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Social cognition abilities in patients with primary and secondary chronic pain
Previous evidence suggested that chronic pain is characterized by cognitive deficits, particularly in the social cognition domain. Recently, a new chronic pain classification has been proposed distinguishing chronic primary pain (CPP), in which pain is the primary cause of patients' disease, an...
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Published in: | Frontiers in psychology 2024-02, Vol.15, p.1315682-1315682 |
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description | Previous evidence suggested that chronic pain is characterized by cognitive deficits, particularly in the social cognition domain. Recently, a new chronic pain classification has been proposed distinguishing chronic primary pain (CPP), in which pain is the primary cause of patients' disease, and chronic secondary pain (CSP), in which pain is secondary to an underlying illness. The present study aimed at investigating social cognition profiles in the two disorders. We included 38 CPP, 43 CSP patients, and 41 healthy controls (HC). Social cognition was assessed with the Ekman-60 faces test (Ekman-60F) and the Story-Based Empathy Task (SET), whereas global cognitive functioning was measured with the Montreal Cognitive Assessment (MoCA). Pain and mood symptoms, coping strategies, and alexithymia were also evaluated. Correlations among clinical pain-related measures, cognitive performance, and psychopathological features were investigated. Results suggested that CSP patients were impaired compared to CPP and HC in social cognition abilities, while CPP and HC performance was not statistically different. Pain intensity and illness duration did not correlate with cognitive performance or psychopathological measures. These findings confirmed the presence of social cognition deficits in chronic pain patients, suggesting for the first time that such impairment mainly affects CSP patients, but not CPP. We also highlighted the importance of measuring global cognitive functioning when targeting chronic pain disorders. Future research should further investigate the cognitive and psychopathological profile of CPP and CSP patients to clarify whether present findings can be generalized as disorder characteristics. |
doi_str_mv | 10.3389/fpsyg.2024.1315682 |
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Recently, a new chronic pain classification has been proposed distinguishing chronic primary pain (CPP), in which pain is the primary cause of patients' disease, and chronic secondary pain (CSP), in which pain is secondary to an underlying illness. The present study aimed at investigating social cognition profiles in the two disorders. We included 38 CPP, 43 CSP patients, and 41 healthy controls (HC). Social cognition was assessed with the Ekman-60 faces test (Ekman-60F) and the Story-Based Empathy Task (SET), whereas global cognitive functioning was measured with the Montreal Cognitive Assessment (MoCA). Pain and mood symptoms, coping strategies, and alexithymia were also evaluated. Correlations among clinical pain-related measures, cognitive performance, and psychopathological features were investigated. Results suggested that CSP patients were impaired compared to CPP and HC in social cognition abilities, while CPP and HC performance was not statistically different. Pain intensity and illness duration did not correlate with cognitive performance or psychopathological measures. These findings confirmed the presence of social cognition deficits in chronic pain patients, suggesting for the first time that such impairment mainly affects CSP patients, but not CPP. We also highlighted the importance of measuring global cognitive functioning when targeting chronic pain disorders. Future research should further investigate the cognitive and psychopathological profile of CPP and CSP patients to clarify whether present findings can be generalized as disorder characteristics.</description><identifier>ISSN: 1664-1078</identifier><identifier>EISSN: 1664-1078</identifier><identifier>DOI: 10.3389/fpsyg.2024.1315682</identifier><identifier>PMID: 38596340</identifier><language>eng</language><publisher>Switzerland: Frontiers Media S.A</publisher><subject>chronic primary pain ; chronic secondary pain ; cognitive impairment ; Ekman task ; emotion recognition ; Psychology ; social cognition</subject><ispartof>Frontiers in psychology, 2024-02, Vol.15, p.1315682-1315682</ispartof><rights>Copyright © 2024 Telesca, Vergallito, Consonni, Mattavelli, Ferrario, Grazzi, Usai and Romero Lauro.</rights><rights>Copyright © 2024 Telesca, Vergallito, Consonni, Mattavelli, Ferrario, Grazzi, Usai and Romero Lauro. 2024 Telesca, Vergallito, Consonni, Mattavelli, Ferrario, Grazzi, Usai and Romero Lauro</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c469t-dd0e513c0879d339bbcd4634e83fe4df20e99853adc5b4929835b06914fd9c943</citedby><cites>FETCH-LOGICAL-c469t-dd0e513c0879d339bbcd4634e83fe4df20e99853adc5b4929835b06914fd9c943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11002902/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11002902/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38596340$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Telesca, Alessandra</creatorcontrib><creatorcontrib>Vergallito, Alessandra</creatorcontrib><creatorcontrib>Consonni, Monica</creatorcontrib><creatorcontrib>Mattavelli, Giulia</creatorcontrib><creatorcontrib>Ferrario, Alessia</creatorcontrib><creatorcontrib>Grazzi, Licia</creatorcontrib><creatorcontrib>Usai, Susanna</creatorcontrib><creatorcontrib>Romero Lauro, Leonor Josefina</creatorcontrib><title>Social cognition abilities in patients with primary and secondary chronic pain</title><title>Frontiers in psychology</title><addtitle>Front Psychol</addtitle><description>Previous evidence suggested that chronic pain is characterized by cognitive deficits, particularly in