias in chronic pain patients. Methods: A total of 28 patients with chronic pain and 29 pain-free individuals observed pictures of pain, happy and neutral facial expressions while their gaze behaviour was recorded. Pain intensity and duration, anxiety, depression, stress, attentional control and pain catastrophizing were assessed by questionnaires. Results: In all subjects, the pattern of attention for pain faces was characterized by initial vigilance, followed by avoidance. No significant difference was found between the two groups in terms of orientation towards the stimuli, the duration of first fixation, the average duration of fixation or number of fixations on the pain stimuli. Attentional control moderated the relationship between catastrophizing and overall dwell time for happy faces in pain patients, indicating that those with high attentional control and high catastrophizing focused more on happy faces, whereas the reverse was true for those with low attentional control. Conclusion: This study supported the vigilance–avoidance pattern of attention to painful facial expressions and a moderation effect of attentional control in the association between pain catastrophizing and attentional bias to happy faces among pain patients.

scholarly journals Incorporating Family Function into Chronic Pain Disability: The Role of Catastrophizing

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Fatemeh Akbari ◽  
Mohsen Dehghani ◽  
Ali Khatibi ◽  
Tine Vervoort
Keyword(s):  
Chronic Pain ◽  
Pain Catastrophizing ◽  
Total Sample ◽  
Family Context ◽  
Fit Indices ◽  
Family Function ◽  
Fear Of Movement ◽  
Pain Disability ◽  
The Impact

Background. Observers’ responses to pain are recently investigated to more comprehensively explain chronic pain (CP) and disability. However, the role of family context, defined as interference in roles, communication, and problem-solving, and how (i.e., through which mechanisms) these variables contribute to CP related disability have yet to be examined.Objectives. The aim of the present study is to examine family context in relationship to pain catastrophizing, fear of movement, and depression and its role in understanding CP disability. Three different models were examined.Methods. A total sample of 142 patients with musculoskeletal chronic pain was recruited to examine the role of fear of movement, pain intensity, pain catastrophizing, and depression in relationship to family functioning as predictors of disability.Results. Findings indicated that two models showed acceptable fit, but one of them revealed superior fit indices. Results of the model with superior fit indices indicated that family dysfunction may contribute to catastrophic thinking, which, in turn, contributes to patients’ disability through increasing fear of movement and depression.Discussion. The current study provides further support for the notion that the impact of emotional and cognitive variables upon CP-related disability can be better understood when we consider the social context of pain patients and family function in particular.

scholarly journals Interpersonal problems as a predictor of pain catastrophizing in patients with chronic pain

2019 ◽  
Vol 20 (1) ◽  
pp. 51-59
Author(s):  
Truls Ryum ◽  
Henrik Børsting Jacobsen ◽  
Petter Christian Borchgrevink ◽  
Nils Inge Landrø ◽  
Tore Charles Stiles
Keyword(s):  
Chronic Pain ◽  
Psychiatric Symptoms ◽  
Pain Catastrophizing ◽  
Interpersonal Problems ◽  
Rehabilitation Program ◽  
Self Report ◽  
Interpersonal Theory ◽  
Circumplex Model ◽  
Cross Sectional

AbstractBackground and aimsPain catastrophizing has consistently been related to a variety of negative outcomes within chronic pain conditions, but competing models exist explaining the role of catastrophizing. According to the fear-avoidance model (FAM), catastrophizing is primarily related to the appraisal of pain (i.e. “intrapersonal”), whereas the communal coping model (CCM) suggests that catastrophizing is a strategy to elicit support (i.e. “interpersonal”). In order to examine the interpersonal nature of catastrophizing, this cross-sectional study examined interpersonal problems as a predictor of pain catastrophizing in a sample of patients (n = 97) with chronic pain.MethodsSelf-report data was taken from patients entering a multidisciplinary, inpatient rehabilitation program. The four quadrants of the Inventory of Interpersonal Problems circumplex model (Hostile-Dominant, Hostile-Submissive, Friendly-Submissive, Friendly-Dominant) were used as predictors of pain catastrophizing in a series of separate, hierarchical regression analyses.ResultsAfter controlling for relevant confounding variables such as demographics (gender, age), pain severity, psychiatric symptoms (anxiety/depression, fatigue, insomnia), adverse life experiences and perceived social support, higher levels of Hostile-Dominant interpersonal problems predicted higher levels of pain catastrophizing (p ≤ 0.01, d = 0.56).ConclusionsThe results add support to the notion that pain catastrophizing may serve a communicative functioning, as predicted by the CCM, with cold, dominant and controlling behaviors as a maladaptive interpersonal strategy to elicit support. It may thus be useful to consider the broader interpersonal context of the individual, and not only the patient’s appraisal of pain, when conceptualizing the role of pain catastrophizing in patients with chronic pain.ImplicationsFuture psychosocial research and treatment of chronic pain could be informed by including interpersonal theory as a useful theoretical framework, which may help shed more light on how interpersonal problems relates to pain catastrophizing.

scholarly journals The relationship between psychosocial factors and reported disability: The role of pain self-efficacy

2021 ◽  
Author(s):  
Antonio Varela
Keyword(s):  
Physical Activity ◽  
Chronic Pain ◽  
Low Back Pain ◽  
Psychosocial Factors ◽  
Self Efficacy ◽  
Pain Catastrophizing ◽  
Low Back ◽  
Mediating Role ◽  
The Relationship

