注意偏差
慢性疼痛
荟萃分析
纤维肌痛
奇纳
心理信息
科克伦图书馆
梅德林
心理学
物理医学与康复
认知偏差
听力学
医学
认知心理学
临床心理学
体感系统
认知
神经科学
精神科
内科学
法学
心理干预
政治学
作者
Philippa Broadbent,Christina Liossi,Daniel E. Schoth
出处
期刊:Pain
[Ovid Technologies (Wolters Kluwer)]
日期:2020-08-21
卷期号:162 (2): 332-352
被引量:15
标识
DOI:10.1097/j.pain.0000000000002040
摘要
Abstract This systematic review and meta-analysis aimed to evaluate the evidence pertaining to attentional bias for painful and nonpainful somatosensory stimuli in individuals with chronic pain. Eligible studies were identified through searches of Medline, PsycINFO, CINAHL, Web of Science, Scopus, and Cochrane Library databases. Search terms were words and phrases organised into 3 concept blocks: pain condition, cognitive process, and stimuli/paradigm. The search identified 29 eligible studies (reporting 32 eligible experiments), of which quantitative meta-analysis was possible for 16 studies (19 experiments). The meta-analysis found that chronic pain patients, excluding somatoform pain patients, showed significantly greater attentional bias to stimuli in the somatosensory modality than healthy controls (k = 9, g = 0.34). In addition, meta-analysis of studies that used a temporal order judgement task found that patients with unilateral chronic pain showed a spatial attentional bias away from somatosensory stimuli (k = 7, effect estimate = 22.43 ms) and visual stimuli (k = 2, effect estimate = 13.75 ms) on or near the painful body side. Most studies of attentional bias to the somatosensory modality recruited samples of patients with fibromyalgia, whereas most studies of spatial attentional bias assessed patients with complex regional pain syndrome. The extent to which these results generalise to other pain conditions is therefore unclear. We recommend future research test spatial and modality attentional biases across chronic pain conditions and examine the psychometric properties of attentional bias measurement paradigms for use with chronic pain populations. PROSPERO registration number CRD42019124510.
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