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Cognitive-processing bias in chronic pain: a review and integration

Cognitive-processing bias in chronic pain: a review and integration
Cognitive-processing bias in chronic pain: a review and integration
Do patients with chronic pain selectively process pain- and illness-related stimuli? The evidence with regard to attention, interpretation, and recall biases is critically reviewed. A model is proposed to account for the findings in which it is suggested that biases in information processing in chronic pain are the result of overlap between 3 schemas: pain, illness, and self. With frequent repeated or continued experience of pain, the pain schema becomes enmeshed with illness and self-schemas. The extent of the enmeshment and the salient content of the schema determine the bias. A fundamental assumption is that all patients with pain selectively process sensory-intensity information. A clinical implication of the results is that processing biases that extend beyond this healthy and adaptive process to enmesh the self-schema with pain and illness schemas could maintain and exacerbate distress and illness behavior in patients with chronic pain.
EMPIRICALLY DERIVED TAXONOMY, EMOTIONAL STROOP TASK, RHEUMATOID-ARTHRITIS, SELECTIVE MEMORY, PERSISTENT PAIN, SELF-REFERENCE, CLINICAL PAIN, AUTOBIOGRAPHICAL MEMORY, FUTURE-DIRECTIONS, DEPRESSION SCALE
0033-2909
599-617
Pincus, Tamar
55388347-5d71-4fc0-9fd2-66fbba080e0c
Morley, S
fbe90290-2a76-41d8-9c1b-ebb614ef5310
Pincus, Tamar
55388347-5d71-4fc0-9fd2-66fbba080e0c
Morley, S
fbe90290-2a76-41d8-9c1b-ebb614ef5310

Pincus, Tamar and Morley, S (2001) Cognitive-processing bias in chronic pain: a review and integration. Psychological Bulletin, 127 (5), 599-617. (doi:10.1037//0033-2909.127.5.599).

Record type: Article

Abstract

Do patients with chronic pain selectively process pain- and illness-related stimuli? The evidence with regard to attention, interpretation, and recall biases is critically reviewed. A model is proposed to account for the findings in which it is suggested that biases in information processing in chronic pain are the result of overlap between 3 schemas: pain, illness, and self. With frequent repeated or continued experience of pain, the pain schema becomes enmeshed with illness and self-schemas. The extent of the enmeshment and the salient content of the schema determine the bias. A fundamental assumption is that all patients with pain selectively process sensory-intensity information. A clinical implication of the results is that processing biases that extend beyond this healthy and adaptive process to enmesh the self-schema with pain and illness schemas could maintain and exacerbate distress and illness behavior in patients with chronic pain.

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More information

Published date: 10 September 2001
Keywords: EMPIRICALLY DERIVED TAXONOMY, EMOTIONAL STROOP TASK, RHEUMATOID-ARTHRITIS, SELECTIVE MEMORY, PERSISTENT PAIN, SELF-REFERENCE, CLINICAL PAIN, AUTOBIOGRAPHICAL MEMORY, FUTURE-DIRECTIONS, DEPRESSION SCALE

Identifiers

Local EPrints ID: 469156
URI: http://eprints.soton.ac.uk/id/eprint/469156
ISSN: 0033-2909
PURE UUID: 6275f6f3-e6fa-43b4-86f8-771e8c132e2e
ORCID for Tamar Pincus: ORCID iD orcid.org/0000-0002-3172-5624

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Date deposited: 07 Sep 2022 17:46
Last modified: 17 Mar 2024 04:11

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Contributors

Author: Tamar Pincus ORCID iD
Author: S Morley

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