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Journal of Behavioral Medicine
Gepubliceerd in:

01-06-2007

Attentional Strategy Moderates Effects of Pain Catastrophizing on Symptom-Specific Physiological Responses in Chronic Low Back Pain Patients

Auteurs: Phillip J. Quartana, John W. Burns, Kenneth R. Lofland

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2007

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Abstract

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.
vorige artikel Anger Management Style and Endogenous Opioid Function: Is Gender a Moderator?
volgende artikel Physical Activity Behavior Change in Middle-aged and Older Women: The Role of Barriers and of Environmental Characteristics
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Metagegevens
Titel
Attentional Strategy Moderates Effects of Pain Catastrophizing on Symptom-Specific Physiological Responses in Chronic Low Back Pain Patients
Auteurs
Phillip J. Quartana
John W. Burns
Kenneth R. Lofland
Publicatiedatum
01-06-2007
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2007
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-007-9101-z

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