AB1222-HPR Hypervigilance to Emotional Subliminal Images in Patients with Fibromyalgia

BackgroundFibromyalgia (FM) is a chronic condition characterized by the presence of pain, fatigue and cognitive dysfunction, among other symptoms. Previous research (Duschek et al., 2014) also indicated that patients show an hypervigilance pattern to pain and negative information that interferes wit...

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Veröffentlicht in:Annals of the rheumatic diseases 2015-06, Vol.74 (Suppl 2), p.1343
Hauptverfasser: Peláez, I., Mercado, F., Barjola, P., Cardoso, S.
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creator Peláez, I.
Mercado, F.
Barjola, P.
Cardoso, S.
description BackgroundFibromyalgia (FM) is a chronic condition characterized by the presence of pain, fatigue and cognitive dysfunction, among other symptoms. Previous research (Duschek et al., 2014) also indicated that patients show an hypervigilance pattern to pain and negative information that interferes with the processing of other events by capturing attention resources and generating cognitive difficulties. This hypervigilance seems to be dependent of automatic processes. Duschek and collaborators (2013) show the first evidence of cognitive disruption associated with processes non-dependent from conscious and controlled resources by an implicit memory task. An index that reflects these hypervigilance processes may be the N2 which has been associated with an unpleasant stimulus (Olofsson et al., 2008), for that is one of the most frequently component show a sensitive to attentional capture by emotional distractor (Carretié, 2014).ObjectivesExplore by ERP the hypothesis of generalized hypervigilance in FM using mask emotional images that have to processes non-dependent from conscious controlled resources.Methods46 women participated in this study (23 FM patients and 23 healthy controls). They participated in a passive visual task, where the emotional images (neutral, negative and pain-related) are masked to prevent their conscious perception. Each trial start whit a mask (450ms), then the emotional picture presented (26ms) followed by other mask (450ms). ERP were recorded at sixty scalp electrodes. On the basis of the topographical distribution of grand-averaged ERP activity and previous studies, peak amplitude values were computed for 150-250 ms (N2). The Signal Detection Theory was used to analyze the image detection.ResultsANOVAs indicated that amplitudes of N2 at parieto-occipital regions were different between groups (p
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Previous research (Duschek et al., 2014) also indicated that patients show an hypervigilance pattern to pain and negative information that interferes with the processing of other events by capturing attention resources and generating cognitive difficulties. This hypervigilance seems to be dependent of automatic processes. Duschek and collaborators (2013) show the first evidence of cognitive disruption associated with processes non-dependent from conscious and controlled resources by an implicit memory task. An index that reflects these hypervigilance processes may be the N2 which has been associated with an unpleasant stimulus (Olofsson et al., 2008), for that is one of the most frequently component show a sensitive to attentional capture by emotional distractor (Carretié, 2014).ObjectivesExplore by ERP the hypothesis of generalized hypervigilance in FM using mask emotional images that have to processes non-dependent from conscious controlled resources.Methods46 women participated in this study (23 FM patients and 23 healthy controls). They participated in a passive visual task, where the emotional images (neutral, negative and pain-related) are masked to prevent their conscious perception. Each trial start whit a mask (450ms), then the emotional picture presented (26ms) followed by other mask (450ms). ERP were recorded at sixty scalp electrodes. On the basis of the topographical distribution of grand-averaged ERP activity and previous studies, peak amplitude values were computed for 150-250 ms (N2). The Signal Detection Theory was used to analyze the image detection.ResultsANOVAs indicated that amplitudes of N2 at parieto-occipital regions were different between groups (p&lt;0.05). Specifically, FM patients as compared to control group showed more negativity amplitude for the 3 emotions. However, there were not found an interaction effect between types of emotion by group.ConclusionsPresent results indicate that ERPs associated with conscious processing of emotional stimuli (N2 component) are also elicited by subliminal images where people report to be unaware of it. Also it is suggested that fibromyalgia patients have a generalized hypervigilance response even to images that could not be processed consciously. This effect could play an important role in the augmented pain perception for these patients. These data provide objective evidence that some sub-processes of attention could be altered in FM. Further research, however, is needed to fully understand and delimitate this possible alteration.ReferencesCarretié, L. (2014). Exogenous (automatic) attention to emotional stimuli: a review. Cognitive, Affective, &amp; Behavioral Neuroscience, 1-31.Duschek, S., Werner, N.S., Winkelmann, A. Wankner, S. (2013). Implicit Memory Function in Fibromyalgia Syndrome. Behavioral Medicine 39 (1), 