Abstract Background Chronic pain in all its forms and the accompanying level of disability is a healthcare crisis that reaches epidemic proportions and is considered a world level crisis. Chronic non-specific low back pain contributes a significant proportion of chronic pain. Specific psychosocial factors and their influence on reported disability in a chronic non-specific low back pain (CNLBP) population was researched. Methods Psychosocial factors examined include fear, catastrophizing, depression, and pain self-efficacy. This cross-sectional correlational study examined the mediating role between pain self-efficacy and the specific psychosocial factors with reported disability. The study included 90 participants with CNLBP between 20 and 60 years of age. Participants completed the Fear Avoidance Belief Questionnaire, The Pain Catastrophizing Scale, The Patient Health Questionnaire-9, The Pain Self-Efficacy Questionnaire, and The Lumbar Oswestry Disability Index to measure fear of physical activity, pain catastrophizing, depression, pain self-efficacy, and reported disability, respectively. The study used multivariate regression and mediation analyses. Results The principal finding of the study was a strong inverse relationship between pain self-efficacy and reported disability. Further, pain self-efficacy was considered a statistic mediator for all psychosocial factors investigated within this data set. Pain self-efficacy was strongly considered to have a mediating role between reported fear of physical activity and disability, reported pain catastrophizing and disability, and reported depression and disability. Additionally, adjusting for age and reported pain levels proved to be statistically significant, and it did not alter the role of pain self-efficacy. Conclusion The results identified that pain self-efficacy had a mediating role in the relationship between the specific psychosocial factors of fear, catastrophizing, and depression and reported disability. Pain self-efficacy plays a more significant role in the relationships between specific psychosocial factors and reported disability with CNLBP than previously considered.

Catastrophizing in Comorbid Chronic Pain and Mental Illness

2020 ◽  
pp. 234-248
Author(s):  
Cynthia O. Townsend ◽  
Donald R. Townsend
Keyword(s):  
Chronic Pain ◽  
Mental Illness ◽  
Prognostic Factor ◽  
Pain Catastrophizing ◽  
Psychological Interventions ◽  
Clinical Implications ◽  
Specific Situation ◽  
Negative Consequences ◽  
Pain Chronification

Catastrophizing, or the tendency to emphasize and exaggerate the occurrence of negative consequences in a specific situation, has been shown to play an important role in the development and maintenance of chronic pain. Dynamically viewed as a contributor, mediator, and result of chronic pain suffering, catastrophizing has notable importance for clinicians treating patients’ comorbid chronic pain and mental illness. Exciting research on catastrophizing and neuroplasticity in persons with chronic pain promises to expand our understanding of pain catastrophizing, pain chronification, and cortical structural neuroplasticity in response to psychological interventions. This chapter provides a selective review of the assessment and neural correlates of pain catastrophizing as well as the role of catastrophizing as a prognostic factor for pain-related outcomes. The interactions between catastrophizing and chronic pain are also explored in the context of key comorbid mental conditions: depression and insomnia. Clinical implications for the practicing clinician are discussed.

Gender-dependent difference in the relationship between pain aspects and pain catastrophizing

2019 ◽  
Vol 47 (2) ◽  
pp. 1-11 ◽  
Author(s):  
ChongNak Son ◽  
Daegu Son ◽  
Jeongwi An ◽  
Sungkun Cho
Keyword(s):  
Chronic Pain ◽  
Pain Catastrophizing ◽  
Republic Of Korea ◽  
Pain Clinic ◽  
Affective Pain ◽  
High Level ◽  
Gender Dependence ◽  
Study Participants ◽  
The Relationship

We examined the gender dependence of the relationships between sensory and affective pain and pain catastrophizing. Study participants were 170 people who were receiving treatment for chronic pain at a university pain clinic in Daegu, Republic of Korea. For men, higher levels of sensory pain were associated with greater pain catastrophizing at low and average levels of affective pain, but not at a high level of affective pain. For women, higher levels of affective pain were associated with greater pain catastrophizing, regardless of the degree of sensory pain. These results suggest that sensory pain, affective pain, and their combination may have gender-dependent effects on pain catastrophizing in people who are experiencing chronic pain. Most importantly, affective pain appears to play a major role in pain catastrophizing, regardless of gender and, for men, the role of sensory pain in pain catastrophizing requires consideration.

scholarly journals Exercise Performance and Chronic Pain in Chronic Fatigue Syndrome: The Role of Pain Catastrophizing

Pain Medicine ◽  
2008 ◽  
Vol 9 (8) ◽  
pp. 1164-1172 ◽  
Author(s):  
Jo Nijs ◽  
Karen Van de Putte ◽  
Fred Louckx ◽  
Steven Truijen ◽  
Kenny De Meirleir
Keyword(s):  
Chronic Pain ◽  
Chronic Fatigue Syndrome ◽  
Exercise Performance ◽  
Pain Catastrophizing ◽  
Chronic Fatigue ◽  
Fatigue Syndrome

Time Course of Attention for Alcohol Cues in Abstinent Alcoholic Patients: The Role of Initial Orienting

2006 ◽  
Vol 30 (11) ◽  
pp. 1871-1877 ◽  
Author(s):  
Xavier Noël ◽  
M. Colmant ◽  
Marial Van Der Linden ◽  
Antoine Bechara ◽  
Quentin Bullens ◽  
...  
Keyword(s):  
Time Course ◽  
Alcohol Cues ◽  
Time Course Of Attention
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