oru.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Schrooten, Martien G. S.ORCID iD iconorcid.org/0000-0002-9462-0256
Alternative names
Publications (10 of 22) Show all publications
Gatzounis, R., Crombez, G., Schrooten, M. G. S. & S. Vlaeyen, J. W. (2018). A break from pain! Interruption management in the context of pain. Pain management
Open this publication in new window or tab >>A break from pain! Interruption management in the context of pain
2018 (English)In: Pain management, ISSN 1758-1869Article in journal (Refereed) Epub ahead of print
Abstract [en]

Activity interruptions, namely temporary suspensions of an ongoing task with the intention to resume it later, are common in pain. First, pain is a threat signal that urges us to interrupt ongoing activities in order to manage the pain and its cause. Second, activity interruptions are used in chronic pain management. However, activity interruptions by pain may carry costs for activity performance. These costs have recently started to be systematically investigated. We review the evidence on the consequences of activity interruptions by pain for the performance of the interrupted activity. Further, inspired by literature on interruptions from other research fields, we suggest ways to improve interruption management in the field of pain, and provide a future research agenda.

Place, publisher, year, edition, pages
Future Medicine Ltd., 2018
Keywords
Activity pacing, chronic pain, interruption management
National Category
Medical Ergonomics
Identifiers
urn:nbn:se:oru:diva-70621 (URN)10.2217/pmt-2018-0038 (DOI)30516435 (PubMedID)
Available from: 2018-12-10 Created: 2018-12-10 Last updated: 2018-12-10Bibliographically approved
Gatzounis, R., Schrooten, M. G. S., Crombez, G. & Vlaeyen, J. W. S. (2018). Activity interruptions by pain impair activity resumption, but not more than activity interruptions by other stimuli: an experimental investigation. Pain, 159(2), 351-358
Open this publication in new window or tab >>Activity interruptions by pain impair activity resumption, but not more than activity interruptions by other stimuli: an experimental investigation
2018 (English)In: Pain, ISSN 0304-3959, E-ISSN 1872-6623, Vol. 159, no 2, p. 351-358Article in journal (Refereed) Published
Abstract [en]

Interrupting ongoing activities whilst intending to resume them later is a natural response to pain. Whereas this response facilitates pain management, at the same time it may also disrupt task performance. Previous research has shown that activity interruptions by pain impair subsequent resumption of the activity, but not more than pain-irrelevant interruptions. Ongoing task complexity and pain threat value might influence interruption effects. In this experiment, we adjusted a paradigm from outside the field of pain to investigate how activity interruptions by pain affect task performance. Healthy participants (n=69) were required to answer a series of questions, in a specific sequence, about presented letter-digit combinations. This ongoing task was occasionally interrupted by painful electrocutaneous or non-painful vibrotactile stimulation (between-subjects) followed by a typing task. Upon interruption completion, participants were required to resume the ongoing task at the next step of the question sequence. Results indicate impaired sequence accuracy (less frequent resumption at the correct step of the sequence) but preserved non-sequence accuracy (similarly frequent correct responses to question content) immediately after an interruption. Effects were not larger for interruptions by pain, compared to non-pain. Further, participants in the two conditions reported similar task experience, namely task motivation, perceived difficulty, and confidence to resume the interrupted task. Pain catastrophizing did not influence the results. As in previous studies, activity interruptions by pain were shown to impair the resumption of a task that requires keeping to a step sequence, but not more than interruptions by non-painful stimuli. Potential explanations are discussed.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2018
Keywords
Pain; (Activity) interruption; Task performance; Task switch; Vibrotactile stimulus
National Category
Applied Psychology Anesthesiology and Intensive Care Neurology
Identifiers
urn:nbn:se:oru:diva-62447 (URN)10.1097/j.pain.0000000000001079 (DOI)000428999000018 ()28968344 (PubMedID)2-s2.0-85043714046 (Scopus ID)
Note

Funding Agencies:

