Altered attentional control linked to catastrophizing in patients with irritable bowel syndrome

Henrich, Julia F; Martin, Maryanne

doi:10.1111/bjhp.12307

Cited by 12 publications

(12 citation statements)

References 49 publications

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“…This suggests that it is these factors in IBS that are the main driver for poor psychological health. Whether this relates to the pain itself or negative pain beliefs, 50 leading to catastrophizing, 51 is unclear and could be the subject of further studies. Our findings are supported by the results of Shekhar et al, 52 who demonstrated increased symptoms after meal ingestion and lower sensory thresholds in patients with IBS‐C compared with FC.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of, and natural history among, individuals with Rome IV functional bowel disorders

Goodoory

Houghton

Black

et al. 2021

Neurogastroenterology Motil

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Background Little is known about the natural history of functional bowel disorders using Rome IV criteria. We examined these issues in a longitudinal follow‐up study. Methods We collected complete demographic, gastrointestinal symptom, and psychological comorbidity data at baseline from 1372 adults who met Rome IV criteria for one of the five functional bowel disorders. At 12 months, we collected data regarding gastrointestinal symptoms, psychological comorbidity, consultation behavior, and treatment commenced. We examined prognosis and stability of all five functional bowel disorders. Key results At baseline, 811 (59.1%) individuals met Rome IV criteria for irritable bowel syndrome (IBS), 76 (5.5%) functional constipation (FC), 199 (14.5%) functional diarrhea (FDr), 130 (9.5%) functional abdominal bloating or distension (FABD), and 156 (11.4%) unspecified functional bowel disorder (UFBD). In total, 782 (57.0%) were successfully followed up. Individuals with IBS at baseline were significantly more likely to report symptoms compatible with anxiety, depression, or somatoform‐type behavior (p < 0.001 for all analyses) at baseline and follow‐up compared with those with the other four functional bowel disorders. IBS was the most stable functional bowel disorder; 319 (70.6%) of 452 participants still met criteria for IBS at 12 months, compared with 14 (34.1%) of 41, 43 (35.5%) of 121, 26 (33.8%) of 77, and 37 (40.7%) of 91 for FC, FDr, FABD, and UFBD, respectively (p < 0.001). Conclusions and Inferences Individuals with Rome IV‐defined IBS exhibited higher levels of anxiety, depression, or somatoform‐type symptom reporting. IBS was the most stable and the likeliest disorder that the other four functional bowel disorders would fluctuate to.

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Section: Discussionmentioning

confidence: 99%

Characteristics of, and natural history among, individuals with Rome IV functional bowel disorders

Goodoory

Houghton

Black

et al. 2021

Neurogastroenterology Motil

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“…Nevertheless, attention is a complex phenomenon that is interrelated with other executive functions [18,20,55], and accordingly it is recommended not to study AB in isolation. There are indications that attentional control, as a part of executive functions, is compromised in patient groups [56], although not always confirmed [57,58] which could suggest that executive functions play a bigger role in AB in patient groups than in healthy controls. Regarding the exploratory investigation of possible associations between itch-related cognition and AB towards itch, it is interesting to note that specifically awareness of bodily sensations is negatively related to a lower AB towards itch (see S2 Table ).…”

Section: Plos Onementioning

confidence: 98%

No preconscious attentional bias towards itch in healthy individuals

et al. 2022

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Rapidly attending towards potentially harmful stimuli to prevent possible damage to the body is a critical component of adaptive behavior. Research suggests that individuals display an attentional bias, i.e., preferential allocation of attention, for consciously perceived bodily sensations that signal potential threat, like itch or pain. Evidence is not yet clear whether an attentional bias also exists for stimuli that have been presented for such a short duration that they do not enter the stream of consciousness. This study investigated whether a preconscious attentional bias towards itch-related pictures exists in 127 healthy participants and whether this can be influenced by priming with mild itch-related stimuli compared to control stimuli. Mild itch was induced with von Frey monofilaments and scratching sounds, while control stimuli where of matched modalities but neutral. Attentional bias was measured with a subliminal pictorial dot-probe task. Moreover, we investigated how attentional inhibition of irrelevant information and the ability to switch between different tasks, i.e., cognitive flexibility, contribute to the emergence of an attentional bias. Attentional inhibition was measured with a Flanker paradigm and cognitive flexibility was measured with a cued-switching paradigm. Contrary to our expectations, results showed that participants attention was not biased towards the itch-related pictures, in facts, attention was significantly drawn towards the neutral pictures. In addition, no effect of the itch-related priming was observed. Finally, this effect was not influenced by participants’ attentional inhibition and cognitive flexibility. Therefore, we have no evidence for a preconscious attentional bias towards itch stimuli. The role of preconscious attentional bias in patients with chronic itch should be investigated in future studies.

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“…A positive correlation can be appreciated with the anxiety trait, specific visceral anxiety and neuroticism. Similarly, Hubbard et al (2015) and Henrich and Martin (2018) found that the fear of uncertainty and the high severity of the usual symptoms of CPVP negatively correlate with effective scores in the orienting attention network; that the high scores of visceral anxiety, the presence of major abdominal pain in the previous week and the high severity of the usual symptoms of CPVP correlate negatively with effective scores in alerting attention networks; and that the high levels of catastrophizing . /fpsyg.…”

Section: Discussionmentioning

confidence: 87%

Psychopathological and neuropsychological disorders associated with chronic primary visceral pain: Systematic review

Arévalo-Martínez

Manso²,

García-Baamonde³

et al. 2022

Front. Psychol.

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The World Health Organization (WHO), in its last review of its International Classification of Diseases, established a new classification for chronic pain. Among the principal categories, of particular interest is chronic primary pain as a new type of diagnosis in those cases in which the etiology of the disease is not clear, being termed as chronic primary visceral pain when it is situated in the thorax, abdomen, or pelvis. Due to the novelty of the term, the objective of the systematic review was to examine the psychopathological and neuropsychological disorders associated with chronic primary visceral pain. We carried out a search of the scientific literature following the PRISMA directives using the Pubmed, Medline, PsycInfo and Scopus databases. A total of 33 articles were selected after applying the inclusion and exclusion criteria. The analysis of the studies showed that most persons with chronic primary visceral pain suffer from at least one psychological disorder; the most prevalent being anxiety, depressive or somatoform disorders. The most frequent psychopathological symptoms are anxiety, depression and somatization. Similarly, the findings are insufficient to determine the existence of deficits in the domains of executive functioning, memory and intelligence. However, the existence of attention biases does seem to be clear. This review supposes a starting point for conceptualizing chronic primary visceral pain. It is necessary to continue further research so as to obtain a better understanding of this pathology and the disorders associated.

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Altered attentional control linked to catastrophizing in patients with irritable bowel syndrome

Cited by 12 publications

References 49 publications

Characteristics of, and natural history among, individuals with Rome IV functional bowel disorders

Characteristics of, and natural history among, individuals with Rome IV functional bowel disorders

No preconscious attentional bias towards itch in healthy individuals

Psychopathological and neuropsychological disorders associated with chronic primary visceral pain: Systematic review

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