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    Impact of chronic somatoform and osteoarthritis pain on conscious and preconscious cognitive processing

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    JPain_2rev_submitted_6 May ...
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    Authors
    Dohrenbusch, Ralf
    Buchanan, Heather
    Lipka, Sigrid
    Ott, Ralf
    Issue Date
    2013-06-21
    
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    Abstract
    The study investigates the impact of chronic pain (CP) on conscious and preconscious cognitive processes and on guessing behavior, and examines the mediating effect of a depressive state. Twenty-eight patients with CP due to hip osteoarthritis, 32 patients with a somatoform disorder including pain symptoms, and 31 participants who did not have CP were examined within the framework of a modified Process-Dissociation-Procedure. Neutral, health threatening and general threatening stimuli were presented acoustically in a lexical decision task. Parameters of conscious processing, preconscious processing, and of chance were estimated by a multinomial modelling procedure. CP-patients with osteoarthritis showed the lowest level of conscious processing and the highest level of guessing behavior. Patients with somatoform pain tended to react preconsciously to health threatening stimuli but overall showed a profile similar to that of controls who did not have CP. The impact of the threatening quality of stimuli on different levels of cognitive processing was weak. Depression did not mediate between the experience of pain and estimates of conscious and preconscious processing. Perspective: The impact of CP on preconscious and conscious cognitive processing depends on types and causes of pain. The experience of CP caused by inflammation or physical damage tends to reduce the probability of conscious processing and to provoke memory biases. CP in the context of a somatoform disorder seems to have less impact on cognitive functions.
    Citation
    Impact of chronic somatoform and osteoarthritis pain on conscious and preconscious cognitive processing 2008, 9 (10):927 The Journal of Pain
    Journal
    Journal of Pain
    URI
    http://hdl.handle.net/10545/294330
    DOI
    10.1016/j.jpain.2008.05.004
    Additional Links
    http://linkinghub.elsevier.com/retrieve/pii/S1526590008005762
    Type
    Article
    Language
    en
    ISSN
    15265900
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jpain.2008.05.004
    Scopus Count
    Collections
    Human Sciences Research Centre

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