PhD "Aspirant" grant - Research Foundation-Flanders, Belgium (FWO Vlaanderen)  11N8215N 

"Asthenes" long-term structural funding-Methusalem grant - Flemish Government, Belgium  METH/15/011 

Available from: 2017-12-05 Created: 2017-12-05 Last updated: 2018-04-19Bibliographically approved
Karsdorp, P. A., Schrooten, M. G. S. & Geenen, R. (2018). Attentional control and the competition between nonpain goals and the threat of pain. European Journal of Pain, 22(1), 181-190
Open this publication in new window or tab >>Attentional control and the competition between nonpain goals and the threat of pain
2018 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 22, no 1, p. 181-190Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Fully understanding attention to pain requires taking into account the motivational context. Both pain- and (nonpain) goal-related information attracts attention. An intriguing question is which attentional bias prevails when pain- and goal-related information co-occurs? Reduced attentional bias towards pain- and goal-related information was predicted when the other competing information was presented simultaneously. Moreover, trait attentional control was predicted to be associated with stronger attentional bias towards goal-related information particularly in the presence of pain-related information.

METHODS: Attentional competition between pain- and (nonpain) goal-related information was measured in ninety participants using a dot-probe task presenting two stimuli (pain-related, goal-related or neutral) simultaneously. Reaction time was the dependent variable. Dot-probe trials alternated with goal trials to induce a temporary goal. Trait attentional control was measured with the attentional control scale.

RESULTS: For pain-related neutral stimulus pairs, participants responded fastest when probes appeared on the same, compared to the opposite, location as the pain-related stimulus. For pain-goal-related stimulus pairs, responses were fastest when probes appeared on the same, compared to the opposite, location as the goal-related stimulus. Higher trait attentional control was associated with faster responding when probes appeared on the same, compared to the opposite, location as the goal-related stimulus. Unpredicted, this effect was irrespective of the co-occurring stimulus (neutral vs. pain-related).

CONCLUSIONS: The findings suggest that the unintentional allocation of attention towards events related to a temporary (nonpain) goal prevails over attentional bias to events predicting pain. Trait attentional control predicts stronger attentional allocation towards events related to a temporary goal.

SIGNIFICANCE: These findings indicate that treatment interventions facilitating goal pursuit in patients with chronic pain are beneficial in reducing attentional biases towards pain-related events.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
National Category
Psychology (excluding Applied Psychology) Anesthesiology and Intensive Care Neurology
Identifiers
urn:nbn:se:oru:diva-62458 (URN)10.1002/ejp.1114 (DOI)000418080700018 ()28949062 (PubMedID)2-s2.0-85038423369 (Scopus ID)
Note

Funding Agencies:

Netherlands Organisation for Scientific Research  453-04-003 

Örebro University, Sweden 

Available from: 2017-12-04 Created: 2017-12-04 Last updated: 2018-01-12Bibliographically approved
Edebol-Carlman, H., Schrooten, M. G. S., Ljóttson, B., Boersma, K., Linton, S. J. & Brummer, R. J. (2018). Cognitive behavioral therapy for irritable bowel syndrome: the effects on state and trait anxiety and the autonomic nervous system during induced rectal distensions - An uncontrolled trial. Scandinavian Journal of Pain, 18, 81-91
Open this publication in new window or tab >>Cognitive behavioral therapy for irritable bowel syndrome: the effects on state and trait anxiety and the autonomic nervous system during induced rectal distensions - An uncontrolled trial
Show others...
2018 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 18, p. 81-91Article in journal (Refereed) Published
Abstract [en]

Background and aims: Irritable bowel syndrome (IBS), is a common multifactorial gastrointestinal disorder linked to disturbances in the microbe gut-brain axis. Cognitive behavioral therapy (CBT), in face-to-face format has showed promising results on IBS and its associated psychological symptoms. The present study explored for the first time if CBT for IBS affects the autonomic nervous system (ANS) during experimentally induced visceral pain and cognitive stress, respectively. The levels of state and trait anxiety, current and perceived stress were also evaluated.

