Influence of Cognitive Orientation and Attentional Focus on Pain Perception
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Participants
2.3. Procedures
2.4. Instruments
2.5. Statistical Analysis
3. Results
3.1. Descriptive Analysis of Experimental Abandonments
3.2. Trial Abandonment and Individual Differences
3.3. Dispositional Factors and Pain Perception
3.4. Effects of Focus Manipulation on Perception of Pain
3.5. A Model of Path Analysis for Experimental Abandonment
4. Discussion
5. Strengths and Innovation
6. Limitations
7. Future Studies
8. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Labrenz, F.; Sopiko, K.; Sigrid, E. Sex differences linking pain-related fear and interoceptive hypervigilance: Attentional biases to conditioned threat and safety signals in a visceral pain model. Front. Psychiatry 2020, 11, 197. [Google Scholar] [CrossRef]
- Dimova, V.; Horn, C.; Parthum, A.; Kunz, M.; Schöfer, D.; Carbon, R.; Griessinger, N.; Sittl, R.; Lautenbacher, S. Does severe acute pain provoke lasting changes in attentional and emotional mechanisms of pain-related processing? A longitudinal study. Pain 2013, 154, 2737–2744. [Google Scholar] [CrossRef]
- De Carvalho, A.R.; Andrade, A.; Peyré-Tartaruga, L.A. Possíveis alterações no mecanismo minimizador de energia da caminhada em decorrência da dor lombar crônica? Revisão de literatura. Rev. Bras. Reumatol. 2015, 55, 55–61. [Google Scholar] [CrossRef] [Green Version]
- Hébert, H.L.; Veluchamy, A.; Baskozos, G.; Fardo, F.; Van Ryckeghem, D.M.L.; Pascal, M.M.V.; Jones, C.; Milburn, K.; Pearson, E.R.; Crombez, G.; et al. Cohort profile: DOLORisk Dundee: A longitudinal study of chronic neuropathic pain. BMJ Open 2021, 11, e042887. [Google Scholar] [CrossRef]
- Birnie, K.A.; Chambers, C.; Spellman, C.M. Mechanisms of distraction in acute pain perception and modulation. Pain 2017, 158, 1012–1013. [Google Scholar] [CrossRef] [PubMed]
- Villemure, C.; Bushnell, C.M. Cognitive modulation of pain: How do attention and emotion influence pain processing? Pain 2002, 95, 195–199. [Google Scholar] [CrossRef]
- Wiech, K. Deconstructing the sensation of pain: The influence of cognitive processes on pain perception. Science 2016, 354, 584–587. [Google Scholar] [CrossRef] [PubMed]
- Eccleston, C.; Crombez, C. Pain Demands Attention: A Cognitive-Affective Model of the Interruptive Function of Pain. Psychol. Bull. 1999, 125, 356–366. [Google Scholar] [CrossRef] [PubMed]
- Bushnell, M.C.; Ceko, M.; Low, L.A. Cognitive and emotional control of pain and its disruption in chronic pain. Nat. Rev. Neurosci. 2013, 14, 502–511. [Google Scholar] [CrossRef] [Green Version]
- James, J.E.; Hardardottir, D. Influence of attention focus and trait anxiety on tolerance of acute pain. Br. J. Health Psychol. 2002, 7, 149–162. [Google Scholar] [CrossRef]
- Marchand, S.; Arsenault, P. Odors modulate pain perception: A gender-specific effect. Physiol. Behav. 2002, 76, 251–256. [Google Scholar] [CrossRef]
- Van Ryckeghem, D.M.; Van Damme, S.; Eccleston, C.; Crombez, G. The efficacy of attentional distraction and sensory monitoring in chronic pain patients: A meta-analysis. Clin. Psychol. Rev. 2018, 59, 16–29. [Google Scholar] [CrossRef] [Green Version]
- Dragustin, I.; Pavin, T.; Kotzumuth, A. Possibilities of attentional control of pain: Influence of distractive Stroop task on pain threshold and pain tolerance. Rev. Psychol. 2006, 2, 87–94. [Google Scholar]
