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Neurocognitive mechanisms underlying attention bias towards pain: evidence from a drift-diffusion model and event-related potentials

      Highlights

      • Neurocognitive process of pain-related attention bias was depicted by DDM and ERPs
      • Facilitated attention engagement to pain was indexed by DDM-derived non-decision time
      • Facilitated attention engagement to pain was driven by cue-evoked N1 amplitudes
      • Retarded attention disengagement from pain was indexed by DDM-derived drift rate
      • Retarded attention disengagement from pain was driven by target-evoked N2 amplitudes

      Abstract

      Although combining computational modeling with event-related potentials (ERPs) can precisely characterize neurocognitive processes involved in attention bias, it has yet to be applied in the context of pain. Here, a hierarchical drift-diffusion model (DDM) along with ERPs was used to characterize the neurocognitive mechanisms underlying attention bias towards pain. A spatial cueing paradigm was adopted, in which the locations of targets were either validly or invalidly predicted by spatial cues related to pain or non-pain signals. DDM-derived non-decision time was shorter for targets validly cued by pain signals than by non-pain signals, thus indicating speeded attention engagement towards pain; drift rate was slower for targets invalidly cued by pain signals than by non-pain signals, reflecting slower attention disengagement from pain. The facilitated engagement towards pain was partially mediated by the enhanced lateralization of cue-evoked N1 amplitudes, which relate to the bottom-up, stimulus-driven processes of detecting threatening signals. On the other hand, the retarded disengagement from pain was partially mediated by the enhanced target-evoked anterior N2 amplitudes, which relate to the top-down, goal-driven processes of conflict monitoring and behavior regulating. These results demonstrated that engagement and disengagement components of pain-related attention bias are governed by distinct neurocognitive mechanisms. However, it remains possible that the findings are not pain-specific, but rather, are related to threat or aversiveness in general. This deserves to be further examined by adding a control stimulus modality.
      Perspective: This study characterized the neurocognitive processes involved in attention bias towards pain through combining a hierarchical drift-diffusion model and event-related potentials. Our results revealed distinctive neurocognitive mechanisms underlying engagement and disengagement components of attention bias. Future studies are warranted to examine whether our findings are pain-specific or not.

      Keywords

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