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Cognitive fatigue weakens the effects of distraction on pain
Abstract
ABSTRACT: Perceived pain can be viewed because of a competition between nociceptive inputs and other competing goals, such as performing a demanding cognitive task. Task performance, however, suffers when cognitively fatigued. We therefore predicted that cognitive fatigue would weaken the pain-reducing effects of performing a concurrent cognitive task, which would indicate a causal link between fatigue and heightened pain sensitivity. In this study, 2 groups of pain-free adults performed cognitive tasks while receiving painful heat stimuli. In 1 group, we induced cognitive fatigue before performing the tasks. We found that fatigue led to more pain and worse performance when the task was demanding, suggesting that fatigue weakens one's ability to distract from pain. These findings show that cognitive fatigue can impair performance on subsequent tasks and that this impairment can lower a person's ability to distract from and reduce their pain.
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The change of focus from pain intensity to also capturing interference of pain has supported a broader understanding of individual pain impact.
“The change of focus from pain intensity to also capturing interference of pain has supported a broader understanding of individual pain impact.21,63”
From Living well with chronic pain: a 12-month randomized controlled trial revealing impact from the digital pain self-management program EPIO (2024) · cites this paper as [63]
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Solberg Nes, L., Børøsund, E., Varsi, C., Eide, H., Waxenberg, L. B., Weiss, K. E., Morrison, E. J., Støle, H. S., Kristjansdottir, Ó. B., Bostrøm, K., et al. (2024) · Pain Reports · doi:10.1097/pr9.0000000000001174 · Cited by 7
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Metadata
- Authors
- Vogel, T. A., Desjardins, S., Chabot, B., Otto, A. R., Falk, C. F., & Roy, M.
- Affiliations
- McGill University (CA)
- Corresponding author
- Roy, Mathieu
- Venue
- Pain
- Published
- 2023-06-28
- Volume
- 164
- Issue
- 12
- Pages
- 2845-2851
- ISSN
- 0304-3959 (ISSN-L)
- 1872-6623
- OpenAlex
- W4382653321
- Cited by
- 15
- References
- 45
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 4
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- mental fatigue, pain distraction, pain perception, nociception, thermal pain, pain sensitivity
- MeSH terms
- Adult, Cognition, Fatigue, Humans, Pain, Task Performance and Analysis
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