Abstract:
BACKGROUND:Diminished executive function and attentional control has been reported in chronic pain patients. However, the precise pattern of impairment in these aspects of cognition in chronic pain remains unclear. Moreover, a decline in psychomotor speed could potentially influence executive and attentional control performance in pain patients. OBJECTIVE:To examine different aspects of executive and attentional control in chronic pain together with the confounding role of psychomotor slowing. METHODS:Neuropsychological tests of sustained attention, planning ability, inhibition and mental flexibility were administered to 34 participants with chronic pain and 32 control participants. RESULTS:Compared with the controls, participants with chronic pain took longer to complete tests of sustained attention and mental flexibility, but did not perform worse on inhibition or planning tasks. The decreased performance on the mental flexibility task likely reflects a reduction in psychomotor speed. The pattern of performance on the sustained attention task reveals a specific decline in attention, indicated by a disproportionate decline in performance with an increase in task duration and by increased fluctuations in attention during task performance. No additional effect was noted of pain intensity, pain duration, pain catastrophizing, depressive symptoms, reduced sleep because of the pain or opioid use. CONCLUSIONS:Executive and attention functions are not uniformly affected in chronic pain. At least part of the previously reported decline in executive function in this group may reflect psychomotor slowing. Overall, limited evidence was found that executive and attention performance is indeed lower in chronic pain. Therefore, it can be concluded that in chronic pain sustained attention performance is diminished while mental flexibility, planning and inhibition appear to be intact.
journal_name
Pain Res Managjournal_title
Pain research & managementauthors
Oosterman J,Derksen LC,van Wijck AJ,Kessels RP,Veldhuijzen DSdoi
10.1155/2012/962786subject
Has Abstractpub_date
2012-05-01 00:00:00pages
159-65issue
3eissn
1203-6765issn
1918-1523journal_volume
17pub_type
杂志文章abstract::Safety issues are a major barrier to the use of cannabis and cannabinoid medications for clinical purposes. Information on the safety of herbal cannabis may be derived from studies of recreational cannabis use, but cannabis exposure and effects may differ widely between medical and recreational cannabis users. Standar...
journal_title:Pain research & management
pub_type: 杂志文章,评审
doi:10.1155/2005/312357
更新日期:2005-10-01 00:00:00
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journal_title:Pain research & management
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journal_title:Pain research & management
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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journal_title:Pain research & management
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doi:10.1155/2020/3428587
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2007/394960
更新日期:2007-10-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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更新日期:2008-09-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2011/825636
更新日期:2011-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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journal_title:Pain research & management
pub_type: 杂志文章,随机对照试验
doi:10.1155/2018/2132039
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journal_title:Pain research & management
pub_type: 杂志文章,随机对照试验
doi:10.1155/2017/9246352
更新日期:2017-01-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2020/3408928
更新日期:2020-07-30 00:00:00
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journal_title:Pain research & management
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2014/745458
更新日期:2014-07-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章,评审
doi:10.1155/2016/8458696
更新日期:2016-01-01 00:00:00
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journal_title:Pain research & management
pub_type: 共识发展会议,杂志文章,实务指引
doi:10.1155/2007/730785
更新日期:2007-04-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2015/853961
更新日期:2015-03-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
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更新日期:2013-09-01 00:00:00
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2009/638585
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pub_type: 杂志文章,meta分析
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pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2014/956828
更新日期:2014-05-01 00:00:00
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更新日期:2016-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2020-05-06 00:00:00
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更新日期:2017-01-01 00:00:00
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journal_title:Pain research & management
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更新日期:2018-02-25 00:00:00
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pub_type: 杂志文章
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journal_title:Pain research & management
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doi:10.1155/2020/6036575
更新日期:2020-03-18 00:00:00