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Modeling neural and self-reported factors of affective distress in the relationship between pain and working memory in healthy individuals.

Abstract：

:The relationship between pain and cognition has primarily been investigated in patients with chronic pain and healthy participants undergoing experimental pain. Recently, there has been interest in understanding the disruptive effects of non-experimental pain in otherwise healthy individuals. Recent studies suggest that healthy individuals reporting pain also demonstrate decrements in working memory (WM) performance, however factors contributing to this relationship remain poorly understood. The present study examined the association between everyday pain and WM in a large community-based sample of healthy individuals and investigated whether self-reported affective distress and medial frontal cortex activity might help to explain this relationship. To address these research questions, a large publicly available dataset from the Human Connectome Project (N = 416) was sourced and structural equation modeling was utilized to examine relationships between pain intensity experienced over the past 7 days, self-reported affective distress (composite measure), performance on a WM (n-back) task, and task-related activation in the medial frontal cortex. Examining participants who reported non-zero pain intensity in the last 7 days (n = 228), we found a direct negative association between pain intensity and performance on the WM n-back task, consistent with prior findings. Self-reported affective distress was not associated with WM performance. Additionally, pain intensity was indirectly associated with WM performance via WM task-related activity in the ventromedial prefrontal cortex (vmPFC). Our findings suggest that everyday pain experienced outside of the laboratory by otherwise healthy individuals may directly impact WM performance. Furthermore, WM task-related increases in vmPFC activity may be a factor contributing to this relationship.

journal_name

Neuropsychologia

journal_title

Neuropsychologia

authors

Anderson SR,Witkin JE,Bolt T,Llabre MM,Ashton-James CE,Reynolds Losin EA

doi

10.1016/j.neuropsychologia.2021.107766

subject

Has Abstract

pub_date

2021-01-24 00:00:00

pages

107766

eissn

0028-3932

issn

1873-3514

pii

S0028-3932(21)00017-8

pub_type

杂志文章

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