Methods: In this uncontrolled trial, individual CBT was performed in face-to-face format for 12 weeks in 18 subjects with IBS. Heart rate variability and skin conductance were measured during experimentally induced visceral pain and during a cognitive task (Stroop color-word test), before and after intervention. The levels of state and trait anxiety as well as self-rated current and perceived stress were also measured before and after the intervention.

Results: CBT did not affect ANS activity during experimentally induced visceral pain and cognitive stress. The sympathetic activity was high, typical for IBS and triggered during both visceral pain and cognitive stress. The levels of state and trait anxiety significantly decreased after the intervention. No significant changes in self-rated current or perceived stress were found.

Conclusions: Results suggest that face-to-face CBT for IBS improved anxiety- a key psychological mechanism for the IBS pathophysiology, rather than the autonomic stress response to experimentally induced visceral pain and cognitive stress, respectively.

Place, publisher, year, edition, pages
Walter de Gruyter, 2018
Keywords
irritable bowel syndrome; cognitive behavioral therapy; state anxiety; trait anxiety; stress; autonomic nervous system; visceral hypersensitivity
National Category
Neurology
Identifiers
urn:nbn:se:oru:diva-64294 (URN)10.1515/sjpain-2017-0153 (DOI)000426817200009 ()2-s2.0-85043578532 (Scopus ID)
Available from: 2018-01-16 Created: 2018-01-16 Last updated: 2018-03-27Bibliographically approved
Gatzounis, R., Schrooten, M. G. S., Crombez, G. & Vlaeyen, J. (2018). Effects of activity interruptions by pain on pattern of activity performance: An experimental investigation. Scandinavian Journal of Pain, 18, 109-119
Open this publication in new window or tab >>Effects of activity interruptions by pain on pattern of activity performance: An experimental investigation
2018 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 18, p. 109-119Article in journal (Refereed) Published
Abstract [en]

Background and aims: Suspending an ongoing activity with the intention to resume it again later is a natural response to pain. This response facilitates coping with the pain, but it may also have negative consequences for the resumption and performance of the activity. For example, people with pain problems are often forced to take a break from doing their household chores because of their pain. They might delay resuming their chore, eventually needing longer time to finish it. We investigated how activity interruptions by pain influence the pattern of subsequent activity performance. We expected that when an activity is interrupted by pain (compared to non-pain), people spend longer time away from the activity, need longer time to complete it, and are less motivated to perform it.

Methods: Sixty healthy volunteers performed an ongoing task that required them to make joystick movements in different directions according to a specific rule. Occasionally, participants received either a painful electrocutaneous stimulus or a non-painful and non-aversive auditory stimulus (between-subjects) as an interruption cue. The interruption cue was followed by the temporary suspension of the ongoing task and the initiation of a different activity (interruption task). The latter required the categorization of cards and had a maximum duration, but participants could also stop it earlier by pressing a button. We measured time away from the (interrupted) ongoing task, total time to complete the ongoing task (including the interruptions) and self-reported motivation to perform both the ongoing as well as the interruption task.

Results: Groups did not differ in the time away from the ongoing task, total time to complete the ongoing task, or self-reported motivation to perform the two tasks.

Conclusions: Activity interruptions by pain did not impair the pattern of activity performance more than activity interruptions by non-pain. Potential explanations and suggestions for future research are discussed.

Place, publisher, year, edition, pages
Walter de Gruyter, 2018
Keywords
pain; (activity) interruption; task performance; performance pattern; task interference
National Category
Neurology
Identifiers
urn:nbn:se:oru:diva-64295 (URN)10.1515/sjpain-2017-0098 (DOI)000426817200012 ()2-s2.0-85042026662 (Scopus ID)
Note

Funding Agencies:

Research Foundation - Flanders, Belgium (FWO Vlaanderen)  11N8215N 

Odysseus Grant "The Psychology of Pain and Disability Research Program" - Research Foundation Flanders (FWO Vlaanderen), Belgium  G090208N 

