Towards a new model of attentional biases in the development, maintenance, and management of pain.
Individuals with chronic pain demonstrate attentional biases (ABs) towards pain-related stimuli. However, the clinical importance of these biases is yet to be determined and a sound theoretical model for explaining the role of ABs in the development and maintenance of pain is lacking. Within this article, we (1) systematically review prospective and experimental research exploring ABs and pain outcomes in light of current theoretical models and (2) propose a theoretical framework for understanding AB in pain. Across prospective research, an attentional pattern of vigilance-avoidance was observed. Interventions targeting ABs were less consistent; however, there were promising findings among studies that found attentional training effects, particularly for laboratory research. The proposed Threat Interpretation Model suggests a relationship between threat, interpretation, and stimuli in determining attentional processes, which while tentative generates important testable predictions regarding the role of attention in pain and builds on previous theoretical and empirical work in this area.
Clinical Psychology Unit, School of Psychology, University of Sydney, Sydney, Australia School of Psychological Sciences, Australian College of Applied Psychology, Sydney, Australia Department of Psychology, Macquarie University, Sydney, Australia.
Jemma
J
Todd
Louise
L
Sharpe
Ameika
A
Johnson
Kathryn
K
Nicholson Perry
Ben
B
Colagiuri
Blake F
BF
Dear
D001288:Attention / Q000502:physiology*; D015982:Bias; D016206:Databases, Bibliographic / Q000706:statistics & numerical data; D006801:Humans; D008962:Models, Theoretical; D010146:Pain / Q000503:physiopathology*; D059408:Pain Management