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Words putting pain in motion: the generalization of pain-related fear within an artificial stimulus category

Identifieur interne : 000191 ( Pmc/Corpus ); précédent : 000190; suivant : 000192

Words putting pain in motion: the generalization of pain-related fear within an artificial stimulus category

Auteurs : Marc P. Bennett ; Ann Meulders ; Frank Baeyens ; Johan W. S. Vlaeyen

Source :

RBID : PMC:4415322

Abstract

Patients with chronic pain are often fearful of movements that never featured in painful episodes. This study examined whether a neutral movement’s conceptual relationship with pain-relevant stimuli could precipitate pain-related fear; a process known as symbolic generalization. As a secondary objective, we also compared experiential and verbal fear learning in the generalization of pain-related fear. We conducted an experimental study with 80 healthy participants who were recruited through an online experimental management system (Mage = 23.04 years, SD = 6.80 years). First, two artificial categories were established wherein nonsense words and joystick arm movements were equivalent. Using a between-groups design, nonsense words from one category were paired with either an electrocutaneous stimulus (pain-US) or threatening information, while nonsense words from the other category were paired with no pain-US or safety information. During a final testing phase, participants were prompted to perform specific joystick arm movements that were never followed by a pain-US, although they were informed that it could occur. The results showed that movements equivalent to the pain-relevant nonsense words evoked heightened pain-related fear as measured by pain-US expectancy, fear of pain, and unpleasantness ratings. Also, experience with the pain-US evinced stronger acquisition and generalization compared to experience with threatening information. The clinical importance and theoretical implications of these findings are discussed.


Url:
DOI: 10.3389/fpsyg.2015.00520
PubMed: 25983704
PubMed Central: 4415322

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