Flemish Government, Belgium  METH/15/011 

Available from: 2018-01-16 Created: 2018-01-16 Last updated: 2018-03-27Bibliographically approved
Gatzounis, R., Schrooten, M. G. S., Crombez, G. & Vlaeyen, J. W. (2018). Forgetting to remember?: Prospective memory within the context of pain. European Journal of Pain, 22(3), 614-625
Open this publication in new window or tab >>Forgetting to remember?: Prospective memory within the context of pain
2018 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 22, no 3, p. 614-625Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Pain interferes with cognitive functioning in several ways. Among other symptoms, pain patients often report difficulties with remembering future intentions. It remains unclear, however, whether it is the pain per se that impairs prospective remembering or other factors that often characterize people with pain (e.g. poor sleep quality). In this experiment, we investigated whether prospective memory is impaired within the context of pain, and whether this impairment is enhanced when the threat value of pain is increased.

METHODS: Healthy participants engaged in an ongoing word categorization task, during which they received either experimental pain stimuli (with or without threatening instructions designed to increase the threat value of pain), or no pain stimuli (no somatic stimuli and no threatening instructions). Crucially, participants were also instructed to perform a prospective memory intention on future moments that would be signalled by specific retrieval cues.

RESULTS: Threatening instructions did not differentiate the pain groups in terms of pain threat value; therefore, we only focus on the difference between pain and no pain. Pain and no-pain groups performed the prospective memory intention with similar frequency, indicating that prospective memory is not necessarily impaired when the intended action has to be performed in a painful context.

CONCLUSIONS: Findings are discussed in the framework of the multiprocess theory of prospective memory, which differentiates between the spontaneous and the strategic retrieval of intentions. Methodological considerations and suggestions for future research are discussed.

SIGNIFICANCE: This laboratory study combines established methods from two research fields to investigate the effects of a painful context on memory for future intentions. Painful context did not impair performance of a prospective memory intention that is assumed to be retrieved by means of spontaneous processing.

Place, publisher, year, edition, pages
West Sussex, United Kingdom: John Wiley & Sons, 2018
National Category
Anesthesiology and Intensive Care Neurology
Identifiers
urn:nbn:se:oru:diva-63409 (URN)10.1002/ejp.1152 (DOI)000425632800016 ()29226495 (PubMedID)2-s2.0-85042254441 (Scopus ID)
Note

Funding Agencies:

Research Foundation - Flanders, Belgium (FWO Vlaanderen)  11N8215N 

Flemish Government, Belgium  METH/15/011 

Available from: 2017-12-19 Created: 2017-12-19 Last updated: 2018-08-31Bibliographically approved
Traxler, J., Schrooten, M. G. S., Dibbets, P. & Vancleef, L. M. (2018). Interpretation bias in the face of pain: a discriminatory fear conditioning approach. Scandinavian Journal of Pain
Open this publication in new window or tab >>Interpretation bias in the face of pain: a discriminatory fear conditioning approach
2018 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background and aims: Interpreting pain- and illness-related stimuli as health-threatening is common among chronic pain patients but also occurs in the general population. As interpretation bias (IB) may affect pain perception and might even play part in the development and maintenance of chronic pain, it is important to improve our understanding of this concept. Several studies suggest an association between IB and pain-related anxiety. However, those studies often rely on verbal and pictorial IB tasks that do not entail a threat of actual pain, therefore lacking personal relevance for healthy participants. The current study investigated whether healthy individuals show an IB towards ambiguous health-related stimuli in a context of actual pain threat, and explored whether this bias is associated to pain anxiety constructs.

Methods: Thirty-six healthy participants were conditioned to expect painful electrocutaneous shocks (unconditioned stimulus - US) after health-threat words (CS+) but not after neutral (non-health-threat) words (CS-) in order to establish fear of pain. Subsequently, they completed a verbal interpretation task that contained new CS+ and CS- stimuli as well as ambiguous non-reinforced health-threat and non-health-threat words. IB was assessed through shock expectancy ratings and startle responses to ambiguous and evident health threatening or neutral word stimuli. Pain-related anxiety was measured with validated questionnaires.

