Fearful thinking predicts hypervigilance towards pain-related stimuli in patients with chronic pain.

作者: Chun-Hong He , Feng Yu , Zhao-Cai Jiang , Jin-Yan Wang , Fei Luo

DOI: 10.1002/PCHJ.57

关键词: Depression (differential diagnoses)PsychiatryIn patientAnxietyPain catastrophizingAudiologyHypervigilanceChronic painTrigeminal neuralgiaPsychologyAttentional bias

摘要: Cognitive impairment plays a role in the development and maintenance of chronic pain. Patients with painful disorders are reported to show attentional biases toward pain-related information. However, these findings controversial, rarely has any study examined whether pain patients have conditioned stimuli (CS). In this study, twenty-one diagnosed trigeminal neuralgia (TN) were recruited from neurosurgical department large urban general hospital. Sixteen family members pain-free volunteers included as two separate control groups. Pain ratings, anxiety, depression measured all subjects using questionnaires. Two dot probe tests performed, one that used pictures versus neutral faces cues, another presented three types CS cues predicted certain, uncertain, or no Our results demonstrate TN showed towards CSs signaled uncertain Moreover, ratings negative emotion about their conditions correlated significantly presence biases. The patients' close members, however, displayed uncertain-pain CS. This demonstrates increased attention information, fearful thinking was positively phenomenon.

参考文章(50)
Lance M McCracken, Lara Dhingra, A short version of the Pain Anxiety Symptoms Scale (PASS-20): preliminary development and validity. Pain Research & Management. ,vol. 7, pp. 45- 50 ,(2002) , 10.1155/2002/517163
William W.K. Zung, A RATING INSTRUMENT FOR ANXIETY DISORDERS Psychosomatics. ,vol. 12, pp. 371- 379 ,(1971) , 10.1016/S0033-3182(71)71479-0
Jeffrey Roelofs, Madelon L. Peters, Thijs Fassaert, Johan W.S. Vlaeyen, The role of fear of movement and injury in selective attentional processing in patients with chronic low back pain: a dot-probe evaluation. The Journal of Pain. ,vol. 6, pp. 294- 300 ,(2005) , 10.1016/J.JPAIN.2004.12.011
Edmund Keogh, Deborah Ellery, Caroline Hunt, Ian Hannent, Selective attentional bias for pain-related stimuli amongst pain fearful individuals Pain. ,vol. 91, pp. 91- 100 ,(2001) , 10.1016/S0304-3959(00)00422-X
WILLIAM W. K. ZUNG, Self-Rating Depression Scale in an Outpatient Clinic Archives of General Psychiatry. ,vol. 13, pp. 508- 515 ,(1965) , 10.1001/ARCHPSYC.1965.01730060026004
Dimitri M.L. Van Ryckeghem, Geert Crombez, Lore Van Hulle, Stefaan Van Damme, Attentional bias towards pain-related information diminishes the efficacy of distraction. Pain. ,vol. 153, pp. 2345- 2351 ,(2012) , 10.1016/J.PAIN.2012.07.032
Sonia P Haggman, Louise A Sharpe, Michael K Nicholas, Kathryn M Refshauge, None, Attentional biases toward sensory pain words in acute and chronic pain patients. The Journal of Pain. ,vol. 11, pp. 1136- 1145 ,(2010) , 10.1016/J.JPAIN.2010.02.017
Kristi D. Wright, Gordon J.G. Asmundson, Donald R. McCreary, Factorial validity of the short-form McGill pain questionnaire (SF-MPQ) European Journal of Pain. ,vol. 5, pp. 279- 284 ,(2001) , 10.1053/EUJP.2001.0243