The DOI matches its Crossref record; 47 of the 47 references it cites were found in a registry or an index.
Mindfulness-Oriented Recovery Enhancement Reduces Pain Attentional Bias in Chronic Pain Patients
Abstract
Background Chronic pain involves hypervigilance for pain-related stimuli. Selective attention to pain-related stimuli, known as pain attentional bias (AB), can exacerbate chronic pain, prolong suffering, and undermine quality of life. The aim of this study was to determine if a multimodal mindfulness-oriented intervention could significantly reduce pain AB among chronic pain patients receiving opioid analgesics. Methods A total of 67 chronic pain patients were randomized to an 8-week Mindfulness-Oriented Recovery Enhancement (MORE) intervention or a social support group intervention and began treatment. A dot probe task was used to measure pain AB. Primary outcomes were pain AB scores for cues presented for 2,000 and 200 ms. Results Prior to intervention, participants exhibited a significant bias towards pain-related cues presented for 2,000 ms, but no bias for cues presented for 200 ms. A statistically significant time × intervention condition interaction was observed for 2,000 ms pain AB, such that participants in MORE evidenced significantly reduced posttreatment pain AB relative to pretreatment levels, whereas no significant pre-post treatment changes in pain AB were observed for support group participants. Decreases in pain AB were associated with increased perceived control over pain and attenuated reactivity to distressing thoughts and emotions. Conclusion Study findings provide the first indication that a mindfulness-oriented intervention may reduce pain AB among adul…
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“Among pain patients, those exposed to mindfulness training versus a control condition showed decreases in attentional bias to and increases in disengagement from pain-related cues, assessed through use of the dot probe technique (Garland & Howard, 2013; Vago & Nakamura, 2011).”
From Mindfulness and cognitive-behavioral interventions for chronic pain: Differential effects on daily pain reactivity and stress reactivity (2015) · cites this paper as Garland & Howard, 2013
In the citing paper
“Increasing the capacity to sustain awareness without judgment when faced with pain or stress may be key to decreasing automatic, maladaptive responses, including hypervigilance to threats and catastrophizing (Garland et al., 2012; Garland & Howard, 2013).”
From Mindfulness and cognitive-behavioral interventions for chronic pain: Differential effects on daily pain reactivity and stress reactivity (2015) · cites this paper as Garland & Howard, 2013
In the citing paper
“Furthermore, in a treatment study, Garland and Howard (2013) provided a first tentative indication that a mindfulness-oriented intervention may reduce attentional bias for pain-related stimuli in chronic pain patients.”
From Mindfulness, Interpretation Bias, and Levels of Anxiety and Depression: Two Mediation Studies (2019) · cites this paper as Garland and Howard 2013
In the citing paper
“as well as decreases in attentional bias [52, 66, 67], addictive automaticity [66], dysphoric affect [40, 66], and pain severity and related functional interference in patients with chronic pain [41].”
From Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research (2018) · cites this paper as [67]
In the citing paper
“participation in MORE was associated with reduced attentional bias for emotionally threatening cues,45”
In the citing paper
“However, mindfulness and hypnosis appear to help alleviate pain via corticothalamic modulation of ascending nociceptive input.[90][91][92][93]”
From Mind-Body Therapies for Opioid-Treated Pain: A Systematic Review and Meta-analysis (2020) · cites this paper as [91]
Citations
Cites
(1998) · The Journal of Clinical Psychiatry · Cited by 19,139
Applied Longitudinal Data Analysis: Modeling Change and Event Occurrence
Singer, J. D., & Willett, J. B. (2003) · doi:10.1093/acprof:oso/9780195152968.001.0001 · Cited by 10,647
Using Self-Report Assessment Methods to Explore Facets of Mindfulness
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006) · Assessment · doi:10.1177/1073191105283504 · Cited by 7,511
Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art.
Vlaeyen, J. W. S., & Linton, S. J. (2000) · Pain · doi:10.1016/s0304-3959(99)00242-0 · Cited by 4,931
An Approximate Distribution of Estimates of Variance Components
Satterthwaite, F. E. (1946) · Biometrics Bulletin · doi:10.2307/3002019 · Cited by 4,373
Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011) · Perspectives on Psychological Science · doi:10.1177/1745691611419671 · Cited by 3,024
International Affective Picture System (IAPS) : Technical Manual and Affective Ratings
Lang, P. J. (1995) · Medical Entomology and Zoology · Cited by 2,870
Attention regulation and monitoring in meditation
Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2008.01.005 · Cited by 2,659
Rosenstiel, A. K., & Keefe, F. J. (1983) · Pain · doi:10.1016/0304-3959(83)90125-2 · Cited by 2,314
Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain
Chou, R., Fanciullo, G. J., Fine, P. G., Adler, J. A., Ballantyne, J. C., Davies, P., Donovan, M. I., Fishbain, D. A., Foley, K. M., Fudin, J., et al. (2009) · The Journal of Pain · doi:10.1016/j.jpain.2008.10.008 · Cited by 2,192
Methods for dealing with reaction time outliers.