Results: The results show a general IB towards ambiguous health-related words on pain expectancies but not on startle response. An exploratory analysis suggests that this effect exists irrespective of pain-related anxiety levels which however may be due to a lack of power.

Conclusion: We present a novel experimental paradigm employing actual health threat that captures IB towards health-related stimuli in healthy individuals. Taken together, results provide evidence for the further consideration of IB as a latent vulnerability factor in the onset and maintenance of pain chronicity. In contrast to previous studies employing a safe, pain-free context, we found that healthy participants show an IB towards ambiguous health-related stimuli, when confronted with pain threat.

Implications: Like chronic pain patients, healthy individuals display an IB towards health-threat stimuli when these stimuli become personally relevant by carrying information about pending health threat. Therefore, the presented paradigm could be valuable for pain-related cognitive bias research in healthy participants as it may have a higher ecological validity than previous study designs. Future studies will have to elucidate the influence of anxiety constructs on IB in larger samples.

Place, publisher, year, edition, pages
Walter de Gruyter, 2018
Keywords
acute pain, interpretation bias, pain expectancy, pain threat, startle response
National Category
Applied Psychology
Identifiers
urn:nbn:se:oru:diva-69997 (URN)10.1515/sjpain-2018-0112 (DOI)30379643 (PubMedID)
Available from: 2018-11-07 Created: 2018-11-07 Last updated: 2018-11-08Bibliographically approved
Schrooten, M. G. S., Van Damme, S., Crombez, G., Kindermans, H. & Vlaeyen, J. W. (2018). Winning or not losing?: The impact of non-pain goal focus on attentional bias to learned pain signals. Scandinavian Journal of Pain, 18(4), 675-686
Open this publication in new window or tab >>Winning or not losing?: The impact of non-pain goal focus on attentional bias to learned pain signals
Show others...
2018 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 18, no 4, p. 675-686Article in journal (Refereed) Published
Abstract [en]

Background and aims: Insights into the nature of cognitive bias, including attentional bias to threat signals, are considered pivotal to understanding (chronic) pain and related distress. It has been put forward that attention to pain-related threat is normally dynamic and relates to the motivational state of the individual. In this experiment we aimed (i) to replicate the finding that attentional bias for pain signals in healthy participants can be reduced when a non-pain goal is pursued, and (ii) to extend this finding by taking into account the outcome focus of the non-pain goal. We hypothesised that the reduction in attentional bias for pain signals by concurrent non-pain goal pursuit would be stronger with non-pain prevention goals than with promotion goals.

Methods: Healthy university students performed an attentional bias task (i.e. spatial cueing task) containing visual cues that signalled the possible occurrence of a painful stimulus (electrocutaneous stimulus at tolerance level) or its absence, in combination with a non-pain goal task (i.e. digit naming task). The non-pain goal was either related to acquiring a positive outcome (gaining money depending on digit-naming performance; promotion goal group, n=31) or related to avoiding a negative outcome (losing money; prevention goal group, n=31). A standard attentional bias task served as the control condition (control group, n=31).

Results: Spatial cueing effects were larger for pain cues than for no-pain cues, indicating attentional bias for pain signals. The pattern of results suggests that this effect was indeed reduced in the goal groups as compared to the control group, but there was no significant group difference.

Conclusions: We found no statistically-significant evidence for the impact of non-pain goal pursuit or outcome focus on pain-related attentional bias. At best, there were indications of a reduced attentional bias for pain signals with non-pain goal pursuit that was either promotion- or prevention focused.

Implications: These data add to the small but growing body of literature on the assumed relevance of motivational context in explaining variations in attentional bias. The results trigger new questions on the nature and assessment of pain-related attentional bias, and more specifically attentional bias for fear-conditioned pain signals (versus safety signals), from a motivational perspective.