- Bushnell, M.C.; Villemure, C.; Duncan, G.H. Psychophysical and Neurophysiological Studies of Pain modulation by attention. Psychological Methods of pain control Basic Science and clinical perspectives. In Progress in Pain Research and Management; Price, D.D., Busshnell, M.C., Eds.; IASP Press: Washington, DC, USA, 2004; Volume 29, pp. 99–116. [Google Scholar]
- Hasenbring, M.I.; Verbunt, J.A. Fear-avoidance and Endurance-related Responses to Pain: New Models of Behavior and Their Consequences for Clinical Practice. Clin. J. Pain 2010, 26, 747–753. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Vlaeyen, J.W.; Linton, S.J. Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain 2000, 85, 317–332. [Google Scholar] [CrossRef] [Green Version]
- Garcia-Campayo, J.G.; Pascual, A.; Alda, M.; Ramirez, M.T.G. Coping with fibromyalgia: Usefulness of the chronic pain coping inventory-42. Pain 2007, 132, S68–S76. [Google Scholar] [CrossRef]
- Booker, S.Q.; Herr, K.A. Assessment and Measurement of Pain in Adults in Later Life. Clin. Geriatr. Med. 2016, 32, 677–692. [Google Scholar] [CrossRef]
- Dalewski, B.; Kamińska, A.; Szydłowski, M.; Kozak, M.; Sobolewska, E. Comparison of Early Effectiveness of Three Different Intervention Methods in Patients with Chronic Orofacial Pain: A Randomized, Controlled Clinical Trial. Pain Res. Manag. 2019, 2019, 1–9. [Google Scholar] [CrossRef] [Green Version]
- Breivik, H.; Borchgrevink, P.C.; Allen, S.M.; Rosseland, L.A.; Romundstad, L.; Hals, E.K.B.; Kvarstein, G.; Stubhaug, A. Assessment of pain. Br. J. Anaesth. 2008, 101, 17–24. [Google Scholar] [CrossRef] [Green Version]
- Waller, R.; Straker, L.; O’Sullivan, P.; Sterling, M.; Smith, A. Reliability of pressure pain threshold testing in healthy pain free young adults. Scand. J. Pain 2015, 9, 38–41. [Google Scholar] [CrossRef]
- Park, G.; Kim, C.W.; Park, S.B.; Kim, M.J.; Jang, S.H. Reliability and Usefulness of the Pressure Pain Threshold Measurement in Patients with Myofascial Pain. Ann. Rehabil. Med. 2011, 35, 412–417. [Google Scholar] [CrossRef] [Green Version]
- Modir, J.G.; Wallace, M.S. Human Experimental Pain Models 2: The Cold Pressor Model. In Methods in Molecular Biology; Springer Science and Business Media LLC: Berlin/Heidelberg, Germany, 2010; Volume 617, pp. 165–168. [Google Scholar]
- Walsh, N.E.; Schoenfeld, L.; Ramamurthy, S.; Hoffman, J. Normative Model for Cold Pressor Test. Am. J. Phys. Med. Rehabil. 1989, 68, 6–11. [Google Scholar] [CrossRef]
- Moro, P.-J.; Flavian, A.; Jacquier, A.; Kober, F.; Quilici, J.; Gaborit, B.; Bonnet, J.-L.; Moulin, G.; Cozzone, P.J.; Bernard, M. Gender differences in response to cold pressor test assessed with velocity-encoded cardiovascular magnetic resonance of the coronary sinus. J. Cardiovasc. Magn. Reson. 2011, 13, 54. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Mourot, L.; Bouhaddi, M.; Regnard, J. Effects of the cold pressor test on cardiac autonomic control in normal subjects. Physiol. Res. 2009, 58, 83–91. [Google Scholar] [CrossRef] [PubMed]
- Silverthorn, D.U.; Michael, J. Cold stress and the cold pressor test. Adv. Physiol. Educ. 2013, 37, 93–96. [Google Scholar] [CrossRef]
- Engebretsen, S.; Frigessi, A.; Engø-Monsen, K.; Furberg, A.-S.; Stubhaug, A.; De Blasio, B.F.; Nielsen, C.S. The peer effect on pain tolerance. Scand. J. Pain 2018, 18, 467–477. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Barratt, E.S. Impulsiveness and Aggression. In Violence and Mental Disorder: Developments in Risk Assessment; Monahan, J., Steadman, H.J., Eds.; University of Chicago Press: Chicago, IL, USA, 1994; pp. 61–79. [Google Scholar]
- Patton, J.H.; Stanford, M.S.; Barratt, E.S. Factor structure of the Barratt impulsiveness scale. J. Clin. Psychol. 1995, 6, 768–774. [Google Scholar] [CrossRef]
