The effect of threat on cognitive biases and pain outcomes: an eye-tracking study

buir.contributor.authorKhatibi, Ali
buir.contributor.authorAysel Sabuncu Brain Research Center (BAM)
dc.citation.epage1368en_US
dc.citation.issueNumber8en_US
dc.citation.spage1357en_US
dc.citation.volumeNumber20en_US
dc.contributor.authorTodd, J.en_US
dc.contributor.authorSharpe, L.en_US
dc.contributor.authorColagiuri, B.en_US
dc.contributor.authorKhatibi, Alien_US
dc.date.accessioned2018-04-12T10:58:27Z
dc.date.available2018-04-12T10:58:27Z
dc.date.issued2016en_US
dc.departmentDepartment of Psychologyen_US
dc.description.abstractBackground: Theoretical accounts of attentional and interpretation biases in pain suggest that these biases are interrelated and are both influenced by perceived threat. A laboratory-based study was conducted to test whether these biases are influenced by threat and their interrelationship and whether attention or interpretation biases predict pain outcomes. Methods: Healthy participants (n = 87) received either threatening or reassuring pain information and then completed questionnaires, interpretation and attentional bias tasks (with eye-tracking) and a pain task (the cold pressor). Results: There was an interaction effect for threat group and stimuli type on mean dwell time for face stimuli, such that there was an attentional bias towards happy faces in the low- but not high-threat group. Further, high threat was also associated with shorter pain tolerance, increased pain and distress. In correlational analyses, avoidance of affective pain words was associated with increased pain. However, no relationship was found between attention and interpretation biases, and interpretation biases were not influenced by threat or associated with pain. Conclusions: These findings provide partial support for the threat interpretation model and the importance of threat and affective pain biases, yet no relationship between cognitive processing biases was found, which may only occur in clinical pain samples. What does this study add?: In healthy participants, no relationship between attention and interpretation biases was found. Eye tracking revealed an association between later attentional processes and pain. Threat influenced attentional biases and pain outcomes, partially supporting theoretical accounts.en_US
dc.identifier.doi10.1002/ejp.887en_US
dc.identifier.eissn1532-2149
dc.identifier.issn1090-3801
dc.identifier.urihttp://hdl.handle.net/11693/36959
dc.language.isoEnglishen_US
dc.publisherJohn Wiley & Sons Ltd.en_US
dc.relation.isversionofhttp://dx.doi.org/10.1002/ejp.887en_US
dc.source.titleEuropean Journal of Pain (United Kingdom)en_US
dc.titleThe effect of threat on cognitive biases and pain outcomes: an eye-tracking studyen_US
dc.typeArticleen_US

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