Place, publisher, year, edition, pages
Walter de Gruyter, 2018
Keywords
attention, experimental pain, fear, fear conditioning, goal pursuit, motivation
National Category
Psychology (excluding Applied Psychology) Neurology
Identifiers
urn:nbn:se:oru:diva-69910 (URN)10.1515/sjpain-2018-0055 (DOI)000451213600016 ()30074899 (PubMedID)2-s2.0-85052680837 (Scopus ID)
Note

Funding Agencies:

NWO Social Sciences Research Council of The Netherlands  453-04-003 

"Asthenes" long-term structural funding Methusalem grant by Flemish Government, Belgium  

Örebro University, Sweden 

Available from: 2018-11-06 Created: 2018-11-06 Last updated: 2018-12-11Bibliographically approved
Schrooten, M. G. S. & Linton, S. J. (2017). Changing pain expectations: the role of social context and communication. Pain, 158(7), 1185-1186
Open this publication in new window or tab >>Changing pain expectations: the role of social context and communication
2017 (English)In: Pain, ISSN 0304-3959, E-ISSN 1872-6623, Vol. 158, no 7, p. 1185-1186Article in journal, Editorial material (Other academic) Published
Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2017
National Category
Anesthesiology and Intensive Care Neurology
Identifiers
urn:nbn:se:oru:diva-59314 (URN)10.1097/j.pain.0000000000000922 (DOI)000404972200002 ()28426551 (PubMedID)2-s2.0-85021443793 (Scopus ID)
Available from: 2017-08-25 Created: 2017-08-25 Last updated: 2017-10-18Bibliographically approved
Carstens, J. K. P., Boersma, K., Schrooten, M. G. S. & Linton, S. J. (2017). Effects of validating communication on recall during a pain-task in healthy participants. Scandinavian Journal of Pain, 17, 118-125, Article ID S1877-8860(17)30143-X.
Open this publication in new window or tab >>Effects of validating communication on recall during a pain-task in healthy participants
2017 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 17, p. 118-125, article id S1877-8860(17)30143-XArticle in journal (Refereed) Published
Abstract [en]

BACKGROUND: Increasing recall of instructions and advice in a pain consultation is important, since it is a prerequisite for adherence to treatment recommendations. However, interference due to pain-related distress may result in poor recall. Whereas there are some indications that recall can be increased by empathic communication that reduces interference, this interesting possibility remains largely untested experimentally. The current experiment aimed at studying effects of empathic communication, and more specifically validation, on recall during a pain test and possible mediators and moderators of this effect.

METHOD: Participants received either validating (N=25) or invalidating responses (N=25) from the experimenter during a pain provoking task, followed by self-report measures of interference (affect, situational pain catastrophizing) and recall (accurate and false memories of words).

RESULTS: As expected, the validated group exhibited higher accurate recall and less false memories following the pain test as compared to the invalidated group. This was partly due to the effect of interference being counteracted by moderating the relationship between pain catastrophizing and recall.

CONCLUSION: These novel results suggest that validating communication can counteract interference due to pain catastrophizing on recall, at least in a controlled experimental setting.

IMPLICATIONS: Good communication by health professionals is of utmost importance for adherence to pain management. The current results expand our knowledge on the effects of pain communication by establishing and explaining a clear link between empathic communication and recall, highlighting the role of pain catastrophizing.

Place, publisher, year, edition, pages
Walter de Gruyter, 2017
Keywords
Validation; Communication; Memory recall; Pain catastrophizing; Affect
National Category
Applied Psychology Neurology
Identifiers
urn:nbn:se:oru:diva-61698 (URN)10.1016/j.sjpain.2017.07.003 (DOI)000419851500017 ()28850364 (PubMedID)2-s2.0-85028312094 (Scopus ID)
Funder
Swedish Research Council
Available from: 2017-11-13 Created: 2017-11-13 Last updated: 2018-03-28Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-9462-0256

Search in DiVA

Show all publications