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Information processing biases among chronic pain patients and ankylosing spondylitis patients: the impact of diagnosis

Information processing biases among chronic pain patients and ankylosing spondylitis patients: the impact of diagnosis
Information processing biases among chronic pain patients and ankylosing spondylitis patients: the impact of diagnosis
The aim of this research was to explore the impact that diagnostic status has on information processing biases among chronic pain (CP) and ankylosing spondylitis (AS) patients. AS patients, CP patients, and healthy hospital staff controls, completed a questionnaire and short computer task. During the computer task participants endorsed sensory, depression, illness, and neutral adjectives, following a cue question (which facilitated encoding of the adjectives in relation to the self). They were then asked to recall the adjectives in a surprise memory task. Diagnosed CP patients demonstrated a recall bias away from depression related stimuli, whilst the non-diagnosed CP patients did not. The results also suggest an association between receipt of a diagnosis and better psychological outcome in terms of information processing biasing. It was questioned whether the presence of a diagnosis among CP patients who are not currently depressed may protect or 'buffer' them against cognitive biasing towards classic depression related stimuli. The diagnosed AS group showed a bias towards sensory stimuli, perhaps reflecting the presence of an enduring and over-riding pain schema. The non-pain control group also displayed a sensory bias, which was attributed to a frequency effect as a result of working in an environment where they were regularly exposed to sensory language. The results are discussed in relation to existing literature in this area and implications for clinical practice are provided. (C) 2002 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Science Ltd. All rights reserved.
recall biases, chronic pain, diagnosis, CHRONIC BACK PAIN, SELECTIVE MEMORY, PSYCHOLOGICAL ADJUSTMENT, HOSPITAL ANXIETY, DEPRESSION, BELIEFS, DISABILITY, KNOWLEDGE, SCALE
1090-3801
105-111
Wells, H J
9fff1f40-9fb8-4886-b2b3-d74c93daec83
Pincus, Tamar
55388347-5d71-4fc0-9fd2-66fbba080e0c
McWilliams, E
ed400d82-cee4-43a0-8b49-fe08c4d7c00c
Wells, H J
9fff1f40-9fb8-4886-b2b3-d74c93daec83
Pincus, Tamar
55388347-5d71-4fc0-9fd2-66fbba080e0c
McWilliams, E
ed400d82-cee4-43a0-8b49-fe08c4d7c00c

Wells, H J, Pincus, Tamar and McWilliams, E (2003) Information processing biases among chronic pain patients and ankylosing spondylitis patients: the impact of diagnosis. European Journal of Pain, 7 (2), 105-111. (doi:10.1016/S1090-3801(02)00073-3).

Record type: Article

Abstract

The aim of this research was to explore the impact that diagnostic status has on information processing biases among chronic pain (CP) and ankylosing spondylitis (AS) patients. AS patients, CP patients, and healthy hospital staff controls, completed a questionnaire and short computer task. During the computer task participants endorsed sensory, depression, illness, and neutral adjectives, following a cue question (which facilitated encoding of the adjectives in relation to the self). They were then asked to recall the adjectives in a surprise memory task. Diagnosed CP patients demonstrated a recall bias away from depression related stimuli, whilst the non-diagnosed CP patients did not. The results also suggest an association between receipt of a diagnosis and better psychological outcome in terms of information processing biasing. It was questioned whether the presence of a diagnosis among CP patients who are not currently depressed may protect or 'buffer' them against cognitive biasing towards classic depression related stimuli. The diagnosed AS group showed a bias towards sensory stimuli, perhaps reflecting the presence of an enduring and over-riding pain schema. The non-pain control group also displayed a sensory bias, which was attributed to a frequency effect as a result of working in an environment where they were regularly exposed to sensory language. The results are discussed in relation to existing literature in this area and implications for clinical practice are provided. (C) 2002 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Science Ltd. All rights reserved.

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More information

Published date: 2003
Keywords: recall biases, chronic pain, diagnosis, CHRONIC BACK PAIN, SELECTIVE MEMORY, PSYCHOLOGICAL ADJUSTMENT, HOSPITAL ANXIETY, DEPRESSION, BELIEFS, DISABILITY, KNOWLEDGE, SCALE

Identifiers

Local EPrints ID: 469232
URI: http://eprints.soton.ac.uk/id/eprint/469232
ISSN: 1090-3801
PURE UUID: f0feb249-01ed-4879-8764-90b997b6952a
ORCID for Tamar Pincus: ORCID iD orcid.org/0000-0002-3172-5624

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Date deposited: 09 Sep 2022 16:42
Last modified: 17 Mar 2024 04:11

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Contributors

Author: H J Wells
Author: Tamar Pincus ORCID iD
Author: E McWilliams

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