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The Moderating Role of Attention Control in the Relationship Between Pain Catastrophizing and Negatively-Biased Pain Memories in Youth With Chronic Pain
Affiliation:2. Department of Psychology, Hotchkiss Brain Institute, Alberta Children''s Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada;3. Department of Clinical Psychological Science, Maastricht University, Maastricht, Netherlands;4. Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg;5. Department of Psychology, University of Calgary, Calgary, Alberta, Canada;2. University Hospital Mainz, Cardiology Department, Mainz, Germany;3. DKD Helios Klinik Wiesbaden, Department of Neurology, Wiesbaden, Germany;4. University Hospital Brno, Neurology Department, Brno, Czech Republic;5. Core Unit Proteomics, Interdisciplinary Center for Clinical Research, Medical Faculty, University of Münster, Germany;2. National Institute of Neurological Disorders and Stroke, Flow and Imaging Cytometry Core Facility, NIH, Bethesda, Maryland;3. National Institute of Nursing Research, Symptom Management Branch, NIH, Bethesda, Maryland;4. Japan Society for the Promotion of Science Overseas Research Fellowship, Tokyo, Japan;5. Department of Anesthesiology and Critical Care Medicine, Children''s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania;2. Department of Pharmacology and Physiology, University of Rochester, School of Medicine and Dentistry, Rochester, New York;3. Department of Pathology, Wayne State University, School of Medicine, Detroit, Michigan;4. Independent Scholar, Rochester, New York;5. Department of Microbiology and Immunology, University of Rochester, School of Medicine and Dentistry Rochester, New York;2. Department of Clinical Medicine, Aalborg University, Aalborg, Denmark;3. Department of Drug Design and Pharmacology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark;4. Integrative Neuroscience, Center for Sensory-Motor Interaction, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark;2. Department of Physiotherapy, Physiotherapy in Motion. Multi-speciality Research group (PTinMOTION), University of Valencia, Spain;3. Departments of Human Physiology and Rehabilitation Sciences, “Pain in Motion” International Research Group, Brussels, Belgium;4. Pain Research Group, Pain Center, Odense University Hospital, Odense, Denmark;5. Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark;2. UCSF Pain and Addiction Research Center, University of California at San Francisco, San Francisco;3. Departments of Preventative and Restorative Dental Sciences, University of California at San Francisco, San Francisco;4. Departments of Medicine, University of California at San Francisco, San Francisco
Abstract:The present study examined the role of attention control in understanding the development of negatively-biased pain memories as well as its moderating role in the relationship between pain catastrophizing and negatively-biased pain memories. Youth with chronic pain (N = 105) performed a cold pressor task (CPT) and completed self-report measures of state/trait pain catastrophizing and attention control, with the latter comprising both attention focusing and attention shifting. Two weeks after the CPT, youth's pain-related memories were elicited via telephone allowing to compute pain and anxiety memory bias indices (ie, recalling pain intensity or pain-related anxiety, respectively, as higher than initially reported). Results indicated no main effects of attention control and pain catastrophizing on pain memories. However, both components of attention control (ie, attention focusing and attention shifting) moderated the impact of pain catastrophizing on youth's memory bias, with opposite interaction effects. Specifically, whereas high levels of attention shifting buffered the influence of high pain catastrophizing on the development of pain memory bias, high levels of attention focusing strengthened the influence of high pain catastrophizing on the development of anxiety memory bias. Interaction effects were confined to trait catastrophizing (ie, not state catastrophizing). Theoretical and clinical implications are discussed.PerspectiveThis article investigates the role of attention control in the development of negatively-biased pain memories in children with chronic pain. Findings underscore the importance of targeting differential components of attention control and can inform intervention efforts to minimize the development of negatively biased pain memories in youth with chronic pain.
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