• J Pain · Mar 2020

    Perceptual decision parameters and their relation to self-reported pain: a drift diffusion account.

    • Jonas Zaman, Katja Wiech, and VlaeyenJohan W SJWSHealth Psychology, Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium; Experimental Health Psychology, Maastricht University, Maastricht the Netherlands..
    • Health Psychology, Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium; Center for the Psychology of Learning and Experimental Psychopathology, Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium. Electronic address: jonas.zaman@kuleuven.be.
    • J Pain. 2020 Mar 1; 21 (3-4): 324-333.

    AbstractPain intensity ratings are subject to various cognitive modulations - yet the mechanisms underlying this influence are still not understood. In a conditioning protocol, pain-related expectations were induced through pairing predefined movements with a noxious or innocuous stimulus in either a predictable or unpredictable fashion. Healthy volunteers (N = 37) categorized the stimuli as either painful or nonpainful and rated its perceived intensity. Using a Hierarchical Drift Diffusion model based on the categorization data, we found that an a priori decision-making bias evolved toward the expected sensations (P < .001). In particular, our findings suggest that differences in both the amount of decision-making bias (P = .004) and the speed of sensory processing predict pain intensity ratings (P < .001). As such, changes in pain ratings could be based in either of these processes, which may require a different approach when targeted as part of psychological pain treatment. PERSPECTIVE: Changes in reported pain levels were linked to two distinct mechanisms, suggesting that increased pain reports could be attributed to either enhanced sensory processing or biased inferences. Our results might contribute to the development of person-tailored treatments based on the identification of latent mechanisms using computational models.Copyright © 2019 United States Association for the Study of Pain, Inc. Published by Elsevier Inc. All rights reserved.

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