Abstract
Daily life is characterized by the need to stop, start, repeat, and switch between
multiple tasks. Here, we experimentally investigate the effects of pain, and its anticipation,
in a multitask environment. Using a task-switching paradigm, participants repeated
and switched between 3 tasks, of which 1 predicted the possible occurrence of pain.
Half of the participants received low intensity pain (N = 30), and half high intensity
pain (N = 30). Results showed that pain interferes with the performance of a simultaneous
task, independent of the pain intensity. Furthermore, pain interferes with the performance
on a subsequent task. These effects are stronger with high intensity pain than with
low intensity pain. Finally, and of particular importance in this study, interference
of pain on a subsequent task was larger when participants switched to another task
than when participants repeated the same task.
Perspective
This article is concerned with the interruptive effect of pain on people’s task performance
by using an adapted task-switching paradigm. This adapted paradigm may offer unique
possibilities to investigate how pain interferes with task performance while people
repeat and switch between multiple tasks in a multitask environment.
Key words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The Journal of PainAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- When mental inflexibility facilitates executive control: Beneficial side effects of ruminative tendencies on goal maintenance.Sci Psychol. 2010; 21: 1377-1382
- Underpredicted pain disrupts more than correctly predicted pain, but does not hurt more.Beh Res Ther. 1998; 36: 1121-1129
- Separating cue encoding from target processing in the explicit task-cuing procedure: Are there “true” task switch effects?.J Exp Psychol Learn Mem Cogn. 2007; 33: 484-502
- The sensory-discriminative and affectivemotivational processing of pain.Neurosci Biobehav Rev. 2010; 34: 214-223
- FMRI reveals how pain modulates visual object processing in the ventral visual stream.Neuron. 2007; 55: 157-167
- Borenstein M. Hedges L.V. Higgins J.P.T. Rothstein H.R. Introduction to Meta-analysis. Wiley, West Sussex, UK2009
- A role for midcingulate cortex in the interruptive effects of pain anticipation on attention.Clin Neurophysiol. 2008; 119: 2370-2379
- Performance-dependent inhibition of pain by an executive working memory task.Pain. 2010; 149: 19-26
- Dissociating nociceptive modulation by the duration of anticipation from unpredictability in the timing of pain.Clin Neurophysiol. 2008; 119: 2870-2878
- Cohen J. Statistical power analysis for the behavioral sciences. McGraw-Hill, San Diego, CA1988
- Sensory and temporal information about impending pain–the influence of predictability on pain.Behav Res Ther. 1994; 32: 611-622
- The disruptive nature of pain: An experimental investigation.Behav Res Ther. 1996; 34: 911-918
- Habituation and the interference of pain with task performance.Pain. 1997; 70: 149-154
- Attentional disruption is enhanced by the threat of pain.Behav Res Ther. 1998; 36: 195-204
- The effects of catastrophic thinking about pain on attentional interference by pain: No mediation of negative affectivity in healthy volunteers and in patients with low back pain.Pain Res Manag. 2002; 7: 31-39
- Disruption of attention and working memory traces in individuals with chronic pain.Anesth Analg. 2007; 104: 1223-1229
- Chronic pain and distraction: An experimental investigation into the role of sustained and shifting attention in the processing of chronic persistent pain.Behav Res Ther. 1995; 33: 391-405
- Chronic pain and attention: A cognitive approach.Br J Clin Psychol. 1994; 33: 535-547
- Pain demands attention: A cognitive-affective model on the interruptive function of pain.Psychol Bull. 1999; 125: 356-366
- Review of cognitive dysfunction in fibromyalgia: A convergence on working memory and attentional control impairments.Rheum Dis Clin N Am. 2009; 35: 299-311
- Concentration and memory deficits in patients with fibromyalgia syndrome.J Clin Exp Neuropsychol. 1999; 21: 477-487
- Emotion regulation: Past, present, future.Cogn Emot. 1999; 13: 551-573
- Working memory and self-regulation.in: Vohs K.D. Baumeister R.F. Handbook of Self-Regulation: Research, Theory, and Applications. Vol. 2. Guilford Press, New York, NY2010
- Determinants of laser evoked EEG responses: Pain perception or stimulus saliency?.J Neurophysiol. 2008; 100: 815-828
- The effects of imagery and sensory detection distracters on different measures of pain: How does distraction work?.Br J Clin Psychol. 1998; 37: 141-154
- Control and interference in task switching–A review.Psychol Bull. 2010; 136: 849-874
- In voluntary orienting of attention to nociceptive events: Neural and behavioural signatures.J Neurophysiol. 2009; 102: 2423-2434
- A neurocognitive model of attention to pain: Behavioral and neuroimaging evidence.Pain. 2009; 144: 230-232
- Mental fatigue and task control: Planning and preparation.Psychophysiol. 2000; 37: 614-625
- Cognitive fatigue of executive processes: Interaction between interference resolution tasks.Neuropsychol. 2007; 45: 1571-1579
- Cognitive-processing bias in chronic pain: A review and integration.Psychol Bull. 2001; 127: 599-617
- The effects of noxious heat, auditory stimulation, a cognitive task, and time on task on pain perception and performance accuracy in healthy volunteers: A new experimental model.Pain. 2006; 120: 155-160
- Catastrophizing, acceptance, and interference: Laboratory findings, subjective report, and pain willingness as a moderator.Health Psychol. 2010; 29: 299-306
- The modified Stroop paradigm as a measure of selective attention towards pain-related stimuli among chronic pain patients: A meta-analysis.Eur J Pain. 2002; 6: 273-281
- Attention control, memory updating, and emotion regulation temporarily reduce the capacity for executive control.J Exp Psychol. 2007; 136: 241-255
- Assymmetric switch costs as sequential difficulty effects.Q J Exp Psychol. 2010; 63: 1873-1894
- A re-examination of cognition interactions: Implications for neuroimaging.Pain. 2007; 130: 8-13
- Pain catastrophizing, but not injury/illness sensitivity or anxiety sensitivity, enhances attentional interference by pain.J Pain. 2006; 7: 23-30
- Retarded disengagement from pain cues: The effects of pain catastrophizing and pain expectancy.Pain. 2002; 100: 111-118
- Keeping pain in mind: A motivational account of attention to pain.Neurosci Biobeh Rev. 2010; 34: 204-213
- Mental fatigue and the control of cognitive processes: Effects on perseveration and planning.Acta Psychol. 2003; 113: 45-65
- Task switching: Interplay of reconfiguration and interference.Psych Bull. 2010; 136: 601-626
- An experimental investigation on attentional interference by threatening fixations of the neck in patients with chronic whiplash syndrome.Pain. 2007; 127: 121-129
- The role of spatial attention in attentional control over pain: An experimental investigation.Exp Brain Res. 2011; 208: 269-275
- Pain and attention: Attentional disruption or distraction.J Pain. 2006; 7: 11-20
- Adaptation by binding: A learning account of cognitive control.Trends Cogn Sci. 2009; 13: 252-257
- Anterior insula integrates information about salience into perceptual decisions about pain.J Neurosci. 2010; 30: 16324-16331
- The effects of brief mindfulness meditation training on experimentally induced pain.J Pain. 2010; 11: 199-209
Article info
Publication history
Published online: November 10, 2011
Accepted:
September 15,
2011
Received in revised form:
August 22,
2011
Received:
May 29,
2011
Footnotes
Preparation of this paper was partly supported by Grant BOF/GOA2006/001 of Ghent University and FWO project G.017807.
There are no conflicts of interest that may arise as a result of this research.
Identification
Copyright
© 2012 American Pain Society. Published by Elsevier Inc. All rights reserved.