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Effects of attentional biases on pain-related words on daily function in patients with chronic pain: a diary study

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2020, v.25 no.5, pp.955-974
https://doi.org/10.17315/kjhp.2020.25.5.006




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Abstract

Attentional bias is a selective attention to specific information in the environment and can be classified into two types: engagement and disengagement. It has been reported that these two types of attentional bias impact the development and maintenance of chronic pain. The purpose of this study was to investigate if the type of attentional bias in patients with chronic pain has a differential impact on their daily function. We recruited 33 patients with chronic pain in the Oriental medical clinic. The subjects completed a questionnaire and then performed an engagement-disengagement task involving pain-related and neutral word pairs and eye tracker. They completed the online diary for 14 days from the day following the task. The data were analyzed by the HLM statistical program. The results of the analysis showed that when the subjects’ engagement with pain-related words was slow, the greater the intensity of pain, the greater the avoidance of daily activities. Also, when the subjects’ disengagement from pain-related words was rapid, the greater the intensity of pain, the greater the avoidance of daily activities. Additionally, when the subjects’ attentional maintenance in pain-related words was longer than in the neutral words, the greater the intensity of pain, the greater the distractibility of daily activities. This study revealed that the type of attentional bias in chronic pain patients has different impacts on their daily function. These findings suggest that patients with chronic pain who slowly engage with or quickly disengage from pain-related words may have difficulties in different areas of their daily function.

keywords
만성통증, 주의편향, 주의개입, 주의이탈, 일지연구, chronic pain, attentional biases, engagement, disengagement, diary study

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