11-16.Duschek, S., Werner, N, Limbert, N., Winkelmann, MD. &amp; Montoya, P. (2014). Attentional bias toward negative information in patients with fibromyalgia syndrome. Pain medicine, 15: 603-612.Olofsson, J., Nordin, S., Sequeira, H. &amp; Polich, J. (2008). Affective picture processing: an integrative review of ERP findings. Biol Psychol, 77 (3): 247-265.AcknowledgementsSupported by grant PI13/01759 from the Ministry of Economy and Competitiveness: Institute of Health Carlos III (ISCIII) of Spain.Disclosure of InterestNone declared</description><identifier>ISSN: 0003-4967</identifier><identifier>EISSN: 1468-2060</identifier><identifier>DOI: 10.1136/annrheumdis-2015-eular.5502</identifier><identifier>CODEN: ARDIAO</identifier><language>eng</language><publisher>Kidlington: Elsevier Limited</publisher><ispartof>Annals of the rheumatic diseases, 2015-06, Vol.74 (Suppl 2), p.1343</ispartof><rights>2015, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2015 (c) 2015, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b1850-70f2604e6d602e091e4e9b00dfa4219c626d21eadb2f5bb5f2db0b8728664c613</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://ard.bmj.com/content/74/Suppl_2/1343.2.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://ard.bmj.com/content/74/Suppl_2/1343.2.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,776,780,3183,23550,27901,27902,77342,77373</link.rule.ids></links><search><creatorcontrib>Peláez, I.</creatorcontrib><creatorcontrib>Mercado, F.</creatorcontrib><creatorcontrib>Barjola, P.</creatorcontrib><creatorcontrib>Cardoso, S.</creatorcontrib><title>AB1222-HPR Hypervigilance to Emotional Subliminal Images in Patients with Fibromyalgia</title><title>Annals of the rheumatic diseases</title><description>BackgroundFibromyalgia (FM) is a chronic condition characterized by the presence of pain, fatigue and cognitive dysfunction, among other symptoms. Previous research (Duschek et al., 2014) also indicated that patients show an hypervigilance pattern to pain and negative information that interferes with the processing of other events by capturing attention resources and generating cognitive difficulties. This hypervigilance seems to be dependent of automatic processes. Duschek and collaborators (2013) show the first evidence of cognitive disruption associated with processes non-dependent from conscious and controlled resources by an implicit memory task. An index that reflects these hypervigilance processes may be the N2 which has been associated with an unpleasant stimulus (Olofsson et al., 2008), for that is one of the most frequently component show a sensitive to attentional capture by emotional distractor (Carretié, 2014).ObjectivesExplore by ERP the hypothesis of generalized hypervigilance in FM using mask emotional images that have to processes non-dependent from conscious controlled resources.Methods46 women participated in this study (23 FM patients and 23 healthy controls). They participated in a passive visual task, where the emotional images (neutral, negative and pain-related) are masked to prevent their conscious perception. Each trial start whit a mask (450ms), then the emotional picture presented (26ms) followed by other mask (450ms). ERP were recorded at sixty scalp electrodes. On the basis of the topographical distribution of grand-averaged ERP activity and previous studies, peak amplitude values were computed for 150-250 ms (N2). The Signal Detection Theory was used to analyze the image detection.ResultsANOVAs indicated that amplitudes of N2 at parieto-occipital regions were different between groups (p&lt;0.05). Specifically, FM patients as compared to control group showed more negativity amplitude for the 3 emotions. However, there were not found an interaction effect between types of emotion by group.ConclusionsPresent results indicate that ERPs associated with conscious processing of emotional stimuli (N2 component) are also elicited by subliminal images where people report to be unaware of it. Also it is suggested that fibromyalgia patients have a generalized hypervigilance response even to images that could not be processed consciously. This effect could play an important role in the augmented pain perception for these patients. These data provide objective evidence that some sub-processes of attention could be altered in FM. Further research, however, is needed to fully understand and delimitate this possible alteration.ReferencesCarretié, L. (2014). Exogenous (automatic) attention to emotional stimuli: a review. Cognitive, Affective, &amp; Behavioral Neuroscience, 1-31.Duschek, S., Werner, N.S., Winkelmann, A. Wankner, S. (2013). Implicit Memory Function in Fibromyalgia Syndrome. Behavioral Medicine 39 (1), 11-16.Duschek, S., Werner, N, Limbert, N., Winkelmann, MD. &amp; Montoya, P. (2014). Attentional bias toward negative information in patients with fibromyalgia syndrome. Pain medicine, 15: 603-612.Olofsson, J., Nordin, S., Sequeira, H. &amp; Polich, J. (2008). Affective picture processing: an integrative review of ERP findings. Biol Psychol, 77 (3): 247-265.AcknowledgementsSupported by grant PI13/01759 from the Ministry of Economy and Competitiveness: Institute of Health Carlos III (ISCIII) of Spain.Disclosure of InterestNone declared</description><issn>0003-4967</issn><issn>1468-2060</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNqVkMtKw0AUhgdRsFbfIdD11HMmySTBVS2tLRQsXsDdMJNM2im51JlE6c6NL-qTmFgXbl2dC_93OHyEjBDGiD6_llVlt7otM-MoAwypbgtpx2EI7IQMMOBxt-ZwSgYA4NMg4dE5uXBu140QYzwgL5NbZIzRxfrh6-Nzcdhr-2Y2ppBVqr2m9mZl3Zi6koX32KrClKZvl6XcaOeZylvLxuiqcd67abbe3ChblwdZbIy8JGe5LJy--q1D8jyfPU0XdHV_t5xOVlRhHAKNIGccAs0zDkxDgjrQiQLIchkwTFLOeMZQy0yxPFQqzFmmQMURizkPUo7-kIyOd_e2fm21a8Subm33pROYAEaRjyF0qZtjKrW1c1bnYm9NKe1BIIhepfijUvQqxY9K0avsaH6kVbn7F_gNBKF_1g</recordid><startdate>201506</startdate><enddate>201506</enddate><creator>Peláez, I.