Experience of Cognitive Intrusion of Pain Scale

Attridge, Nina; Crombez, Geert; Ryckeghem, Dimitri Van; Keogh, Edmund; Eccleston, Christopher

doi:10.1037/t62008-000

Cited by 17 publications

(34 citation statements)

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“…Various forms of switching tasks exist, and here we used two versions. Both versions required participants to respond to a series of single-digit numbers (1,2,3,4,6,7,8,9) appearing in the centre of the screen for 500ms. There were two instructions for responding to the numbers: judge whether the number is lower or higher than 5 or judge whether it is odd or even.…”

Section: Cued Task Switchingmentioning

confidence: 99%

“…However, due to the inconsistency of effects across previous studies, we could not make specific predictions about the nature of disruption on individual tasks. Given that females tend to report more pain than males and at a higher intensity 17,31 , and have higher self-reported levels of cognitive intrusion from pain than males 3 , we included sex in our analyses.…”

Section: Introductionmentioning

confidence: 99%

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Headache Impairs Attentional Performance: A Conceptual Replication and Extension

Attridge

Eccleston

Noonan

et al. 2017

The Journal of Pain

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Section: Cued Task Switchingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Headache Impairs Attentional Performance: A Conceptual Replication and Extension

Attridge

Eccleston

Noonan

et al. 2017

The Journal of Pain

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“…As pain is conceptualized as a sensory and emotional experience, affective instability is likely to be closely related to the dysfunctional regulation of pain. With increasing affective instability, we may expect pain to interfere more with daily activities and cognitive processes [2,17,57]. Based on the results of a recent meta-analysis on the role of affective instability in psychological well-being [25], we expected NA instability to have a stronger influence on daily pain outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…disability and cognitive complaints. In particular, we were interested (1) to what extent NA and PA instability were related to standard measures of emotional functioning, such as anxiety and depression, (2) whether NA and PA instability were related to daily pain outcomes (disability and cognitive complaints), and (3) whether NA and PA instability moderated the relationship between daily pain severity on the one hand and daily disability and cognitive complaints on the other hand.…”

Section: Introductionmentioning

confidence: 99%

Affective instability in patients with chronic pain: a diary approach

Rost

Ryckeghem

Koval

et al. 2016

Pain

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Affective instability, conceptualized as fluctuations in mood over time, has been related to ill-health and psychopathology. In this study we examined the role of affective instability upon daily pain outcomes in 70 chronic pain patients (M age = 49.7 years; 46 females) using an end-of-day diary. During a baseline phase, patients completed self-reported questionnaires of pain severity, pain duration, disability, depression and anxiety. During a subsequent diary phase, patients filled out an electronic end-of-day diary over 14 consecutive days assessing daily levels of pain severity, disability, cognitive complaints, negative affect (NA) and positive affect (PA). Affective instability was operationalized as the mean square of successive differences (MSSD) in daily mood (separately for NA and PA), which takes into account the size of affective changes over consecutive days. Results indicated that NA instability was positively associated with daily disability, beyond the effects of daily pain severity. Furthermore, NA instability moderated the relationship between daily pain severity and daily disability and the relationship between daily pain severity and daily cognitive complaints. PA instability, however showed to be unrelated to all outcomes. Current findings extend previous results and reveal the putative role of affective instability upon pain-related outcomes and may yield important clinical implications. Indeed, they suggest that targeting NA instability by improving emotion regulation skills may be a strategy to diminish disability and cognitive complaints in patients with chronic pain.3

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“…An Internet sample of adults with chronic pain ( N = 510) was recruited through Amazon Mechanical Turk (MTurk), an online labour market for low cost tasks that can be completed electronically. It has been reliably used in social science and pain research (Attridge, Crombez, Van Ryckeghem, Keogh, & Eccleston, ), with participants shown to be more demographically diverse than the university undergraduate samples and general Internet samples that are often used (Buhrmester, Kwang, & Gosling, ; Paolacci & Chandler, ). To be eligible, participants needed to be ≥18 years old, reside in a country where English is an official language, and report having a chronic pain condition (≥3 months duration).…”

Section: Methodsmentioning

confidence: 99%

Metacognition, perseverative thinking, and pain catastrophizing: A moderated‐mediation analysis

Schütze

Rees

Smith

et al. 2019

European Journal of Pain

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Background Pain catastrophizing is linked to a range of negative health and treatment outcomes, although debate continues about how best to define and treat it, since most interventions produce only modest benefit. This study aimed to contribute to theory‐driven development of these treatments by exploring the role of perseverative thinking in pain catastrophizing, along with the higher order beliefs, called metacognitions that might shape it. Methods An Internet sample of 510 people with chronic pain (≥3 months), who mostly (54.9%) had clinical levels of catastrophizing, completed self‐report measures of pain intensity, disability, perseverative thinking, pain catastrophizing, depression, anxiety, and pain metacognition. Regression‐based moderated mediation analysis tested the conditional indirect effect of pain intensity on pain catastrophizing via perseverative thinking at varying levels of unhelpful pain metacognition. Results Perseverative thinking partially mediated the effect of pain intensity on pain catastrophizing, accounting for 20% of the total effect. This indirect effect was conditional on both positive and negative metacognition. Higher levels of both forms of unhelpful metacognition strengthened the indirect effect, which was not significant below the 50th percentile for positive metacognitions or below the 60th percentile for negative metacognitions. Conclusions Strongly believing that thinking about pain helps you solve problems or cope with pain (positive metacognition), or that it is harmful and uncontrollable (negative metacognition), can increase the amount you worry or ruminate as pain increases. This is associated with increased pain catastrophizing. Identifying and modifying these unhelpful pain metacognitions may improve treatments for pain catastrophizing and thereby chronic pain generally. Significance This study shows that perseverative thinking (worry and rumination) mediates the relationship between pain intensity and catastrophizing. Consistent with metacognitive theory, this association is also moderated by unhelpful beliefs about worry and rumination. Pain metacognitions could become new therapeutic targets to help improve psychological treatments for pain‐related distress, which are currently only modestly effective.

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Experience of Cognitive Intrusion of Pain Scale

Cited by 17 publications

References 0 publications

Headache Impairs Attentional Performance: A Conceptual Replication and Extension

Headache Impairs Attentional Performance: A Conceptual Replication and Extension

Affective instability in patients with chronic pain: a diary approach

Metacognition, perseverative thinking, and pain catastrophizing: A moderated‐mediation analysis

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