- Fossati, A.; Di Ceglie, A.; Acquarini, E.; Barratt, E.S. Psychometric properties of an Italian version of the Barratt Impulsiveness Scale-11 (BIS) in non-clinical subjects. J. Clin. Psychol. 2001, 57, 815–828. [Google Scholar] [CrossRef] [PubMed]
- Sullivan, M.J.L.; Bishop, S.R.; Pivik, J. The Pain Catastrophizing Scale: Development and validation. Psychol. Assess. 1995, 7, 524–532. [Google Scholar] [CrossRef]
- Monticone, M.; Baiardi, P.; Ferrari, S.; Foti, C.; Mugnai, R.; Pillastrini, P.; Rocca, B.; Vanti, C. Development of the Italian version of the Pain Catastrophising Scale (PCS-I): Cross-cultural adaptation, factor analysis, reliability, validity and sensitivity to change. Qual. Life Res. 2012, 21, 1045–1050. [Google Scholar] [CrossRef]
- Teo, T. Using structural equation modelling (SEM) in educational technology research: Issues and guidelines. Br. J. Educ. Technol. 2009, 41, E117–E119. [Google Scholar] [CrossRef]
- Yu, C.Y. Evaluating Cutoff Criteria of Model Fit Indices for Latent Variable Models with Binary and Continuous Outcomes. Ph.D. Thesis, University of California, Berkeley, CA, USA, 2002. [Google Scholar]
- Stevens, M.J.; Ohlwein, A.L.; Catanzaro, S.J. Further Evidence That Self-Efficacy Predicts Acute Pain. Imagin. Cogn. Pers. 1999, 19, 185–194. [Google Scholar] [CrossRef]
- Williams, S.; Kinney, P. Performance and nonperformance strategies for coping with acute pain: The role of perceived self-efficacy, expected outcomes, and attention. Cogn. Ther. Res. 1991, 15, 1–19. [Google Scholar] [CrossRef]
- Wolff, N.; Rubia, K.; Knopf, H.; Hölling, H.; Martini, J.; Ehrlich, S.; Roessner, V. Reduced pain perception in children and adolescents with ADHD is normalized by methylphenidate. Child Adolesc. Psychiatry Ment. Health 2016, 10, 24. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Bell, J.J.; Hardy, J. Effects of Attentional Focus on Skilled Performance in Golf. J. Appl. Sport Psychol. 2009, 21, 163–177. [Google Scholar] [CrossRef]
- Freudenheim, A.M.; Wulf, G.; Madureira, F.; Pasetto, S.C.; Corrěa, U.C. An External Focus of Attention Results in Greater Swimming Speed. Int. J. Sports Sci. Coach. 2010, 5, 533–542. [Google Scholar] [CrossRef] [Green Version]
- Manojlovic, V.; Erculj, F.; Vladimir, M.; Frane, E. Impact of the focus of attention on vertical jump performance of junior basketball players. Fizicka Kultura 2013, 67, 61–67. [Google Scholar] [CrossRef]
- Porter, J.M.; Ostrowski, E.J.; Nolan, R.P.; Wu, W.F.W. Standing Long-Jump Performance is Enhanced when Using an External Focus of Attention. J. Strength Cond. Res. 2010, 24, 1746–1750. [Google Scholar] [CrossRef] [PubMed]
- Neumann, D.L.; Piercy, A. The effect of different attentional strategies on physiological and psychological states during running. Aust. Psychol. 2013, 48, 329–337. [Google Scholar] [CrossRef] [Green Version]
- Bertollo, M.; Saltarelli, B.; Robazza, C. Mental preparation strategies of elite modern pentathletes. Psychol. Sport Exerc. 2009, 10, 244–254. [Google Scholar] [CrossRef]
- Marchant, D.C.; Greig, M.; Bullough, J.; Hitchen, D. Instructions to Adopt an External Focus Enhance Muscular Endurance. Res. Q. Exerc. Sport 2011, 82, 466–473. [Google Scholar] [CrossRef] [PubMed]
- Severeijns, R.; Vlaeyen, J.W.; Hout, M.A.V.D. Do we need a communal coping model of pain catastrophizing? An alternative explanation. Pain 2004, 111, 226–229. [Google Scholar] [CrossRef] [Green Version]
