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Pain expressions and inhibitory control in patients with fibromyalgia: behavioral and neural correlates

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Resumo:Fibromyalgia (FM) is a generalized chronic pain condition associated with a variety of symptoms, including altered cognitive and emotional processing. It has been proposed that FM patients show a preferential allocation of attention to information related to the symptoms of the disease, particularly to pain cues. However, the existing literature does not provide conclusive evidence on the presence of this attentional bias, and its effect on cognitive functions such as inhibitory control. To clarify this issue, we recorded the electroencephalographic activity of 31 women diagnosed with FM and 28 healthy women, while performing an emotional Go/NoGo task with micro-videos of pain, happy, and neutral facial expressions. We analyzed behavioral data, performed EEG time-frequency analyses, and obtained the event-related potentials (ERPs) N2 and P3 components in NoGo trials. A series of self-reports was also administered to evaluate catastrophic thinking and the main symptoms of fibromyalgia. Pain expressions were associated with longer reaction times and more errors, as well as with higher theta and delta power, and P3 amplitude to NoGo stimuli. Thus, behavioral and psychophysiological data suggest that increased attention to pain expressions impairs the performance of an inhibitory task, although this effect was similar in FM patients and healthy controls. N2 amplitude was modulated by type of facial expression (larger to pain faces), but only for the control group. This finding suggests that the presentation of pain faces might represent a smaller conflict for the patients, more used to encounter pain stimuli. No main group effects were found significant for N2 or P3 amplitudes, nor for time-frequency data. Using stimuli with greater ecological validity than in previous studies, we could not confirm a greater effect of attentional bias toward negative stimuli over inhibitory performance in patients with FM. Studying these effects allow us to better understand the mechanisms that maintain pain and develop intervention strategies to modify them.
Autores principais:Pidal-Miranda, Marina
Outros Autores:González-Villar, Alberto J.; Carrillo-de-la-Peña, M. T.
Assunto:Brain electrical activity Chronic pain Cognitive dysfunction Emotion Attention Pain Inhibitory control Ciências Sociais::Psicologia
Ano:2019
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade do Minho
Idioma:inglês
Origem:RepositóriUM - Universidade do Minho
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author Pidal-Miranda, Marina
author2 González-Villar, Alberto J.
Carrillo-de-la-Peña, M. T.
author2_role author
author
author_facet Pidal-Miranda, Marina
González-Villar, Alberto J.
Carrillo-de-la-Peña, M. T.
author_role author
contributor_name_str_mv RepositóriUM - Universidade do Minho
country_str PT
creators_json_txt [{\"Person.name\":\"Pidal-Miranda, Marina\"},{\"Person.name\":\"González-Villar, Alberto J.\"},{\"Person.name\":\"Carrillo-de-la-Peña, M. T.\"}]
datacite.contributors.contributor.contributorName.fl_str_mv RepositóriUM - Universidade do Minho
datacite.creators.creator.creatorName.fl_str_mv Pidal-Miranda, Marina
González-Villar, Alberto J.
Carrillo-de-la-Peña, M. T.
datacite.date.Accepted.fl_str_mv 2019-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2021-01-25T10:06:35Z
datacite.date.embargoed.fl_str_mv 2021-01-25T10:06:35Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Brain electrical activity
Chronic pain
Cognitive dysfunction
Emotion
Attention
Pain
Inhibitory control
Ciências Sociais::Psicologia
datacite.titles.title.fl_str_mv Pain expressions and inhibitory control in patients with fibromyalgia: behavioral and neural correlates
dc.contributor.none.fl_str_mv RepositóriUM - Universidade do Minho
dc.creator.none.fl_str_mv Pidal-Miranda, Marina
González-Villar, Alberto J.
Carrillo-de-la-Peña, M. T.
dc.date.Accepted.fl_str_mv 2019-01-01T00:00:00Z
dc.date.available.fl_str_mv 2021-01-25T10:06:35Z
dc.date.embargoed.fl_str_mv 2021-01-25T10:06:35Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv https://hdl.handle.net/1822/69629
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Frontiers Media
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Brain electrical activity
Chronic pain
Cognitive dysfunction
Emotion
Attention
Pain
Inhibitory control
Ciências Sociais::Psicologia
dc.title.fl_str_mv Pain expressions and inhibitory control in patients with fibromyalgia: behavioral and neural correlates
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Fibromyalgia (FM) is a generalized chronic pain condition associated with a variety of symptoms, including altered cognitive and emotional processing. It has been proposed that FM patients show a preferential allocation of attention to information related to the symptoms of the disease, particularly to pain cues. However, the existing literature does not provide conclusive evidence on the presence of this attentional bias, and its effect on cognitive functions such as inhibitory control. To clarify this issue, we recorded the electroencephalographic activity of 31 women diagnosed with FM and 28 healthy women, while performing an emotional Go/NoGo task with micro-videos of pain, happy, and neutral facial expressions. We analyzed behavioral data, performed EEG time-frequency analyses, and obtained the event-related potentials (ERPs) N2 and P3 components in NoGo trials. A series of self-reports was also administered to evaluate catastrophic thinking and the main symptoms of fibromyalgia. Pain expressions were associated with longer reaction times and more errors, as well as with higher theta and delta power, and P3 amplitude to NoGo stimuli. Thus, behavioral and psychophysiological data suggest that increased attention to pain expressions impairs the performance of an inhibitory task, although this effect was similar in FM patients and healthy controls. N2 amplitude was modulated by type of facial expression (larger to pain faces), but only for the control group. This finding suggests that the presentation of pain faces might represent a smaller conflict for the patients, more used to encounter pain stimuli. No main group effects were found significant for N2 or P3 amplitudes, nor for time-frequency data. Using stimuli with greater ecological validity than in previous studies, we could not confirm a greater effect of attentional bias toward negative stimuli over inhibitory performance in patients with FM. Studying these effects allow us to better understand the mechanisms that maintain pain and develop intervention strategies to modify them.
