Cited by 249Neural and Behavioral Psychology StudiesPain Mechanisms and TreatmentsPain Management and Placebo Effect

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Performance-dependent inhibition of pain by an executive working memory task

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Buhle, Jason, Wager, Tor D.·2010·Pain

DOI 10.1016/j.pain.2009.10.027PMC PMC4229048

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Abstract

It is widely assumed that distraction reduces pain. Similarly, it is assumed that pain distracts from concurrent, unrelated cognitive processing, reducing performance on difficult tasks. Taken together, these assumptions suggest pain processing and cognitive function engage an overlapping set of domain-general, capacity-limited mental resources. However, experimental tests of this proposal have yielded mixed results, leading to alternative proposals that challenge the common model of a bidirectional relationship between concurrent pain and task performance. We tested these contrasting positions using a novel concurrent pain and executive working memory paradigm. Both task difficulty and nociceptive stimulus intensity were individually calibrated for each participant. Participants reported less pain during the working memory task than a visually matched control condition. Conversely, increasing levels of heat incrementally reduced task performance. Path analyses showed that variations in pain completely mediated this effect, and that even within a given heat level, trial-by-trial fluctuations in pain predicted decrements in performance. In sum, these findings argue that overlapping cognitive resources play a role in both pain processing and executive working memory. Future studies could use this paradigm to understand more precisely which components of executive function or other cognitive resources contribute to the experience of pain.

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Authors: Buhle, J., & Wager, T. D.
Affiliations: Columbia University (US)
Corresponding author: Buhle, Jason
ORCID: Wager, Tor D.
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2010-04
Volume: 149
Issue: 1
Pages: 19-26
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2009.10.027
PMC: PMC4229048
OpenAlex: W2079787245
Cited by: 249
References: 84
Citations by year: 2026: 12 · 2025: 12 · 2024: 14 · 2023: 19 · 2022: 18 · 2021: 17 · 2020: 16 · 2019: 12 · 2018: 17 · 2017: 22 · 2016: 14 · 2015: 11 · 2014: 10 · 2013: 16 · 2012: 16
FWCI: 10.46
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (MH076136, R01MH076136)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Keywords: pain distraction, thermal pain, cognitive resources, task difficulty
MeSH terms: Adolescent, Adult, Attention, Female, Humans, Male, Memory, Short-Term, Pain, Pain Measurement, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult

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Performance-dependent inhibition of pain by an executive working memory task

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