the social cognition domain. Recently, a new chronic pain classification has been proposed distinguishing chronic primary pain (CPP), in which pain is the primary cause of patients' disease, and chronic secondary pain (CSP), in which pain is secondary to an underlying illness. The present study aimed at investigating social cognition profiles in the two disorders. We included 38 CPP, 43 CSP patients, and 41 healthy controls (HC). Social cognition was assessed with the Ekman-60 faces test (Ekman-60F) and the Story-Based Empathy Task (SET), whereas global cognitive functioning was measured with the Montreal Cognitive Assessment (MoCA). Pain and mood symptoms, coping strategies, and alexithymia were also evaluated. Correlations among clinical pain-related measures, cognitive performance, and psychopathological features were investigated. Results suggested that CSP patients were impaired compared to CPP and HC in social cognition abilities, while CPP and HC performance was not statistically different. Pain intensity and illness duration did not correlate with cognitive performance or psychopathological measures. These findings confirmed the presence of social cognition deficits in chronic pain patients, suggesting for the first time that such impairment mainly affects CSP patients, but not CPP. We also highlighted the importance of measuring global cognitive functioning when targeting chronic pain disorders. Future research should further investigate the cognitive and psychopathological profile of CPP and CSP patients to clarify whether present findings can be generalized as disorder characteristics.</description><subject>chronic primary pain</subject><subject>chronic secondary pain</subject><subject>cognitive impairment</subject><subject>Ekman task</subject><subject>emotion recognition</subject><subject>Psychology</subject><subject>social cognition</subject><issn>1664-1078</issn><issn>1664-1078</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVUU1vGyEURFWrJkryB3Ko9tiL3QcPduFUVVE_IkXtIc0Z8bU20RpcWDfKvy-O3SjhwjyYNwxvCLmksESU6tO4rY-rJQPGlxSp6CV7Q05p3_MFhUG-fYFPyEWt99AWBwbA3pMTlEL1yOGU_LzNLpqpc3mV4hxz6oyNU0OhdjF1W9NQmmv3EOd1ty1xY8pjZ5LvanA5-X3l1iWn6Bo3pnPybjRTDRfH_Yzcffv6--rH4ubX9-urLzcLx3s1L7yHICg6kIPyiMpa53kzFCSOgfuRQVBKCjTeCcsVUxKFhV5RPnrlFMczcn3Q9dnc66MvnU3UTwe5rLQpc3RT0GickWK0tkfD2xBkGKAf7MiYoUIy2bQ-H7S2O7sJ3rX_FjO9En19k-Jar_JfTWmbpgLWFD4eFUr-swt11ptYXZgmk0LeVY2AQqAEMTQqO1BdybWWMD6_Q0Hvg9VPwep9sPoYbGv68NLhc8v_GPEfoQSgfA</recordid><startdate>20240227</startdate><enddate>20240227</enddate><creator>Telesca, Alessandra</creator><creator>Vergallito, Alessandra</creator><creator>Consonni, Monica</creator><creator>Mattavelli, Giulia</creator><creator>Ferrario, Alessia</creator><creator>Grazzi, Licia</creator><creator>Usai, Susanna</creator><creator>Romero Lauro, Leonor Josefina</creator><general>Frontiers Media S.A</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20240227</creationdate><title>Social cognition abilities in patients with primary and secondary chronic pain</title><author>Telesca, Alessandra ; Vergallito, Alessandra ; Consonni, Monica ; Mattavelli, Giulia ; Ferrario, Alessia ; Grazzi, Licia ; Usai, Susanna ; Romero Lauro, Leonor Josefina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c469t-dd0e513c0879d339bbcd4634e83fe4df20e99853adc5b4929835b06914fd9c943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>chronic primary pain</topic><topic>chronic secondary pain</topic><topic>cognitive impairment</topic><topic>Ekman task</topic><topic>emotion recognition</topic><topic>Psychology</topic><topic>social cognition</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Telesca, Alessandra</creatorcontrib><creatorcontrib>Vergallito, Alessandra</creatorcontrib><creatorcontrib>Consonni, Monica</creatorcontrib><creatorcontrib>Mattavelli, Giulia</creatorcontrib><creatorcontrib>Ferrario, Alessia</creatorcontrib><creatorcontrib>Grazzi, Licia</creatorcontrib><creatorcontrib>Usai, Susanna</creatorcontrib><creatorcontrib>Romero Lauro, Leonor Josefina</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Frontiers in psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Telesca, Alessandra</au><au>Vergallito, Alessandra</au><au>Consonni, Monica</au><au>Mattavelli, Giulia</au><au>Ferrario, Alessia</au><au>Grazzi, Licia</au><au>Usai, Susanna</au><au>Romero Lauro, Leonor Josefina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Social cognition abilities in patients with primary and secondary chronic pain</atitle><jtitle>Frontiers in psychology</jtitle><addtitle>Front Psychol</addtitle><date>2024-02-27</date><risdate>2024</risdate><volume>15</volume><spage>1315682</spage><epage>1315682</epage><pages>1315682-1315682</pages><issn>1664-1078</issn><eissn>1664-1078</eissn><abstract>Previous evidence suggested that chronic pain is characterized by cognitive deficits, particularly in the social cognition domain. 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Pain intensity and illness duration did not correlate with cognitive performance or psychopathological measures. These findings confirmed the presence of social cognition deficits in chronic pain patients, suggesting for the first time that such impairment mainly affects CSP patients, but not CPP. We also highlighted the importance of measuring global cognitive functioning when targeting chronic pain disorders. Future research should further investigate the cognitive and psychopathological profile of CPP and CSP patients to clarify whether present findings can be generalized as disorder characteristics.</abstract><cop>Switzerland</cop><pub>Frontiers Media S.A</pub><pmid>38596340</pmid><doi>10.3389/fpsyg.2024.1315682</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | chronic primary pain chronic secondary pain cognitive impairment Ekman task emotion recognition Psychology social cognition |
title | Social cognition abilities in patients with primary and secondary chronic pain |
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