Ratcliff, R. (1993) · Psychological Bulletin · doi:10.1037/0033-2909.114.3.510 · Cited by 2,142
Pain demands attention: A cognitive–affective model of the interruptive function of pain.
Eccleston, C., & Crombez, G. (1999) · Psychological Bulletin · doi:10.1037/0033-2909.125.3.356 · Cited by 1,718
Mindfulness training modifies subsystems of attention
JHA, A. P., KROMPINGER, J., & BAIME, M. J. (2007) · Cognitive, Affective, & Behavioral Neuroscience · doi:10.3758/cabn.7.2.109 · Cited by 1,580
Modeling the Drop-Out Mechanism in Repeated-Measures Studies
Little, R. J. A. (1995) · Journal of the American Statistical Association · doi:10.1080/01621459.1995.10476615 · Cited by 1,522
Chiesa, A., Calati, R., & Serretti, A. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.11.003 · Cited by 1,295
Imaging how attention modulates pain in humans using functional MRI
Bantick, S. J., Wise, R. G., Ploghaus, A., Clare, S., Smith, S. M., & Tracey, I. (2002) · Brain · doi:10.1093/brain/awf022 · Cited by 888
Anxiety and the Allocation of Attention to Threat
MacLeod, C., & Mathews, A. (1988) · The Quarterly Journal of Experimental Psychology Section A · doi:10.1080/14640748808402292 · Cited by 817
Brain Mechanisms Supporting the Modulation of Pain by Mindfulness Meditation
Zeidan, F., Martucci, K. T., Kraft, R. A., Gordon, N. S., McHaffie, J. G., & Coghill, R. C. (2011) · The Journal of Neuroscience · doi:10.1523/jneurosci.5791-10.2011 · Cited by 640
Development of the Fear of Pain Questionnaire-III
McNeil, D. W., & Rainwater, A. J. (1998) · Journal of Behavioral Medicine · doi:10.1023/a:1018782831217 · Cited by 619
The influence of negative emotions on pain: Behavioral effects and neural mechanisms
Wiech, K., & Tracey, I. (2009) · NeuroImage · doi:10.1016/j.neuroimage.2009.05.059 · Cited by 614
A neurocognitive model of attention to pain: Behavioral and neuroimaging evidence
Legrain, V., Damme, S. V., Eccleston, C., Davis, K. D., Seminowicz, D. A., & Crombez, G. (2009) · Pain · doi:10.1016/j.pain.2009.03.020 · Cited by 512
Cognitive-processing bias in chronic pain: a review and integration.
Pincus, T., & Morley, S. (2001) · Psychological Bulletin · doi:10.1037/0033-2909.127.5.599 · Cited by 501
Time course of attentional bias for threat information in non-clinical anxiety.
Mogg, K., Bradley, B. P., De Bono, J., & Painter, M. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(96)00109-x · Cited by 464
Fava, G. A., & Ruini, C. (2003) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/s0005-7916(03)00019-3 · Cited by 386
Effects of attention on the intensity and unpleasantness of thermal pain
Miron, D., Duncan, G., & Bushnell, C. (1989) · Pain · doi:10.1016/0304-3959(89)90048-1 · Cited by 384
Taylor, V. A., Grant, J., Daneault, V., Scavone, G., Breton, E., Roffe-Vidal, S., Courtemanche, J., Lavarenne, A. S., & Beauregard, M. (2011) · NeuroImage · doi:10.1016/j.neuroimage.2011.06.001 · Cited by 362
Garland, E. L., Gaylord, S. A., Boettiger, C. A., & Howard, M. O. (2010) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2010.10400690 · Cited by 319
Self-citationSelective attentional bias for pain-related stimuli amongst pain fearful individuals
Keogh, E., Ellery, D., Hunt, C. J., & Hannent, I. (2001) · Pain · doi:10.1016/s0304-3959(00)00422-x · Cited by 253
Clinimetrics: the science of clinical measurements
Fava, G. A., Tomba, E., & Sonino, N. (2012) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.2011.02825.x · Cited by 233
Schoth, D. E., Nunes, V. D., & Liossi, C. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.09.004 · Cited by 217
Garland, E. L., Gaylord, S. A., Palsson, O., Faurot, K., Douglas Mann, J., & Whitehead, W. E. (2012) · Journal of Behavioral Medicine · doi:10.1007/s10865-011-9391-z · Cited by 210
Self-citationSharpe, L., Ianiello, M., Dear, B. F., Perry, K. N., Refshauge, K., & Nicholas, M. K. (2012) · Pain · doi:10.1016/j.pain.2011.12.014 · Cited by 136
Brief Pain Inventory Short Form
Cleeland, C. S. (1991) · PsycTESTS Dataset · doi:10.1037/t04175-000 · Cited by 124
The Meaning of Mindfulness: A Second-Order Cybernetics of Stress, Metacognition, and Coping
Garland, E. L. (2007) · Complementary health practice review · doi:10.1177/1533210107301740 · Cited by 118
Self-citationGarland, E. L., Boettiger, C. A., Gaylord, S., Chanon, V. W., & Howard, M. O. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-011-9378-7 · Cited by 106
Self-citationAttentional Biases to Pain and Social Threat in Children with Recurrent Abdominal Pain
Boyer, M. C., Compas, B. E., Stanger, C., Colletti, R. B., Konik, B. S., Morrow, S., & Thomsen, A. H. (2005) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsj015 · Cited by 99
Vago, D. R., & Nakamura, Y. (2011) · Cognitive Therapy and Research · doi:10.1007/s10608-011-9391-x · Cited by 93
Attentional Modulation of Spatial Integration of Pain: Evidence for Dynamic Spatial Tuning
de Quevedo, A. S., & Coghill, R. C. (2007) · Journal of Neuroscience · doi:10.1523/jneurosci.3356-07.2007 · Cited by 91
Attentional biases toward sensory pain words in acute and chronic pain patients.
