Role of attentional focus on bodily sensations in sensitivity to itch and pain
Open accessAbstract
Patients frequently report high levels of physical symptoms, such as itch and pain, which do not completely correspond to pathophysiological findings, possibly indication heightened sensitivity to physical symptoms. Sensitivity to itch and pain is thought to be affected by processes such as attentional focus on bodily sensations. We investigated the role of attentional focus in sensitivity to various somatosensory stimuli evoking both itch and pain sensations in healthy female subjects. Different mechanical, chemical and electrical stimuli of quantitative sensory testing were applied. Attentional focus on bodily sensations was measured using validated questionnaires. The results indicated that focusing on bodily sensations is associated with higher levels of experienced itch and pain but not with tolerance to stimuli. This suggests that attentional focusing on bodily sensations is a mechanism responsible for sensitivity to different physical sensations, such as itch and pain.
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Studies using itch induction suggest that a focus on bodily sensations and catastrophizing of upcoming itch stimuli lead to greater itch intensity or more profound scratching behavior.
“Furthermore, studies using itch induction suggest that a focus on bodily sensations and catastrophizing of upcoming itch stimuli lead to greater itch intensity or more profound scratching behavior (28, 29).”
From Mindfulness as Predictor of Itch Catastrophizing in Patients With Atopic Dermatitis: Results of a Cross-Sectional Questionnaire Study (2021) · cites this paper as [28]
The Results section (“Association between attentional focus and itch and pain elicited by the stimuli”) reports that greater attention to bodily sensations was associated with higher induced-itch scores. The Discussion proposes catastrophic instructions as a topic for future research; this study does not show that catastrophizing upcoming itch increases itch or scratching, and it reports no scratching outcome. (LLM, conf=0.87)
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- Authors
- van Laarhoven, A., Kraaimaat, F., Wilder-Smith, O., & Evers, A.
- Venue
- Acta Dermato Venereologica
- Published
- 2010
- Volume
- 90
- Issue
- 1
- Pages
- 46-51
- ISSN
- 0001-5555 (ISSN-L)
- OpenAlex
- W2091824213
- Cited by
- 53
- References
- 41
- Citations by year
- 2025: 2 · 2023: 4 · 2022: 7 · 2021: 6 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 3 · 2016: 2 · 2015: 7 · 2014: 6 · 2013: 1 · 2012: 3
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- Acta Dermato Venereologica (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Keywords
- attentional focus, bodily sensations, pain sensitivity, somatosensory stimuli, quantitative sensory testing, pain tolerance, hyperalgesia, hyperosmia, attentional bias
- MeSH terms
- Administration, Topical, Adult, Attention, Capsaicin, Cold Temperature, Electric Stimulation, Female, Histamine, Humans, Iontophoresis, Middle Aged, Pain, Pain Measurement, Perception, Personality, Physical Stimulation, Pruritus, Surveys and Questionnaires, Sensory Thresholds, Pain Threshold, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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