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

  title={Attentional Strategy Moderates Effects of Pain Catastrophizing on Symptom-Specific Physiological Responses in Chronic Low Back Pain Patients},
  author={Phillip J. Quartana and John W Burns and Kenneth R. Lofland},
  journal={Journal of Behavioral Medicine},
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… 
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    Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
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Whether attentional focus on sensory versus affective information about pain constitutes a path-way by which catastrophizing affects responses to painful stimuli is examined, which may affect pain severity and distress of chronic pain patients through a bias toward processing the most disturbing elements of a painful stimulus.
The role of attentional strategies in moderating links between acute pain induction and subsequent psychological stress: evidence for symptom-specific reactivity among patients with chronic pain versus healthy nonpatients.
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