Attentional biases in pediatric chronic pain: an eye-tracking study assessing the nature of the bias and its relation to attentional control.
Journal
Pain
ISSN: 1872-6623
Titre abrégé: Pain
Pays: United States
ID NLM: 7508686
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
pubmed:
20
5
2020
medline:
20
3
2021
entrez:
20
5
2020
Statut:
ppublish
Résumé
Attentional biases are posited to play a key role in the development and maintenance of chronic pain in adults and youth. However, research to date has yielded mixed findings, and few studies have examined attentional biases in pediatric samples. This study used eye-gaze tracking to examine attentional biases to pain-related stimuli in a clinical sample of youth with chronic pain and pain-free controls. The moderating role of attentional control was also examined. Youth with chronic pain (n = 102) and pain-free controls (n = 53) viewed images of children depicting varying levels of pain expressiveness paired with neutral faces while their eye gaze was recorded. Attentional control was assessed using both a questionnaire and a behavioural task. Both groups were more likely to first fixate on high pain faces but showed no such orienting bias for moderate or low pain faces. Youth with chronic pain fixated longer on all pain faces than neutral faces, whereas youth in the control group exhibited a total fixation bias only for high and moderate pain faces. Attentional control did not moderate attentional biases between or within groups. The results lend support to theoretical models positing the presence of attentional biases in youth with chronic pain. Further research is required to clarify the nature of attentional biases and their relationship to clinical outcomes.
Identifiants
pubmed: 32427746
doi: 10.1097/j.pain.0000000000001916
pii: 00006396-202010000-00008
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2263-2273Subventions
Organisme : CIHR
ID : 1041605
Pays : Canada
Références
Asmundson GJ, Katz J. Understanding the co-occurrence of anxiety disorders and chronic pain: state-of-the-art. Depress Anxiety 2009;26:888–901.
Asmundson GJ, Noel M, Petter M, Parkerson HA. Pediatric fear-avoidance model of chronic pain: Foundation, application and future directions. Pain Res Management 2012;17:397–405.
Beck JE, Lipani TA, Baber KF, Dufton L, Garber J, Smith CA, Walker LS. Attentional bias to pain and social threat in pediatric patients with functional abdominal pain and pain-free youth before and after performance evaluation. PAIN 2011;152:1061–7.
Beveridge JK, Neville A, Wilson AC, Noel M. Intergenerational examination of pain and posttraumatic stress disorder symptoms among youth with chronic pain and their parents. PAIN Rep 2018;3:e667.
Boyer MC, Compas BE, Stanger C, Colletti RB, Konik BS, Morrow SB, Thomsen AH. Attentional biases to pain and social threat in children with recurrent abdominal pain. J Pediatr Psychol 2006;31:209–20.
Brookes M, Sharpe L, Kozlowska K. Attentional and interpretational biases toward pain-related stimuli in children and adolescents: a systematic review of the evidence. J Pain 2018;19:1091–101.
Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council of Canada, and Social Sciences and Humanities Research Council, Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans, December 2018. Available at: https://ethics.gc.ca/eng/policy-politique_tcps2-eptc2_2018.html
Castarlenas E, Jensen MP, von Baeyer CL, Miró J. Psychometric properties of the numerical rating scale to assess self-reported pain intensity in children and adolescents. Clin J Pain 2017;33:376–83.
Christ SE, Kester LE, Bodner KE, Miles JH. Evidence for selective inhibitory impairment in individuals with autism spectrum disorder. Neuropsychology 2011;25:690–701.
Cisler JM, Koster EH. Mechanisms of attentional biases towards threat in anxiety disorders: an integrative review. Clin Psychol Rev 2010;30:203–16.
Coffelt TA, Bauer BD, Carroll AE. Inpatient characteristics of the child admitted with chronic pain. Pediatrics 2013;132:e422–429.
Crombez G, Eccleston C, Van Damme S, Vlaeyen JW, Karoly P. Fear-avoidance model of chronic pain: the next generation. Clin J Pain 2012;28:475–83.
Crombez G, Van Ryckeghem DM, Eccleston C, Van Damme S. Attentional bias to pain-related information: a meta-analysis. PAIN 2012:475–83.
