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Original Report| Volume 18, ISSUE 4, P446-455, April 2017

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Increasing Optimism Protects Against Pain-Induced Impairment in Task-Shifting Performance

Published:December 27, 2016DOI:https://doi.org/10.1016/j.jpain.2016.12.007

      Highlights

      • Writing and visualizing about your best possible future self can increase optimism.
      • Experimentally-induced heat pain impairs shifting task performance.
      • Manipulated optimism counteracts these pain-induced shifting impairments.

      Abstract

      Persistent pain can lead to difficulties in executive task performance. Three core executive functions that are often postulated are inhibition, updating, and shifting. Optimism, the tendency to expect that good things happen in the future, has been shown to protect against pain-induced performance deterioration in executive function updating. This study tested whether this protective effect of a temporary optimistic state by means of a writing and visualization exercise extended to executive function shifting. A 2 (optimism: optimism vs no optimism) × 2 (pain: pain vs no pain) mixed factorial design was conducted. Participants (N = 61) completed a shifting task once with and once without concurrent painful heat stimulation after an optimism or neutral manipulation. Results showed that shifting performance was impaired when experimental heat pain was applied during task execution, and that optimism counteracted pain-induced deterioration in task-shifting performance.

      Perspective

      Experimentally-induced heat pain impairs shifting task performance and manipulated optimism or induced optimism counteracted this pain-induced performance deterioration. Identifying psychological factors that may diminish the negative effect of persistent pain on the ability to function in daily life is imperative.

