Is pain-related fear a predictor of somatosensory hypervigilance in chronic low back pain patients?

Pain-related fear has been found to be associated with increased disability and increased pain perception in patients with chronic low back pain. A possible mechanism by which pain-related fear could lead to increased pain perception is heightened attention to somatosensory sensations. In the present study, chronic pain patients reporting either a high or low level of pain related fear and control participants performed an auditory reaction time task, while occasionally non-painful electrical stimuli--accompanied by threatening instructions--were given to the arm or back. In the primary task condition, participants had to perform the auditory task while ignoring the electrical stimuli. Next, the task was presented under dual task conditions in which participants had to respond both to tones as well as to detection of electrical stimuli. It was hypothesized that for the primary task, high fearful patients would show greater disruption of performance on the auditory task than low fearful patients and controls when stimuli were presented to the back. For the dual task, slower reaction times for the auditory task, in combination with faster detection of electrical stimuli was expected. The hypotheses were not confirmed but patients scoring high on pain-related fear did show an overall increase in reaction time for all conditions of the primary task, with or without simultaneous stimulation. Regression analyses demonstrated that high pain-related fear was associated with increased reaction time to tones both in patients and healthy controls, and that within patients pain-related fear was a better predictor of reaction time to tones than present pain intensity. The findings may be interpreted as showing that patients with elevated levels of pain-related fear habitually attend to somatic sensations, giving less priority to other attention-demanding tasks.     

Do pain expectancies cause pain in chronic low back patients? A clinical investigation

The present study investigated whether pain expectancies cause pain in chronic low back patients. Back patients (N = 29) were requested to perform four exercise bouts (two with each leg), each consisting of flexing and extending the knee three times at maximal force (Cybex 350 System). During each exercise bout the baseline pain, the expected pain and experienced pain were recorded. Patients also reported their experienced fear of further injury to the back. Furthermore, the peak force of both knee flexors and extensors was assessed. Although patients did expect a back pain increase during the first exercise bout with each leg, no evidence was found for the thesis that pain expectancies generate increases in subjective pain experiences. Instead, the reported pain expectancy was readily corrected during the next exercise bout, whereas the experienced pain remained unchanged. Furthermore, a high pain expectancy co-occurred with (1) a marginally significant fear of (re)injury, and (2) a significant lower peak torque of the knee flexors. These results are consistent with conditioning models which state that pain expectations are associated with a fear response and an urge to avoid the pain.     

Does self-efficacy moderate intensity of pain?

75 subjects were randomly assigned to five self-efficacy conditions (High-High, High-Low, Low-High, Low-Low, and Control) in a 5 x 3 (condition x trial) design. Pressure was applied three times to an exposed finger. After baseline, subjects received false biofeedback (i.e., independent of ratings of pain) that their ability to regulate intensity of pain was either good (High-High and High-Low) or poor (Low-High and Low-Low), or there was no biofeedback (Control). After a second trial, subjects were told that their biofeedback indicated either good (High-High and Low-High) or poor (High-Low and Low-Low) regulatory ability, or they were not given biofeedback (Control). They then received a final trial. Before each trial, subjects recorded self-efficacy expectations for regulating intensity of pain. Mixed multivariate analyses of variance on ratings of intensity and self-efficacy expectations did not yield hypothesized interactions for condition x trial.     

Does test‐induced priming play a role in the creation of false memories?

We investigated the role of test‐induced priming in creating false memories in the Deese/Roediger‐McDermott (DRM) paradigm, in which subjects study lists of related words (bed, rest, awake) and then falsely recall or recognise a related word (sleep) on a later test. However, in experiments using three different procedures, we found that the number of related words tested prior to the critical word had surprisingly little impact on false recall and recognition. We manipulated the location of the critical item in tests of yes/no recognition, word‐stem cued recall, and part‐set cued recall. We consistently obtained high probabilities of false recall and recognition, but the probability was unaffected by the number of related items presented prior to the test of the critical item. Surprisingly, test‐induced priming of the critical item does not seem to play a large role in this memory illusion.     

Does syntax play a role in Theory of Mind development before the age of 3 years?

