Cited by 136Musculoskeletal pain and rehabilitationAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPain Management and Treatment

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Is there a potential role for attention bias modification in pain patients? Results of 2 randomised, controlled trials.

Sharpe, Louise, Ianiello, Melissa, Dear, Blake F., Perry, Kathryn Nicholson, Refshauge, Kathryn, Nicholas, Michael K.·2012·Pain

DOI 10.1016/j.pain.2011.12.014

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Abstract

Potential applications of attention bias modification (ABM) for acute and chronic pain patients are investigated. In study 1, 54 acute back pain patients (46 of whom completed the study) were recruited at their initial physiotherapy session and randomised to receive 1 session of ABM or placebo. Patients were followed up 3 months later. Participants who were randomised to receive ABM reported less average (P=0.001) and current pain (P=0.008) and experienced pain for fewer days (P=0.01) than those who received placebo. In study 2, 34 chronic pain patients were recruited and randomly assigned to receive either 4 sessions of ABM (n=22) or placebo (n=12), followed by 8 sessions of cognitive behavioural treatment (CBT). After ABM, there was a significant group-by-time effect for disability. By 6-month follow-up, differences had emerged between the 2 training groups, such that the ABM group had shown greater reductions in anxiety sensitivity and disability than the placebo group. Although the results of these studies show that there is potential in the application of ABM to pain conditions, the mechanisms of treatment could not be established. Neither group showed an initial bias towards the word stimuli or a training effect, and only in the acute pain group were changes in biases related to outcome. Nonetheless, the fact that 2 independent samples showed a positive effect of ABM on clinical outcomes suggests that ABM is worthy of future study as an intervention for pain patients.

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Self-citation
Cognitive biases among those with frequent or chronic headaches or migraines: a systematic review and meta-analysis
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Self-citation

Authors: Sharpe, L., Ianiello, M., Dear, B. F., Perry, K. N., Refshauge, K., & Nicholas, M. K.
Affiliations: The University of Sydney (AU)
Macquarie University (AU)
Western Sydney University (AU)
Corresponding author: Sharpe, Louise
ORCID: Sharpe, Louise
Dear, Blake F.
Perry, Kathryn Nicholson
Refshauge, Kathryn
Nicholas, Michael K.
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2012-03
Volume: 153
Issue: 3
Pages: 722-731
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2011.12.014
OpenAlex: W2029321389
Cited by: 136
References: 50
Citations by year: 2026: 2 · 2025: 7 · 2024: 8 · 2023: 8 · 2022: 6 · 2021: 8 · 2020: 9 · 2019: 7 · 2018: 11 · 2017: 15 · 2016: 11 · 2015: 10 · 2014: 14 · 2013: 12 · 2012: 5
FWCI: 9.64
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: attentional bias modification, acute low back pain, chronic pain, pain-related anxiety, anxiety sensitivity, disability, cognitive behavioral therapy, placebo effect, pain intensity
MeSH terms: Adult, Analysis of Variance, Anxiety, Attention, Behavior Therapy, Depression, Disability Evaluation, Double-Blind Method, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pain, Pain Measurement, Psychiatric Status Rating Scales, Surveys and Questionnaires, Retrospective Studies, Vocabulary, Cognitive Behavioral Therapy, Bias, Treatment Outcome, Young Adult

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Is there a potential role for attention bias modification in pain patients? Results of 2 randomised, controlled trials.

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