Haggman, S. P., Sharpe, L. A., Nicholas, M. K., & Refshauge, K. M. (2010) · The Journal of Pain · doi:10.1016/j.jpain.2010.02.017 · Cited by 82
Impact of meditation on emotional processing—A visual ERP study
Sobolewski, A., Holt, E., Kublik, E., & Wróbel, A. (2011) · Neuroscience Research · doi:10.1016/j.neures.2011.06.002 · Cited by 81
Modification of attentional biases in chronic pain patients: a preliminary study
Dehghani, M., Sharpe, L., & Nicholas, M. K. (2004) · European Journal of Pain · doi:10.1016/j.ejpain.2004.02.003 · Cited by 78
Perspectives on hypervigilance
Rollman, G. B. (2009) · Pain · doi:10.1016/j.pain.2008.12.030 · Cited by 62
Gootjes, L., Franken, I. H. A., & Van Strien, J. W. (2011) · Journal of Psychophysiology · doi:10.1027/0269-8803/a000043 · Cited by 61
Time‐course of attentional bias for pain‐related cues in chronic daily headache sufferers
Liossi, C., Schoth, D. E., Bradley, B. P., & Mogg, K. (2008) · European Journal of Pain · doi:10.1016/j.ejpain.2008.11.007 · Cited by 61
Attention to pain words in irritable bowel syndrome: Increased orienting and speeded engagement
Chapman, S., & Martin, M. (2010) · British Journal of Health Psychology · doi:10.1348/135910710x505887 · Cited by 56
Attentional Bias Toward Pictorial Representations of Pain in Individuals With Chronic Headache
Schoth, D. E., & Liossi, C. (2010) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e3181bed0f9 · Cited by 55
Selective Processing of Gastrointestinal Symptom-related Stimuli in Irritable Bowel Syndrome
Afzal, M., Potokar, J. P., Probert, C. S., & Munafo, M. R. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000232270.78071.28 · Cited by 43
Research works printed but not linked: 1
- 10.2307/2291350 · DOI
Cited by
Sorted by citations
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Eccleston, C., & Morley, S. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub3 · Cited by 1,634
Garland, E. L., Farb, N. A., R. Goldin, P., & Fredrickson, B. L. (2015) · Psychological Inquiry · doi:10.1080/1047840x.2015.1064294 · Cited by 810
Self-citationVeehof, M. M., Trompetter, H. R., Bohlmeijer, E. T., & Schreurs, K. M. G. (2016) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2015.1098724 · Cited by 737
“…Fox, & Petter, 2009), no appropriate outcome measure(s) (Cathcart, Barone, Immink, & Proeve, 2013; Cathcart, Vedova, Immink, Proeve, & Hayball, 2013; Garland & Howard, 2013; McCracken, Sato, & Taylor, 2013; Vago & Nakamura, 2011), 100% attrition in the control group (Jastrowski Mano et al., 2013),…”
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Fisher, E., Hearn, L., & Eccleston, C. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub4 · Cited by 605
Garland, E. L., Manusov, E. G., Froeliger, B., Kelly, A., Williams, J. M., & Howard, M. O. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0035798 · Cited by 431
Self-citation
Metadata
- Authors
- Garland, E. L., & Howard, M. O.
- Affiliations
- University of Utah (US)
- University of North Carolina at Chapel Hill (US)
- Venue
- Psychotherapy and Psychosomatics
- Publisher
- S. Karger AG
- Published
- 2013
- Volume
- 82
- Issue
- 5
- Pages
- 311-318
- ISSN
- 0033-3190 (ISSN-L)
- 1423-0348
- OpenAlex
- W1967135006
- Cited by
- 141
- References
- 47
- Citations by year
- 2026: 4 · 2025: 13 · 2024: 7 · 2023: 10 · 2022: 11 · 2021: 10 · 2020: 16 · 2019: 13 · 2018: 9 · 2017: 14 · 2016: 8 · 2015: 6 · 2014: 14 · 2013: 4
- FWCI
- 11.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy and Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- chronic pain, Mindfulness-Oriented Recovery Enhancement, mindfulness-based interventions, opioid analgesics, dot-probe task, non-pharmacological pain management, prescription opioid misuse
- MeSH terms
- Adaptation, Psychological, Adult, Analgesics, Opioid, Anxiety, Attention, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Quality of Life, Reaction Time, Models, Statistical, Intention to Treat Analysis, Pain Perception, Chronic Pain, Mindfulness
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