Cognitive processing in putative functional gastrointestinal disorder: Rumination yields orientation to social threat not pain

被引:21
作者
Martin, Maryanne [1 ]
Chapman, Sarah C. E. [1 ]
机构
[1] Univ Oxford, Dept Expt Psychol, Oxford OX1 3UD, England
基金
英国经济与社会研究理事会;
关键词
Functional gastrointestinal disorder; Irritable bowel syndrome; Attention; Pain; Social threat; Rumination; IRRITABLE-BOWEL-SYNDROME; DOT-PROBE EVALUATION; ATTENTIONAL BIAS; CHRONIC MUSCULOSKELETAL; SELECTIVE ATTENTION; INTEGRAL BIAS; TIME-COURSE; ANXIETY; DEPRESSION; COMORBIDITY;
D O I
10.1016/j.ejpain.2009.04.008
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Two possible roles of selective attention in the development and maintenance of functional gastrointestinal disorders (FGID) such as irritable bowel syndrome (IBS) were examined. First, hypervigilance to pain within FGID may exacerbate pain perception and pain-related distress. Second, hypervigilance to socially threatening stimuli could account for the disrupted social functioning reported by patients. Furthermore, stress-related variations in reported symptom severity and functioning impairments may reflect changes in cognitive bias with psychological state. Patterns of selective attention were probed within a sample of putative FGID participants (pFGID). The effect of rumination induction on performance on a modified exogenous cueing task was examined. Thirty-three women with pFGID and 27 matched controls responded to dot probes following pain, social threat and neutral word cues, both before and after rumination (passive self-focused thought), or distraction induction. Reaction times revealed that after rumination but not neutral distraction, pFGID participants showed enhanced attention to social threat words, but not to pain or neutral words. Between-group differences in mood, anxiety or depression could not account for these effects. These results implicate selective attention in social but not pain-related idiosyncrasies in FGID including IBS. (C) 2009 European Federation of International Association for the Study of Pain Chapters. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:207 / 213
页数:7
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