</creator><creator>Mercado, F.</creator><creator>Barjola, P.</creator><creator>Cardoso, S.</creator><general>Elsevier Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope></search><sort><creationdate>201506</creationdate><title>AB1222-HPR Hypervigilance to Emotional Subliminal Images in Patients with Fibromyalgia</title><author>Peláez, I. ; Mercado, F. ; Barjola, P. ; Cardoso, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b1850-70f2604e6d602e091e4e9b00dfa4219c626d21eadb2f5bb5f2db0b8728664c613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peláez, I.</creatorcontrib><creatorcontrib>Mercado, F.</creatorcontrib><creatorcontrib>Barjola, P.</creatorcontrib><creatorcontrib>Cardoso, S.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><jtitle>Annals of the rheumatic diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peláez, I.</au><au>Mercado, F.</au><au>Barjola, P.</au><au>Cardoso, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>AB1222-HPR Hypervigilance to Emotional Subliminal Images in Patients with Fibromyalgia</atitle><jtitle>Annals of the rheumatic diseases</jtitle><date>2015-06</date><risdate>2015</risdate><volume>74</volume><issue>Suppl 2</issue><spage>1343</spage><pages>1343-</pages><issn>0003-4967</issn><eissn>1468-2060</eissn><coden>ARDIAO</coden><abstract>BackgroundFibromyalgia (FM) is a chronic condition characterized by the presence of pain, fatigue and cognitive dysfunction, among other symptoms. Previous research (Duschek et al., 2014) also indicated that patients show an hypervigilance pattern to pain and negative information that interferes with the processing of other events by capturing attention resources and generating cognitive difficulties. This hypervigilance seems to be dependent of automatic processes. Duschek and collaborators (2013) show the first evidence of cognitive disruption associated with processes non-dependent from conscious and controlled resources by an implicit memory task. An index that reflects these hypervigilance processes may be the N2 which has been associated with an unpleasant stimulus (Olofsson et al., 2008), for that is one of the most frequently component show a sensitive to attentional capture by emotional distractor (Carretié, 2014).ObjectivesExplore by ERP the hypothesis of generalized hypervigilance in FM using mask emotional images that have to processes non-dependent from conscious controlled resources.Methods46 women participated in this study (23 FM patients and 23 healthy controls). They participated in a passive visual task, where the emotional images (neutral, negative and pain-related) are masked to prevent their conscious perception. Each trial start whit a mask (450ms), then the emotional picture presented (26ms) followed by other mask (450ms). ERP were recorded at sixty scalp electrodes. On the basis of the topographical distribution of grand-averaged ERP activity and previous studies, peak amplitude values were computed for 150-250 ms (N2). The Signal Detection Theory was used to analyze the image detection.ResultsANOVAs indicated that amplitudes of N2 at parieto-occipital regions were different between groups (p&lt;0.05). Specifically, FM patients as compared to control group showed more negativity amplitude for the 3 emotions. However, there were not found an interaction effect between types of emotion by group.ConclusionsPresent results indicate that ERPs associated with conscious processing of emotional stimuli (N2 component) are also elicited by subliminal images where people report to be unaware of it. Also it is suggested that fibromyalgia patients have a generalized hypervigilance response even to images that could not be processed consciously. This effect could play an important role in the augmented pain perception for these patients. These data provide objective evidence that some sub-processes of attention could be altered in FM. Further research, however, is needed to fully understand and delimitate this possible alteration.ReferencesCarretié, L. (2014). Exogenous (automatic) attention to emotional stimuli: a review. Cognitive, Affective, &amp; Behavioral Neuroscience, 1-31.Duschek, S., Werner, N.S., Winkelmann, A. Wankner, S. (2013). Implicit Memory Function in Fibromyalgia Syndrome. Behavioral Medicine 39 (1), 11-16.Duschek, S., Werner, N, Limbert, N., Winkelmann, MD. &amp; Montoya, P. (2014). Attentional bias toward negative information in patients with fibromyalgia syndrome. Pain medicine, 15: 603-612.Olofsson, J., Nordin, S., Sequeira, H. &amp; Polich, J. (2008). Affective picture processing: an integrative review of ERP findings. Biol Psychol, 77 (3): 247-265.AcknowledgementsSupported by grant PI13/01759 from the Ministry of Economy and Competitiveness: Institute of Health Carlos III (ISCIII) of Spain.Disclosure of InterestNone declared</abstract><cop>Kidlington</cop><pub>Elsevier Limited</pub><doi>10.1136/annrheumdis-2015-eular.5502</doi></addata></record>
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title AB1222-HPR Hypervigilance to Emotional Subliminal Images in Patients with Fibromyalgia
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