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Performance-dependent inhibition of pain by an executive working memory task
Open accessAbstract
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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“Following prior research (49 -51), we used calibrated painful and nonpainful temperatures on a participant-by-participant basis to ensure that the subjective intensity of the stimuli was constant across participants.”
From Social rejection shares somatosensory representations with physical pain (2011) · cites this paper as [49]
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Cites
An Introduction to the Bootstrap
Efron, B., & Tibshirani, R. J. (1994) · doi:10.1201/9780429246593 · Cited by 40,500
Miyake, A., Friedman, N. P., Emerson, M. J., Witzki, A. H., Howerter, A., & Wager, T. D. (2000) · Cognitive Psychology · doi:10.1006/cogp.1999.0734 · Cited by 15,798
Self-citationMersenne twister: a 623-dimensionally equidistributed uniform pseudo-random number generator
Matsumoto, M., & Nishimura, T. (1998) · ACM Transactions on Modeling and Computer Simulation · doi:10.1145/272991.272995 · Cited by 5,780
Storage and Executive Processes in the Frontal Lobes
Smith, E. E., & Jonides, J. (1999) · Science · doi:10.1126/science.283.5408.1657 · Cited by 2,834
On data-limited and resource-limited processes
Norman, D. A., & Bobrow, D. G. (1975) · Cognitive Psychology · doi:10.1016/0010-0285(75)90004-3 · Cited by 2,403
Kane, M. J., & Engle, R. W. (2002) · Psychonomic Bulletin & Review · doi:10.3758/bf03196323 · Cited by 2,229
Functional imaging of brain responses to pain. A review and meta-analysis (2000)
Peyron, R., Laurent, B., & García-Larrea, L. (2000) · Neurophysiologie Clinique/Clinical Neurophysiology · doi:10.1016/s0987-7053(00)00227-6 · Cited by 2,171
Distracted and confused? Selective attention under load
Lavie, N. (2005) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2004.12.004 · Cited by 2,102
Neuroimaging studies of working memory:
Wager, T. D., & Smith, E. E. (2003) · Cognitive, Affective, & Behavioral Neuroscience · doi:10.3758/cabn.3.4.255 · Cited by 1,889
Self-citationTemporal dynamics of brain activation during a working memory task
Cohen, J. D., Perlstein, W. M., Braver, T. S., Nystrom, L. E., Noll, D. C., Jonides, J., & Smith, E. E. (1997) · Nature · doi:10.1038/386604a0 · Cited by 1,876
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Fragoso, Z. L. (2016) · Human Biology
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Uddin, Z., MacDemid, J. C., & Galea, V. (2013) · Health Science Inquiry · doi:10.29173/hsi136
Liu, X., Wang, N., Wang, J., & Fei, L. U. O. (2020) · Advances in Psychological Science · doi:10.3724/sp.j.1042.2020.00766
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Gubler, D. A., Zubler, R. L., & Troche, S. J. (2024) · Brain Sciences · doi:10.3390/brainsci14111061
Babiker, S. M. E., Luzzi, F., Mittner, M., & Csifcsák, G. (2025) · European Journal of Neuroscience · doi:10.1111/ejn.70089 · Cited by 1
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Heard, C., Hainsworth, K. R., & Mano, K. E. J. (2025) · Europe PMC (PubMed Central) · doi:10.3390/children12081069
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Dong, D., Hosomi, K., Mori, N., Zhou, F., Kishima, H., & Saitoh, Y. (2026) · Behavioral Sciences · doi:10.3390/bs16050701
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Wang, D., Wang, Y., Lu, Z., Zhang, L., Zhou, M., & Hu, Y. (2026) · Chinese Science Bulletin (Chinese Version) · doi:10.1360/csb-2026-0051
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Soland, K. (2026) · Philosophy and Phenomenological Research · doi:10.1111/phpr.70126
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Metadata
- Authors
- Buhle, J., & Wager, T. D.
- Affiliations
- Columbia University (US)
- Corresponding author
- Buhle, Jason
- ORCID
- Wager, Tor D.
- Venue
- Pain
- Published
- 2010-04
- Volume
- 149
- Issue
- 1
- Pages
- 19-26
- ISSN
- 0304-3959 (ISSN-L)
- 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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