Attentional strategy moderates effects of pain catastrophizing on symptom-specific physiological responses in chronic low back pain patients.
In the present study, we examined whether experimentally-manipulated attentional strategies moderated relations between pain catastrophizing and symptom-specific physiological responses to a cold-pressor task among sixty-eight chronic low back patients. Patients completed measures of pain catastroph...
| Publicado en: | Journal of Behavioral Medicine Vol. 30; no. 3; pp. 221 - 232 |
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| Autores principales: | , , |
| Formato: | clinical trial research Journal Article |
| Publicado: |
Springer Nature
Jun2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105828468&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105828468 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Jun2007 vid: 30 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105828468 25394632 2009607623 10.1007/s10865-007-9101-z NLM17443402 105828468 ppf: 221 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Attentional strategy moderates effects of pain catastrophizing on symptom-specific physiological responses in chronic low back pain patients. aug: au: Quartana PJ Burns JW Lofland KR affil: Department of Psychology, Rosalind Franklin University of Medicine and Science, 3333 Green Bay Road, North Chicago, IL, 60064, USA, phillip.quartana@rfums.org. sug: subj: Arousal Physiology Attention Low Back Pain Psychosocial Factors Pain Measurement Sick Role Adaptation, Psychological Adult Blood Pressure Physiology Clinical Trials Depression Physiopathology Depression Psychosocial Factors Electromyography Female Heart Rate Physiology Helplessness, Learned Low Back Pain Physiopathology Male Middle Age Muscle, Skeletal Physiopathology Pain Threshold Physiology Human Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: In the present study, we examined whether experimentally-manipulated attentional strategies moderated relations between pain catastrophizing and symptom-specific physiological responses to a cold-pressor task among sixty-eight chronic low back patients. Patients completed measures of pain catastrophizing and depression, and were randomly assigned to sensory focus, distraction or suppression conditions during a cold pressor. Lumbar paraspinal and trapezius EMG, and cardiovascular responses to the cold pressor were assessed. Attentional strategies moderated the relation between pain catastrophizing and lumbar paraspinal muscle, but not trapezius muscle or cardiovascular responses. Only for participants in the suppression condition was catastrophizing related significantly to lumbar paraspinal muscle responses. Depressed affect did not account for this relation. These findings indicate that 'symptom-specific' responses among pain catastrophizers with chronic low back depend on how they attend to pain-related information. Specifically, it appears that efforts to suppress awareness of pain exaggerate muscular responses near the site of injury. pubtype: Academic Journal doctype: clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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