      Key words

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      References

        • Affleck G.
        • Tennen H.
        • Zautra A.
        • Urrows S.
        • Abeles M.
        • Karoly P.
        Women’s pursuit of personal goals in daily life with fibromyalgia: A value-expectancy analysis.
        J Consult Clin Psychol. 2001; 69: 587-596
        • Altmann E.M.
        • Gray W.D.
        An integrated model of cognitive control in task switching.
        Psychol Rev. 2008; 115: 602
        • Attridge N.
        • Crombez G.
        • Van Ryckeghem D.
        • Keogh E.
        • Eccleston C.
        The experience of cognitive intrusion of pain: Scale development and validation.
        Pain. 1978; 156: 2015
        • Berkley K.J.
        Sex differences in pain.
        Behav Brain Sci. 1997; 20: 371-380
        • Berryman C.
        • Stanton T.R.
        • Bowering K.J.
        • Tabor A.
        • McFarlane A.
        • Moseley G.L.
        Do people with chronic pain have impaired executive function? A meta-analytical review.
        Clin Psychol Rev. 2014; 34: 563-579
        • Berryman C.
        • Stanton T.R.
        • Bowering K.J.
        • Tabor A.
        • McFarlane A.
        • Moseley G.L.
        Evidence for working memory deficits in chronic pain: A systematic review and meta-analysis.
        Pain. 2013; 154: 1181-1196
        • Boselie J.J.
        • Vancleef L.M.
        • Smeets T.
        • Peters M.L.
        Increasing optimism abolishes pain-induced impairments in executive task performance.
        Pain. 2014; 155: 334-340
        • Boselie J.J.
        • Vancleef L.M.
        • Peters M.L.
        The effects of experimental pain and induced optimism on working memory task performance.
        Scand J Pain. 2016; 12: 25-32
        • Breivik H.
        • Collett B.
        • Ventafridda V.
        • Cohen R.
        • Gallacher D.
        Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment.
        Eur J Pain. 2006; 10: 287-333
        • Buhle J.
        • Wager T.D.
        Performance-dependent inhibition of pain by an executive working memory task.
        Pain. 2010; 149: 19-26
        • Carver C.S.
        • Scheier M.F.
        On the Self-Regulation of Behavior.
        Cambridge University Press, New York1998
        • Carver C.S.
        • Scheier M.F.
        Origins and functions of positive and negative affect: A control-process view.
        Psychol Rev. 1990; 97: 19-35
        • Carver C.S.
        • Scheier M.F.
        • Segerstrom S.C.
        Optimism.
        Clin Psychol Rev. 2010; 30: 879-889
        • Crawford J.R.
        • Henry J.D.
        The Positive and Negative Affect Schedule (PANAS): Construct validity, measurement properties and normative data in a large non-clinical sample.
        Br J Clin Psychol. 2004; 43: 245-265
        • Crombez G.
        • Eccleston C.
        • Baeyens F.
        • Eelen P.
        Attentional disruption is enhanced by the threat of pain.
        Behav Res Ther. 1998; 36: 195-204
        • Crombez G.
        • Eccleston C.
        • Baeyens F.
        • Eelen P.
        Habituation and the interference of pain with task performance.
        Pain. 1997; 70: 149-154
        • Crombez G.
        • Eccleston C.
        • Baeyens F.
        • Eelen P.
        The disruptive nature of pain: An experimental investigation.
        Behav Res Ther. 1996; 34: 911-918
        • Duke J.
        • Leventhal H.
        • Brownlee S.
        • Leventhal E.A.
        Giving up and replacing activities in response to illness.
        J Gerontol Ser B Psychol Sci Soc Sci. 2002; 57B: P367-P376
        • Eccleston C.
        Chronic pain and attention: A cognitive approach.
        Br J Clin Psychol. 1994; 33: 535-547
        • Eccleston C.
        • Crombez G.
        Pain demands attention: A cognitive-affective model of the interruptive function of pain.
        Psychol Bull. 1999; 125: 356-366
        • Faul F.
        • Erdfelder E.
        • Lang A.G.
        • Buchner A.
        G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences.
        Behav Res Methods. 2007; 39: 175-191
        • Fillingim R.B.
        • Maixner W.
        Gender differences in the responses to noxious stimuli.
        Pain Forum. 1995; 4: 209-221
        • Flink I.K.
        • Smeets E.
        • Bergbom S.
        • Peters M.L.
        Happy despite pain: Pilot study of a positive psychology intervention for patients with chronic pain.
        Scand J Pain. 2015; 7: 71-79
        • Fredrickson B.L.
        Positive emotions broaden and build.
        Adv Exp Soc Psychol. 2013; 47: 53
        • Fredrickson B.L.
        The broaden-and-build theory of positive emotions.
        Philos Trans R Soc Lond B Biol Sci. 2004; 359: 1367-1378
        • Fredrickson B.L.
        The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions.
        Am Psychol. 2001; 56: 218
        • Fredrickson B.L.
        What good are positive emotions?.
        Rev Gen Psychol. 1998; 2: 300
        • Fredrickson B.L.
        • Joiner T.
        Positive emotions trigger upward spirals toward emotional well-being.
        Psychol Sci. 2002; 13: 172-175
        • Garland E.L.
        • Fredrickson B.
        • Kring A.M.
        • Johnson D.P.
        • Meyer P.S.
        • Penn D.L.
        Upward spirals of positive emotions counter downward spirals of negativity: Insights from the broaden-and-build theory and affective neuroscience on the treatment of emotion dysfunctions and deficits in psychopathology.