Derryberry D, Reed MA. Anxiety-related attentional biases and their regulation by attentional control. J Abnorm Psychol 2002;111:225–36.
Dick B, Eccleston C, Crombez G. Attentional functioning in fibromyalgia, rheumatoid arthritis, and musculoskeletal pain patients. Arthritis Care Res Official J Am Coll Rheumatol 2002;47:639–44.
Dick BD, Rashiq S. Disruption of attention and working memory traces in individuals with chronic pain. Anesth Analgesia 2007;104:1223–9.
Eccleston C, Crombez G. Pain demands attention: a cognitive-affective model of the interruptive function of pain. Psychol Bull 1999;125:356–66.
Enders CK. Applied missing data analysis. New York, NY: Guilford Press, 2010.
Eriksen BA, Eriksen CW. Effects of noise letters upon the identification of a target letter in a nonsearch task. Percept Psychophys 1974;16:143–9.
Gold JI, Mahrer NE, Yee J, Palermo TM. Pain, fatigue, and health-related quality of life in children and adolescents with chronic pain. Clin J Pain 2009;25:407–12.
Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap): a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009;42:377–81.
Hayes AF. Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press, 2013.
Heathcote LC, Jacobs K, Van Ryckeghem DML, Fisher E, Eccleston C, Fox E, Lau JYF. Attention bias modification training for adolescents with chronic pain: a randomized placebo-controlled trial. PAIN 2018;159:239–51.
Heathcote LC, Lau JYF, Mueller SC, Eccleston C, Fox E, Bosmans M, Vervoort T. Child attention to pain and pain tolerance are dependent upon anxiety and attention control: an eye-tracking study. Eur J Pain 2017;21:250–63.
Heathcote LC, Vervoort T, Eccleston C, Fox E, Jacobs K, Van Ryckeghem DM, Lau JY. The relationship between adolescents' pain catastrophizing and attention bias to pain faces is moderated by attention control. PAIN 2015;156:1334–41.
Holley AL, Wilson AC, Noel M, Palermo TM. Post-traumatic stress symptoms in children and adolescents with chronic pain: a topical review of the literature and a proposed framework for future research. Eur J Pain 2016;20:1371–83.
Irwin DE, Stucky B, Langer MM, Thissen D, Dewitt EM, Lai JS, Varni JW, Yeatts K, DeWalt DA. An item response analysis of the pediatric PROMIS anxiety and depressive symptoms scales. Qual Life Res 2010;19:595–607.
Judah MR, Grant DM, Mills AC, Lechner WV. Factor structure and validation of the attentional control scale. Cogn Emot 2014;28:433–51.
Kamper SJ, Henschke N, Hestbaek L, Dunn KM, Williams CM. Musculoskeletal pain in children and adolescents. Braz J Phys Ther 2016;20:275–84.
Kashikar-Zuck S, Carle A, Barnett K, Goldschneider KR, Sherry DD, Mara CA, Cunningham N, Farrell J, Tress J, DeWitt EM. Longitudinal evaluation of patient-reported outcomes measurement information systems measures in pediatric chronic pain. PAIN 2016;157:339–47.
King S, Chambers CT, Huguet A, MacNevin RC, McGrath PJ, Parker L, MacDonald AJ. The epidemiology of chronic pain in children and adolescents revisited: a systematic review. PAIN 2011;152:2729–38.
Lau JYF, Heathcote LC, Beale S, Gray S, Jacobs K, Wilkinson N, Crombez G. Cognitive biases in children and adolescents with chronic pain: a review of findings and a call for developmental research. J Pain 2018;19:589–98.
Little R. A test of missing completely at random for multivariate data with missing values. J Am Stat Assoc 1988;83:1198–202.
Merskey H, Bogduk N. Classification of chronic pain: descriptions of chronic pain syndromes and definition of pain terms. Task Force Taxonomy Int Assoc Study Pain 1994. pp. 209–214.
Moriarty O, McGuire BE, Finn DP. The effect of pain on cognitive function: a review of clinical and preclinical research. Prog Neurobiol 2011;93:385–404.