Language plays an important role in Theory of Mind development. Specifically, longitudinal and training studies indicate that the acquisition of complement syntax has an effect on three- to five-year-old children’s mastery of the concept of false belief. There is evidence for both a beginning explicit understanding of the mind and mastery of complement syntax in children before their third birthday. In the present study, we investigated longitudinally whether an early sensitivity to complement syntax is related to early development of Theory of Mind abilities in a sample of N = 159 German-speaking 27- to 36-month-old children. Children’s sensitivity to formal properties of complement syntax at 33 months was associated with their perspective-taking skills and their metacognition of own ignorance three months later. This relation remained significant when controlling for the effects of general language abilities. Furthermore, children’s sensitivity to complement syntax was concurrently related to their early false belief understanding. These findings support the view that complement syntax shares representational demands with an understanding of epistemic states and that language begins to support the acquisition of epistemic concepts earlier than was previously thought.     

Does teaching an omnibus mand preclude the development of specifying mands?

When problem behavior is controlled by a synthesized reinforcement contingency, a simple omnibus mand that yields access to all reinforcers simultaneously has been shown to effectively replace problem behavior. The question arises as to whether teaching an omnibus mand will preclude the acquisition of specifying mands for each of the combined reinforcers. In this study, after 3 students diagnosed with autism acquired an omnibus mand (“My way, please”) that yielded all identified reinforcers simultaneously, specifying mands (e.g., “All done,” “May I have my toys?” “Play with me”) were taught to yield each individual reinforcer (e.g., escape, tangibles, attention). Problem behavior was immediately eliminated for all children, and the omnibus mand was acquired quickly. Teaching an omnibus mand did not preclude acquisition of specifying mands for any learner and instead allowed for the acquisition of specifying mands once problem behavior had been effectively reduced.     

Are fear-avoidance beliefs related to the inception of an episode of back pain? A prospective study

Abstract Fear-avoidance beliefs and catastrophizing have been implicated in chronic pain and theoretical models have been developed that feature these factor in the transition from acute to chronic pain. However, little has been done to determine whether these factors occur in the general population or whether they arc associated with the inception of an episode of neck or back pain. The aim of this study was to evaluate prospectively the effects of fear-avoidance beliefs and catastrophizing on the development of an episode of self-reported pain and associated physical functioning. To achieve this, we selected a sample of 415 people from the general population who reported no spinal pain during the past year. At the pretest a battery of questionnaires was administered to assess beliefs about pain and activity and it featured the Pain Catastrophizing Scale and a modified version of the Fear-Avoidance Beliefs Questionnaire. One year later outcome was evaluated by self-reports of the occurrence of a pain episode as well as a self-administered physical function test. The results showed that scores on both fear-avoidme and cabstrophizing were quite low. During the one year follow-up, 19% of the sample suffered an episode of back pain. Those with scores above the median on fear-avoidance beliefs at the pretest had twice the risk of suffering an episode of back pain and a 1.7 times higher risk of lowered physical function at the follow-up. Catastrophizing was somewhat less salient, increasing the risk of pain or lowered function by 1.5. but with confidence intervals falling below unity. These data indicate that fear-avoidance beliefs may be involved at a very early pint in the development of pain and associated activity problems in people with back pain. Theoretically. our results support the idea that fear-avoidance beliefs may develop in an interaction with the experience of pain. Clinically, the results suggest that catastrophizing and particularly fear-avoidance beliefs are important in the development of a pain problem and might be of use in screening procedures.     

Does the coordination of verbal and motor information explain the development of counting in children?

Counting is often considered to be the coordination of two actions: saying the number-words and pointing to each object. We report three experiments to test the hypothesis that this coordination requires the use of the central executive (A. D. Baddeley, 1990), and that the cost of coordination decreases with age. Participants were 5- and 9-year-old children and adults. At all ages tested, the manipulation of the difficulty of each component affected counting performance but did not make coordination more difficult. These results suggest that, at least from the age 5, counting is a procedure in which the control of coordination is not attention demanding.     

Does the covert nature of caring prohibit the development of effective services for young carers?

Almost 3 million children in the UK live in households where at least one family member is affected by chronic illness or disability. A proportion of these children will be young carers. This paper begins with a brief review of the literature relating to young carers. Particular attention is paid to the adoption of a caring role, the'hidden' nature of caring including young people'sreluctance to discuss their caring, the impact of caring on education, and the location and type of services provided.The findings of a small-scale study carried out in Scotland are presented in order to highlight some of the issues raised in the literature. Discussion focuses on the implications for the field of guidance and counselling.     