        Clin Psychol Rev. 2010; 30: 849-864
        • Gilbert S.J.
        • Burgess P.W.
        Executive function.
        Curr Biol. 2008; 18: R110-R114
        • Grossman P.
        • Niemann L.
        • Schmidt S.
        • Walach H.
        Mindfulness-based stress reduction and health benefits: A meta-analysis.
        J Psychosom Res. 2004; 57: 35-43
        • Hanssen M.M.
        • Peters M.L.
        • Vlaeyen J.W.
        • Meevissen Y.M.
        • Vancleef L.M.
        Optimism lowers pain: Evidence of the causal status and underlying mechanisms.
        Pain. 2013; 154: 53-58
        • Hart R.P.
        • Martelli M.F.
        • Zasler N.D.
        Chronic pain and neuropsychological functioning.
        Neuropsychol Rev. 2000; 10: 131-149
        • Hughes M.M.
        • Linck J.A.
        • Bowles A.R.
        • Koeth J.T.
        • Bunting M.F.
        Alternatives to switch-cost scoring in the task-switching paradigm: Their reliability and increased validity.
        Behav Res Methods. 2014; 46: 702-721
        • In Den Bosch-Meevissen Y.
        • Peters M.L.
        • Alberts H.J.
        Dispositional optimism, optimism priming, and prevention of ego depletion.
        Eur J Soc Psychol. 2014; 44: 515-520
        • Keogh E.
        • Cavill R.
        • Moore D.J.
        • Eccleston C.
        The effects of menstrual-related pain on attentional interference.
        Pain. 2014; 155: 821-827
        • Kiesel A.
        • Steinhauser M.
        • Wendt M.
        • Falkenstein M.
        • Jost K.
        • Philipp A.M.
        • Koch I.
        Control and interference in task switching—A review.
        Psychol Bull. 2010; 136: 849
        • King L.A.
        The health benefits of writing about life goals.
        Pers Soc Psychol Bull. 2001; 27: 798-807
        • Koyama Y.
        • Koyama T.
        • Kroncke A.P.
        • Coghill R.C.
        Effects of stimulus duration on heat induced pain: The relationship between real-time and post-stimulus pain ratings.
        Pain. 2004; 107: 256-266
        • Legrain V.
        • Crombez G.
        • Mouraux A.
        Controlling attention to nociceptive stimuli with working memory.
        PLoS One. 2011; 6: e20926
        • Legrain V.
        • Crombez G.
        • Verhoeven K.
        • Mouraux A.
        The role of working memory in the attentional control of pain.
        Pain. 2011; 152: 453-459
        • Legrain V.
        • Van Damme S.
        • Eccleston C.
        • Davis K.D.
        • Seminowicz D.A.
        • Crombez G.
        A neurocognitive model of attention to pain: Behavioral and neuroimaging evidence.
        Pain. 2009; 144: 230-232
        • Mahler H.
        • Kulik J.
        Optimism, pessimism and recovery from coronary bypass surgery: Prediction of affect, pain and functional status.
        Psychol Health Med. 2000; 5: 347-358
        • Meiran N.
        Reconfiguration of processing mode prior to task performance.
        J Exp Psychol Learn Mem Cogn. 1996; 22: 1423
        • Miyake A.
        • Friedman N.P.
        • Emerson M.J.
        • Witzki A.H.
        • Howerter A.
        The unity and diversity of executive functions and their contributions to complex ‘frontal lobe’ tasks: A latent variable analysis.
        Cogn Psychol. 2000; 41: 49-100
        • Miyake A.
        • Friedman N.P.
        • Emerson M.J.
        • Witzki A.H.
        • Howerter A.
        • Wager T.D.
        The Unity and Diversity of Executive Functions and Their Contributions to Complex “Frontal Lobe” Tasks: A Latent Variable Analysis.
        Cogn Psychol. 2000; 41: 49-100
        • Monsell S.
        Task switching.
        Trends Cogn Sci. 2003; 7: 134-140
        • Moore D.J.
        • Keogh E.
        • Eccleston C.
        Headache impairs attentional performance.
        Pain. 2013; 154: 1840-1845
        • Moore D.J.
        • Keogh E.
        • Eccleston C.
        The effect of threat on attentional interruption by pain.
        Pain. 2013; 154: 82-88
        • Moore D.J.
        • Keogh E.
        • Eccleston C.
        The interruptive effect of pain on attention.
        Q J Exp Psychol. 2012; 65: 565-586
        • Moriarty O.
        • McGuire B.E.
        • Finn D.P.
        The effect of pain on cognitive function: A review of clinical and preclinical research.
        Prog Neurobiol. 2011; 93: 385-404
        • Morley S.
        • Eccleston C.
        • Williams A.
        Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache.
        Pain. 1999; 80: 1-13
        • Osman A.
        • Barrios F.X.
        • Gutierrez P.M.
        • Kopper B.A.
        • Merrifield T.
        • Grittmann L.
        The Pain Catastrophizing Scale: Further psychometric evaluation with adult samples.
        J Behav Med. 2000; 23: 351-365
        • Peters M.L.
        • Flink I.K.
        • Boersma K.
        • Linton S.J.
        Manipulating optimism: Can imagining a best possible self be used to increase positive future expectancies?.
        J Pos Psychol. 2010; 5: 204-211
        • Posner M.I.
        • Boies S.J.
        Components of attention.
        Psychol Rev. 1971; 78: 391
        • Rashid T.
        • Ostermann R.F.
        Strength-based assessment in clinical practice.
        J Clin Psychol. 2009; 65: 488-498
        • Rasmussen H.N.
        • Wrosch C.
        • Scheier M.F.
        • Carver C.S.
        Self-regulation processes and health: The importance of optimism and goal adjustment.
        J Pers. 2006; 74: 1721-1747
        • Rogers R.D.
        • Monsell S.