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person_str_mv Pidal-Miranda, Marina
González-Villar, Alberto J.
Carrillo-de-la-Peña, M. T.
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spelling engFrontiers MediaporFibromyalgia (FM) is a generalized chronic pain condition associated with a variety of symptoms, including altered cognitive and emotional processing. It has been proposed that FM patients show a preferential allocation of attention to information related to the symptoms of the disease, particularly to pain cues. However, the existing literature does not provide conclusive evidence on the presence of this attentional bias, and its effect on cognitive functions such as inhibitory control. To clarify this issue, we recorded the electroencephalographic activity of 31 women diagnosed with FM and 28 healthy women, while performing an emotional Go/NoGo task with micro-videos of pain, happy, and neutral facial expressions. We analyzed behavioral data, performed EEG time-frequency analyses, and obtained the event-related potentials (ERPs) N2 and P3 components in NoGo trials. A series of self-reports was also administered to evaluate catastrophic thinking and the main symptoms of fibromyalgia. Pain expressions were associated with longer reaction times and more errors, as well as with higher theta and delta power, and P3 amplitude to NoGo stimuli. Thus, behavioral and psychophysiological data suggest that increased attention to pain expressions impairs the performance of an inhibitory task, although this effect was similar in FM patients and healthy controls. N2 amplitude was modulated by type of facial expression (larger to pain faces), but only for the control group. This finding suggests that the presentation of pain faces might represent a smaller conflict for the patients, more used to encounter pain stimuli. No main group effects were found significant for N2 or P3 amplitudes, nor for time-frequency data. Using stimuli with greater ecological validity than in previous studies, we could not confirm a greater effect of attentional bias toward negative stimuli over inhibitory performance in patients with FM. Studying these effects allow us to better understand the mechanisms that maintain pain and develop intervention strategies to modify them.application/pdfporPain expressions and inhibitory control in patients with fibromyalgia: behavioral and neural correlatesPidal-Miranda, MarinaGonzález-Villar, Alberto J.Carrillo-de-la-Peña, M. T.HostingInstitutionOrganizationalRepositóriUM - Universidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptCITATIONPidal-Miranda, M., González-Villar, A. J., & Carrillo-de-la-Peña, M. T. (2019). Pain expressions and inhibitory control in patients with fibromyalgia: behavioral and neural correlates. Frontiers in behavioral neuroscience, 12, 323ISSNIsPartOf1662-5153EISSNIsPartOf1662-5153DOIIsPartOf10.3389/fnbeh.2018.003232021-01-25T10:06:35Z2019-012018-072019-01-01T00:00:00ZHandlehttps://hdl.handle.net/1822/69629http://purl.org/coar/access_right/c_abf2open accessBrain electrical activityChronic painCognitive dysfunctionEmotionAttentionPainInhibitory controlhttp://www.oecd.org/science/inno/38235147.pdfFields of Science and Technology (FOS)Ciências Sociais::Psicologia2114478 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorium.uminho.pt/bitstreams/9d4fdbff-be8a-4591-b5c6-944c7cb35f0d/download
spellingShingle Pain expressions and inhibitory control in patients with fibromyalgia: behavioral and neural correlates
Pidal-Miranda, Marina
Brain electrical activity
Chronic pain
Cognitive dysfunction
Emotion
Attention
Pain
Inhibitory control
Ciências Sociais::Psicologia
status SINGLETON
subject.fl_str_mv Brain electrical activity
Chronic pain
Cognitive dysfunction
Emotion
Attention
Pain
Inhibitory control
subject.other.fl_str_mv Ciências Sociais::Psicologia
title Pain expressions and inhibitory control in patients with fibromyalgia: behavioral and neural correlates
title_full Pain expressions and inhibitory control in patients with fibromyalgia: behavioral and neural correlates
title_fullStr Pain expressions and inhibitory control in patients with fibromyalgia: behavioral and neural correlates
title_full_unstemmed Pain expressions and inhibitory control in patients with fibromyalgia: behavioral and neural correlates
title_short Pain expressions and inhibitory control in patients with fibromyalgia: behavioral and neural correlates
title_sort Pain expressions and inhibitory control in patients with fibromyalgia: behavioral and neural correlates
topic Brain electrical activity
Chronic pain
Cognitive dysfunction
Emotion
Attention
Pain
Inhibitory control
Ciências Sociais::Psicologia
topic_facet Brain electrical activity
Chronic pain
Cognitive dysfunction
Emotion
Attention
Pain
Inhibitory control
Ciências Sociais::Psicologia
url https://hdl.handle.net/1822/69629
visible 1