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Attentional biases in pediatric chronic pain : an eye-tracking study assessing the nature of the bias and its relation to attentional control

(2020) PAIN. 161(10). p.2263-2273
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Abstract
Attentional biases are posited to play a key role in the development and maintenance of chronic pain in adults and youth. However, research to date has yielded mixed findings, and few studies have examined attentional biases in pediatric samples. This study used eye-gaze tracking to examine attentional biases to pain-related stimuli in a clinical sample of youth with chronic pain and pain-free controls. The moderating role of attentional control was also examined. Youth with chronic pain (n = 102) and pain-free controls (n = 53) viewed images of children depicting varying levels of pain expressiveness paired with neutral faces while their eye gaze was recorded. Attentional control was assessed using both a questionnaire and a behavioural task. Both groups were more likely to first fixate on high pain faces but showed no such orienting bias for moderate or low pain faces. Youth with chronic pain fixated longer on all pain faces than neutral faces, whereas youth in the control group exhibited a total fixation bias only for high and moderate pain faces. Attentional control did not moderate attentional biases between or within groups. The results lend support to theoretical models positing the presence of attentional biases in youth with chronic pain. Further research is required to clarify the nature of attentional biases and their relationship to clinical outcomes.
Keywords
Anesthesiology and Pain Medicine, Neurology, Clinical Neurology, Chronic pain, Pediatric, Attentional bias, Attentional control, Eye-tracking, FUNCTIONAL ABDOMINAL-PAIN, FEAR-AVOIDANCE MODEL, MUSCULOSKELETAL PAIN, SELECTIVE ATTENTION, SOCIAL THREAT, CHILDREN, ADOLESCENTS, ANXIETY, INDIVIDUALS, SYMPTOMS

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MLA
Soltani, Sabine, et al. “Attentional Biases in Pediatric Chronic Pain : An Eye-Tracking Study Assessing the Nature of the Bias and Its Relation to Attentional Control.” PAIN, vol. 161, no. 10, 2020, pp. 2263–73, doi:10.1097/j.pain.0000000000001916.
APA
Soltani, S., Van Ryckeghem, D., Vervoort, T., Heathcote, L. C., Yeates, K., Sears, C., & Noel, M. (2020). Attentional biases in pediatric chronic pain : an eye-tracking study assessing the nature of the bias and its relation to attentional control. PAIN, 161(10), 2263–2273. https://doi.org/10.1097/j.pain.0000000000001916
Chicago author-date
Soltani, Sabine, Dimitri Van Ryckeghem, Tine Vervoort, Lauren C. Heathcote, Keith Yeates, Christopher Sears, and Melanie Noel. 2020. “Attentional Biases in Pediatric Chronic Pain : An Eye-Tracking Study Assessing the Nature of the Bias and Its Relation to Attentional Control.” PAIN 161 (10): 2263–73. https://doi.org/10.1097/j.pain.0000000000001916.
Chicago author-date (all authors)
Soltani, Sabine, Dimitri Van Ryckeghem, Tine Vervoort, Lauren C. Heathcote, Keith Yeates, Christopher Sears, and Melanie Noel. 2020. “Attentional Biases in Pediatric Chronic Pain : An Eye-Tracking Study Assessing the Nature of the Bias and Its Relation to Attentional Control.” PAIN 161 (10): 2263–2273. doi:10.1097/j.pain.0000000000001916.
Vancouver
1.
Soltani S, Van Ryckeghem D, Vervoort T, Heathcote LC, Yeates K, Sears C, et al. Attentional biases in pediatric chronic pain : an eye-tracking study assessing the nature of the bias and its relation to attentional control. PAIN. 2020;161(10):2263–73.
IEEE
[1]
S. Soltani et al., “Attentional biases in pediatric chronic pain : an eye-tracking study assessing the nature of the bias and its relation to attentional control,” PAIN, vol. 161, no. 10, pp. 2263–2273, 2020.
@article{8695118,
  abstract     = {Attentional biases are posited to play a key role in the development and maintenance of chronic pain in adults and youth. However, research to date has yielded mixed findings, and few studies have examined attentional biases in pediatric samples. This study used eye-gaze tracking to examine attentional biases to pain-related stimuli in a clinical sample of youth with chronic pain and pain-free controls. The moderating role of attentional control was also examined. Youth with chronic pain (n = 102) and pain-free controls (n = 53) viewed images of children depicting varying levels of pain expressiveness paired with neutral faces while their eye gaze was recorded. Attentional control was assessed using both a questionnaire and a behavioural task. Both groups were more likely to first fixate on high pain faces but showed no such orienting bias for moderate or low pain faces. Youth with chronic pain fixated longer on all pain faces than neutral faces, whereas youth in the control group exhibited a total fixation bias only for high and moderate pain faces. Attentional control did not moderate attentional biases between or within groups. The results lend support to theoretical models positing the presence of attentional biases in youth with chronic pain. Further research is required to clarify the nature of attentional biases and their relationship to clinical outcomes.},
  author       = {Soltani, Sabine and Van Ryckeghem, Dimitri and Vervoort, Tine and Heathcote, Lauren C. and Yeates, Keith and Sears, Christopher and Noel, Melanie},
  issn         = {0304-3959},
  journal      = {PAIN},
  keywords     = {Anesthesiology and Pain Medicine,Neurology,Clinical Neurology,Chronic pain,Pediatric,Attentional bias,Attentional control,Eye-tracking,FUNCTIONAL ABDOMINAL-PAIN,FEAR-AVOIDANCE MODEL,MUSCULOSKELETAL PAIN,SELECTIVE ATTENTION,SOCIAL THREAT,CHILDREN,ADOLESCENTS,ANXIETY,INDIVIDUALS,SYMPTOMS},
  language     = {eng},
  number       = {10},
  pages        = {2263--2273},
  title        = {Attentional biases in pediatric chronic pain : an eye-tracking study assessing the nature of the bias and its relation to attentional control},
  url          = {http://dx.doi.org/10.1097/j.pain.0000000000001916},
  volume       = {161},
  year         = {2020},
}

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