- Simmons, L.A.; Williams, H.; Silva, S.; Keefe, F.; Tanabe, P. Acceptability and Feasibility of a Mindfulness-Based Intervention for Pain Catastrophizing among Persons with Sickle Cell Disease. Pain Manag. Nurs. 2019, 20, 261–269. [Google Scholar] [CrossRef] [PubMed]
- Diotaiuti, P.; Valente, G.; Mancone, S. Validation study of the Italian version of Temporal Focus Scale: Psychometric properties and convergent validity. BMC Psychol. 2021, 9, 1–13. [Google Scholar] [CrossRef] [PubMed]
- Nilsen, G.; Elstad, I. Temporal experiences of persistent pain. Patients’ narratives from meetings with health care providers. Int. J. Qual. Stud. Health Well-Being 2009, 4, 51–61. [Google Scholar] [CrossRef]
Measures | t | p | M1 | DS | M2 | DS | 95% CI | d |
---|---|---|---|---|---|---|---|---|
FT Abandonment | ||||||||
Impulsiveness | −2.116 | 0.036 | 1.75 | 0.28 | 1.87 | 0.33 | [−0.245; −0.008] | 0.39 |
Task Self-Efficacy | −2.497 | 0.013 | 5.12 | 0.97 | 4.61 | 1.09 | [−0.900; −0.104] | 0.49 |
Catastrophizing | −3.16 | 0.002 | 2.4 | 0.48 | 2.71 | 0.49 | [−0.553; −0.115] | 0.64 |
ST Abandonment | ||||||||
Task Self-Efficacy | −2.819 | 0.011 | 5.15 | 0.9 | 4.44 | 1.09 | [−1.20; −0.208] | 0.71 |
Catastrophizing | −2.58 | 0.004 | 2.4 | 0.48 | 2.75 | 0.59 | [−0.619; −0.080] | 0.65 |
BT Abandonment | ||||||||
Task Self-Efficacy | 2.182 | 0.03 | 4.99 | 1.26 | 4.45 | 1.35 | [0.050; 1.02] | 0.41 |
Catastrophizing | −3.13 | 0.002 | 2.4 | 0.87 | 2.69 | 0.52 | [−0.475; −0.105] | 0.4 |
Measures | F | df | p | ß | R2 |
---|---|---|---|---|---|
FT Abandonment | |||||
Impulsiveness | 1.523 | 1245 | 0.22 | 0.111 | 0.01 |
Task Self-Efficacy | 0.661 | 1245 | 0.418 | −0.074 | 0 |
Catastrophizing | 9.987 | 1245 | 0.002 | 0.276 | 0.08 |
ST Abandonment | |||||
Impulsiveness | 1.941 | 1245 | 0.166 | 0.126 | 0.02 |
Task Self-Efficacy | 2.055 | 1245 | 0.154 | −0.129 | 0 |
Catastrophizing | 8.835 | 1245 | 0.004 | 0.261 | 0.07 |
BT Abandonment | |||||
Impulsiveness | 2.119 | 1245 | 0.148 | 0.131 | 0.02 |
Task Self-Efficacy | 1.532 | 1245 | 0.218 | −0.112 | 0.01 |
Catastrophizing | 11.754 | 1245 | 0.001 | 0.298 | 0.09 |
Label | Label | MLE | S.E. | C.R. | p | SWE | |
---|---|---|---|---|---|---|---|
Task self-efficacy | → | Learned Helplessness | −0.184 | 0.039 | −4.73 | *** | −0.394 |
Learned Helplessness | → | Rumination | 0.758 | 0.094 | 8.024 | *** | 0.588 |
Rumination | → | Catastrophizing | 0.407 | 0.036 | 11.222 | *** | 0.545 |
Attentional Impulsivity | → | Catastrophizing | 0.19 | 0.059 | 3.237 | 0.001 | 0.127 |
Learned Helplessness | → | Catastrophizing | 0.439 | 0.047 | 9.38 | *** | 0.455 |
Catastrophizing | → | Trials Abandonment | 0.47 | 0.138 | 3.418 | *** | 0.296 |
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Diotaiuti, P.; Corrado, S.; Mancone, S.; Falese, L.; Rodio, A.; Siqueira, T.C.; Andrade, A. Influence of Cognitive Orientation and Attentional Focus on Pain Perception. Int. J. Environ. Res. Public Health 2021, 18, 7176. https://doi.org/10.3390/ijerph18137176
Diotaiuti P, Corrado S, Mancone S, Falese L, Rodio A, Siqueira TC, Andrade A. Influence of Cognitive Orientation and Attentional Focus on Pain Perception. International Journal of Environmental Research and Public Health. 2021; 18(13):7176. https://doi.org/10.3390/ijerph18137176
Chicago/Turabian StyleDiotaiuti, Pierluigi, Stefano Corrado, Stefania Mancone, Lavinia Falese, Angelo Rodio, Thaìs Cristina Siqueira, and Alexandro Andrade. 2021. "Influence of Cognitive Orientation and Attentional Focus on Pain Perception" International Journal of Environmental Research and Public Health 18, no. 13: 7176. https://doi.org/10.3390/ijerph18137176