Neville A, Soltani S, Pavlova M, Noel M. Unravelling the relationship between parent and child PTSD and pediatric chronic pain: the mediating role of pain catastrophizing. J Pain 2018;19:196–206.
Noel Ma, Groenewald CBbc, Beals-Erickson SEb, Gebert JTd, Palermo TMbefg. Chronic pain in adolescence and internalizing mental health disorders: a nationally representative study. PAIN 2016;157:1333–8.
Ólafsson RP, Smári J, Guðmundsdóttir F, Ólafsdóttir G, Harđardóttir HL, Einarsson SM. Self-reported attentional control with the Attentional Control Scale: factor structure and relationship with symptoms of anxiety and depression. J Anxiety Disord 2011;25:777–82.
Palermo TM, Fonareva I, Janosy NR. Sleep quality and efficiency in adolescents with chronic pain: relationship with activity limitations and health-related quality of life. Behav Sleep Med 2008;6:234–50.
Palermo TM, Valenzuela D, Stork PP. A randomized trial of electronic versus paper pain diaries in children: impact on compliance, accuracy, and acceptability. PAIN 2004;107:213–19.
Quigley L, Wright CA, Dobson KS, Sears CR. Measuring attentional control ability or beliefs? Evaluation of the factor structure and convergent validity of the Attentional Control Scale. J Psychopathology Behav Assess 2017;39:742–54.
Rueda MR, Fan J, McCandliss BD, Halparin JD, Gruber DB, Lercari LP, Posner MI. Development of attentional networks in childhood. Neuropsychologia 2004;42:1029–40.
Savedra MC, Tesler MD, Holzemer WL, Wilkie DJ, Ward JA. Pain location: validity and reliability of body outline markings by hospitalized children and adolescents. Res Nurs Health 1989;12:307–14.
Schoth DE, Godwin HJ, Liversedge SP, Liossi C. Eye movements during visual search for emotional faces in individuals with chronic headache. Eur J Pain 2015;19:722–32.
Sharp TJ, Harvey AG. Chronic pain and posttraumatic stress disorder: mutual maintenance? Clin Psychol Rev 2001;21:857–77.
Simons LE, Claar RL, Logan DL. Chronic pain in adolescence: parental responses, adolescent coping, and their impact on adolescent's pain behaviors. J Pediatr Psychol 2008;33:894–904.
Todd J, van Ryckeghem DML, Sharpe L, Crombez G. Attentional bias to pain-related information: a meta-analysis of dot-probe studies. Health Psychol Rev 2018;12:419–36.
van Ryckeghem DML, Noel M, Sharpe L, Pincus T, Van Damme S. Cognitive biases in pain: an integrated functional-contextual framework. PAIN 2019;160:1489–93.
Verstraeten K, Vasey MW, Claes L, Bijttebier P. The assessment of effortful control in childhood: questionnaires and the test of everyday attention for children compared. Personal Individual Differences 2010;48:59–65.
Vervoort T, Caes L, Crombez G, Koster E, Van Damme S, Dewitte M, Goubert L. Parental catastrophizing about children's pain and selective attention to varying levels of facial expression of pain in children: a dot-probe study. PAIN 2011;152:1751–7.
Vervoort T, Goubert L, Crombez G. The relationship between high catastrophizing children's facial display of pain and parental judgment of their child's pain. PAIN 2009;142:142–8.
Vervoort T, Trost Z, Van Ryckeghem DM. Children's selective attention to pain and avoidance behaviour: the role of child and parental catastrophizing about pain. PAIN 2013;154:1979–88.
Vinall J, Pavlova M, Asmundson GJG, Rasic N, Noel M. Mental health comorbidities in pediatric chronic pain: a narrative review of epidemiology, models, neurobiological mechanisms and treatment. Children 2016;3:40.
Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. PAIN 2000;85:317–32.
Walker LS, Sherman AL, Bruehl S, Garber J, Smith CA. Functional abdominal pain patient subtypes in childhood predict functional gastrointestinal disorders with chronic pain and psychiatric comorbidities in adolescence and adulthood. PAIN 2012;153:1798–806.
Wilson AC, Samuelson B, Palermo TM. Obesity in children and adolescents with chronic pain: associations with pain and activity limitations. Clin J Pain 2010;26:705–11.