Are fear-avoidance beliefs related to the inception of an episode of back pain? A prospective study

Abstract

Fear-avoidance beliefs and catastrophizing have been implicated in chronic pain and theoretical models have been developed that feature these factor in the transition from acute to chronic pain. However, little has been done to determine whether these factors occur in the general population or whether they arc associated with the inception of an episode of neck or back pain. The aim of this study was to evaluate prospectively the effects of fear-avoidance beliefs and catastrophizing on the development of an episode of self-reported pain and associated physical functioning. To achieve this, we selected a sample of 415 people from the general population who reported no spinal pain during the past year. At the pretest a battery of questionnaires was administered to assess beliefs about pain and activity and it featured the Pain Catastrophizing Scale and a modified version of the Fear-Avoidance Beliefs Questionnaire. One year later outcome was evaluated by self-reports of the occurrence of a pain episode as well as a self-administered physical function test. The results showed that scores on both fear-avoidme and cabstrophizing were quite low. During the one year follow-up, 19% of the sample suffered an episode of back pain. Those with scores above the median on fear-avoidance beliefs at the pretest had twice the risk of suffering an episode of back pain and a 1.7 times higher risk of lowered physical function at the follow-up. Catastrophizing was somewhat less salient, increasing the risk of pain or lowered function by 1.5. but with confidence intervals falling below unity. These data indicate that fear-avoidance beliefs may be involved at a very early pint in the development of pain and associated activity problems in people with back pain. Theoretically. our results support the idea that fear-avoidance beliefs may develop in an interaction with the experience of pain. Clinically, the results suggest that catastrophizing and particularly fear-avoidance beliefs are important in the development of a pain problem and might be of use in screening procedures.     

Does representational momentum reflect a distortion of the length or the endpoint of a trajectory?

Observers viewed a moving target, and after the target vanished, indicated either the initial position or the final position of the target. In Experiment 1, an auditory tone cued observers to indicate either the initial position or the final position; in Experiment 2, different groups of observers indicated the initial position or the final position. Judgments of the initial position were displaced backward in the direction opposite to motion, and judgments of the final position were displaced forward in the direction of motion. The data suggest that the remembered trajectory is longer than the actual trajectory, and the displacement pattern is not consistent with the hypothesis that representational momentum results from a distortion of memory for the location of a trajectory.     

Does sex moderate the relationship between anxiety and pain?

Objectives : Sex differences exist in the relationship between anxiety and pain, although findings are mixed. One reason could be because a number of anxiety measures have been used. Therefore, this study aimed to identify the core components within commonly used pain anxiety measures, and see whether these components are differentially related to sensation and pain thresholds in men and women.

Design, main outcome measures : One hundred and eighty-nine healthy adults (119 female) completed the Fear of Pain Questionnaire, Pain Catastrophising Scale, Pain Anxiety Symptoms Scale, Anxiety Sensitivity Index-3 and the Depression Anxiety Stress Scale. Thermal sensation and pain thresholds, mechanical sensation and pressure pain thresholds were also collected.

Results : A Principal Components Analysis of anxiety measures revealed three constructs: general distress, cognitive intrusion and fear of pain from injury/insult. Sex did not moderate the relationship between these anxiety constructs and sensation/pain thresholds. However, a significant main effect of sex was found to predict thermal pain thresholds.

Conclusion : Preliminary indications suggest that pain anxiety dimensions can be reduced to three core constructs, and used to examine pain sensation. However, sex did not moderate this relationship. Further research is required to establish the extent and strength of sex differences in the relationship between anxiety and pain.     

Who is more proactive,the optimist or the pessimist? Exploring the role of hope as a moderator

This research tested the existence of a moderation role of hope on the effects of optimism and pessimism over proactive coping in a sample survey of 343 subjects. The results showed that optimism explained proactive coping, independent of hope. However, hope appeared to moderate the relationship between pessimism and passive coping, a criterion variable that emerged from the psychometric analysis of the proactive coping measure. Specifically, for individuals low in pessimism, being high or low in hope did not impact coping, but for individuals high in pessimism, having higher levels of hope reduced passive coping. A deeper analysis also indicated that this was particularly due to the moderating role of the pathways dimension of hope. We discuss these results in light of different adaptive strategies of optimists and pessimists and draw implications for psychological research and practice.     