        Costs of a predictible switch between simple cognitive tasks.
        J Exp Psychol Gen. 1995; 124: 207
        • Romero Y.R.
        • Straube T.
        • Nitsch A.
        • Miltner W.H.
        • Weiss T.
        Interaction between stimulus intensity and perceptual load in the attentional control of pain.
        Pain. 2013; 154: 135-140
        • Ryckeghem D.
        • Crombez G.
        • Eccleston C.
        • Legrain V.
        • Damme S.
        Keeping pain out of your mind: The role of attentional set in pain.
        Eur J Pain. 2013; 17: 402-411
        • Scheier M.F.
        • Carver C.S.
        • Bridges M.W.
        Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test.
        J Pers Soc Psychol. 1994; 67: 1063-1078
        • Schmitz U.
        • Saile H.
        • Nilges P.
        Coping with chronic pain: Flexible goal adjustment as an interactive buffer against pain-related distress.
        Pain. 1996; 67: 41-51
        • Seligman M.E.
        • Rashid T.
        • Parks A.C.
        Positive psychotherapy.
        Am Psychol. 2006; 61: 774
        • Seligman M.E.
        • Steen T.A.
        • Park N.
        • Peterson C.
        Positive psychology progress: Empirical validation of interventions.
        Am Psychol. 2005; 60: 410
        • Sheldon K.M.
        • Lyubomirsky S.
        How to increase and sustain positive emotion: The effects of expressing gratitude and visualizing best possible selves.
        J Pos Psychol. 2006; 1: 73-82
        • Smeets E.
        • Neff K.
        • Alberts H.
        • Peters M.
        Meeting suffering with kindness: Effects of a brief self-compassion intervention for female college students.
        J Clin Psychol. 2014; 70: 794-807
        • Smith E.E.
        • Jonides J.
        Storage and executive processes in the frontal lobes.
        Science. 1999; 283: 1657-1661
        • Solberg Nes L.
        • Carlson C.R.
        • Crofford L.J.
        • de Leeuw R.
        • Segerstrom S.C.
        Individual differences and self-regulatory fatigue: optimism, conscientiousness, and self-consciousness.
        Pers Individ Diff. 2011; 50: 475-480
        • Solberg Nes L.
        • Carlson C.R.
        • Crofford L.J.
        • de Leeuw R.
        • Segerstrom S.C.
        Self-regulatory deficits in fibromyalgia and temporomandibular disorders.
        Pain. 2010; 151: 37-44
        • Solberg Nes L.
        • Roach A.R.
        • Segerstrom S.C.
        Executive functions, self-regulation, and chronic pain: A review.
        Ann Behav Med. 2009; 37: 173-183
        • Solberg Nes L.
        • Segerstrom S.C.
        • Sephton S.E.
        Engagement and arousal: Optimism’s effects during a brief stressor.
        Pers Soc Psychol Bull. 2005; 31: 111-120
        • Stewart W.F.
        • Ricci J.A.
        • Chee E.
        • Morganstein D.
        • Lipton R.
        Lost productive time and cost due to common pain conditions in the US workforce.
        JAMA. 2003; 290: 2443-2454
        • Sullivan M.J.
        • Bishop S.R.
        • Pivik J.
        The Pain Catastrophizing Scale: Development and validation.
        Psychol Assess. 1995; 7: 524-532
        • Thorsell J.
        • Finnes A.
        • Dahl J.
        • Lundgren T.
        • Gybrant M.
        • Gordh T.
        • Buhrman M.
        A comparative study of 2 manual-based self-help interventions, acceptance and commitment therapy and applied relaxation, for persons with chronic pain.
        Clin J Pain. 2011; 27: 716-723
        • Van Breukelen G.J.
        ANCOVA versus change from baseline had more power in randomized studies and more bias in nonrandomized studies.
        J Clin Epidemiol. 2006; 59: 920-925
        • Vancleef L.M.
        • Peters M.L.
        The interruptive effect of pain on attention.
        J Pain. 2006; 7: 21-22
        • Vandierendonck A.
        • Liefooghe B.
        • Verbruggen F.
        Task switching: Interplay of reconfiguration and interference control.
        Psychol Bull. 2010; 136: 601
        • Van Ryckeghem D.M.
        • Crombez G.
        • Eccleston C.
        • Liefooghe B.
        • Van Damme S.
        The interruptive effect of pain in a multitask environment: An experimental investigation.
        J Pain. 2012; 13: 131-138
        • Watson D.
        • Clark L.A.
        • Tellegen A.
        Development and validation of brief measures of positive and negative affect: The PANAS scales.
        J Pers Soc Psychol. 1988; 54: 1063-1070
        • Wetherell J.L.
        • Afari N.
        • Rutledge T.
        • Sorrell J.T.
        • Stoddard J.A.
        • Petkus A.J.
        • Solomon B.C.
        • Lehman D.H.
        • Liu L.
        • Lang A.J.
        A randomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain.
        Pain. 2011; 152: 2098-2107
        • Wong S.Y.
        • Chan F.W.
        • Wong R.L.
        • Chu M.C.
        • Lam Y.Y.
        • Mercer S.W.
        • Ma S.H.
        Comparing the effectiveness of mindfulness-based stress reduction and multidisciplinary intervention programs for chronic pain: A randomized comparative trial.
        Clin J Pain. 2011; 27: 724-734
        • Worthington Jr., E.L.
        • Kurusu T.A.
        • Collins W.
        • Berry J.W.
        Forgiving usually takes time: A lesson learned by studying interventions to promote forgiveness.
        J Psychol Theol. 2000; 28: 3
        • Wrosch C.
        • Scheier M.F.
        Personality and quality of life: The importance of optimism and goal adjustment.
        Qual Life Res. 2003; 12: 59-72