Cited by 84Fibromyalgia and Chronic Fatigue Syndrome ResearchPain Mechanisms and TreatmentsNeural and Behavioral Psychology Studies

The effect of induced and chronic pain on attention

Open access
Moore, David J., Meints, Samantha M., Lazaridou, Asimina, Johnson, Devin, Franceschelli, Olivia, Cornelius, Marise, Schreiber, Kristin, Edwards, Robert. R.·2019·The Journal of Pain

Abstract

Pain has well-established effects on attention. At present, parallel literatures exist that have examined the effects of experimentally induced pain and consider cognitive performance in patients with chronic pain states. However, no study to date as attempted to examine the combined or differing effects of these 2 manifestations of pain in a single study. Twenty-four participants with fibromyalgia (aged 43.00 ± 28.28 years) and 26 healthy controls (aged 36.07 ± 11.93 years) completed an n-back task, an attentional switching task, and a divided attention task, once during induced, moderately intense pressure pain, and once without induced pain. Pain induction had selective effects on the n-back task and an overall decrease in accuracy on the attentional switching task. Conversely, patients with fibromyalgia were selectively impaired in performance on the divided attention task. These data therefore suggest that the effects of pain are not summative and rather that the mechanisms that underlie the negative effects of pain on performance in acute and chronic states may differ. More research is needed to examine these mechanisms and how these negative effects can be ameliorated to treat cognitive symptoms in pain. PERSPECTIVE: This article presents a study to examine the effects of an acute, induced pain model on cognitive performance in both patients with fibromyalgia and healthy control populations. We established that the effects of acute and chronic pain on attention are different, suggesting that different models need to be developed to understand these phenomena.

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Crossref · 10.1016/j.jpain.2019.05.004

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  • The experience of pain may interact with, and impact negatively on, attention in ADHD.

    “In ADHD, where the link to hypermobility related disorders is arguably more established (5), the experience of pain may interact with, and impact negatively on, attention (41).”

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Authors
Moore, D. J., Meints, S. M., Lazaridou, A., Johnson, D., Franceschelli, O., Cornelius, M., Schreiber, K., & Edwards, R. R.
Affiliations
  • Liverpool John Moores University (GB)
  • Brigham and Women's Hospital (US)
Corresponding author
Moore, David J.
Venue
The Journal of Pain
Publisher
Elsevier BV
Published
2019-11
Volume
20
Issue
11
Pages
1353-1361
ISSN
1526-5900 (ISSN-L)
OpenAlex
W2943907525
Cited by
83
References
55
Citations by year
2026: 9 · 2025: 10 · 2024: 12 · 2023: 25 · 2022: 13 · 2021: 11 · 2020: 3
FWCI
5.40
Type
journal article
Language
en
Open access
Locations
  • Journal of Pain (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
  • Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Keywords
pain, attention, fibromyalgia, acute pain, chronic pain, cognitive performance, n-back task, attentional shift, divided attention, pressure pain
MeSH terms
Adult, Attention, Female, Fibromyalgia, Humans, Male, Middle Aged, Chronic Pain, Acute Pain

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