Representative design: Does the addition of a defender change the execution of a basketball shot?

ObjectiveThe aim of this study was to examine the influence of a defender on the performance of a motor skill from an invasion sport.DesignHighly skilled basketball players performed different variations of basketball shots using a randomised test schedule.MethodParticipants completed a total of 30 test trials comprising 6 trials of 5 different shot types in both defended and undefended conditions.ResultsThe presence of a defender led to significant changes in several behavioral measures including faster shot execution times, longer jump times, and an increase in the amount of time that the ball spent in the air as it travelled to the basket after being released from the shooter's hand. These behavioral changes were accompanied by an overall decline in shooting accuracy of over 20%. Defended shots also tended to elicit greater amounts of movement variability which, when interpreted in conjunction with the other findings, suggests that participants were attempting to adapt their movements to accommodate for the changing demands of the performance environment. Comparisons across different shot types revealed that the influence of the defender was generally context and task dependent.ConclusionsThe results have important implications for representative task design, and highlight how the manipulation of key information sources can have a marked effect upon behavioral responses.     

Does experienced pain affects local brain volumes? Insights from a clinical acute pain model

Background/Objective:To study pain-brain morphometry associations as a function of post-surgery stages (anesthesia, pain and analgesia) in an acute pain model. Method:Impacted mandible third molar were extracted. Before surgery, an anatomical T1 scan was obtained. Regional brain volumen and subcortical nuclei shapes were obtained. Statistical analyses were done using multiple regression, being pain scores the predictors and voxel volumes, subcortical nuclei volumes and subcortical nuclei shapes, the outcomes. Results:Pain was significantly larger at pain than at anesthesia and analgesia stages, and was higher during anesthesia than during analgesia. Pain intensity was related to grey matter in several cortical (Insula, Mid Frontal and Temporal Gyruses, Precuneus, Anterior Cingulate), and subcortical nuclei (Hippocampus, Thalamus, Putamen, Amygdala), depending of the post-surgical stage. A larger number of brain areas showed significance at pain that at anesthesia and analgesia stages. Conclusions:The relationships of regional brain volumes and subcortical nuclei shapes with pain scores seemed to be unsteady, as they changed with the patient's actual pain stage.     

Does the Traditional Treatment of Enthymemes Rest on a Mistake?

In many actual arguments, the conclusion seems intuitively to follow from the premisses, even though we cannot show that it follows logically. The traditional approach to evaluating such arguments is to suppose that they have an unstated premiss whose explicit addition will produce an argument where the conclusion does follow logically. But there are good reasons for doubting that people so frequently leave the premisses of their arguments unstated. The inclination to suppose that they do stems from the belief that the only way in which an argument's conclusion can follow definitely from its premisses is to follow logically. I argue that this belief is mistaken. I propose a revision of the current generic conception of logical consequence, and its variant specifications, to avoid the paradoxes of strict implication. The revised conception can then be naturally extended to include also what we might call 'enthymematic consequence'. This concept is a kind of consequence, whose properties merit investigation.     

Can the location negative priming process operate in a proactive manner?

The location negative priming (NP) effect refers to the fact that the processing of a current target stimulus (probe trial) is delayed when it appears at a location that has recently contained a distractor event (prime trial), relative to when it occurs at a previously unoccupied position. One view is that the process causing the NP effect involves the inhibition of the internal representation of the prime-distractor event, and that the future processing of target stimuli that involve this event are prolonged because this distractor inhibition is persistent. In this study, we examined the possibility that the NP process (inhibition) could act proactively; specifically asking whether inhibition could be allocated to a location merely predicted to hold a future distractor event. To do this, we cued the probe distractor's location using an otherwise traditional location NP paradigm. No evidence of a proactive NP process was obtained. Probe-trial target latency was the same whether it appeared at the cued distractor location or at a new location, but was delayed when it occupied the prime-distractor location (NP effect). The location NP process is seemingly a reactive one, applying inhibition only when an actual distractor is present, much as past theories have implied.