Interoception and social cognition in chronic low back pain: a common inference disturbance? An exploratory study

Author: Florent El Grabli1,2, François Quesque1, Céline Borg3,4, Michael Witthöft5, George A Michael6, Christian Lucas2, Florence Pasquier1, Thibaud Lebouvier1, Maxime Bertoux1
Affiliation:
1 Inserm, U1172 - CHU Lille, Lille Neuroscience & Cognition, Centre of Excellence in Neurodegenerative Disease, Univ. Lille, Labex DISTAlz, F-59000, Lille, France.
2 Centre d'Evaluation et de Traitement de la Douleur, Service de Neurochirurgie, CHU Lille, F-59000, Lille, France.
3 Neurology/Neuropsychology CMRR Unit, Hospital Nord, Saint-Priest-en-Jarez, 42270, France.
4 Department of Psychology, University of Lyon, Lyon, 69500, France.
5 Department of Psychology, Johannes Gutenberg University of Mainz, Mainz, 55122, Germany.
6 Laboratoire d'Etude des Mécanismes Cognitifs (EA 3082), Université Lumière Lyon 2, Bron Cedex, 69676, France.
Conference/Journal: Pain Manag
Date published: 2021 Dec 11
Other: Special Notes: doi: 10.2217/pmt-2021-0090. , Word Count: 141


Aim: Lower interoceptive abilities are a characteristic of chronic pain conditions. Social support plays an important role in chronic low back pain (cLBP) but social cognitive skills have rarely been investigated. This study aimed to characterize interoceptive and social cognitive abilities in cLBP and to study the relationship between both domains that have been brought closer together by brain predictive coding models. Materials & methods: Twenty-eight patients with cLBP and 74 matched controls were included. Interoceptive accuracy (Heart Beat Perception Task), sensibility/awareness (Multidimensional Assessment of Interoceptive Awareness) and mental-states inference abilities (Mini-Social Cognition and Emotional Assessment) were assessed. Results: cLBP Patients had lower interoceptive accuracy and mentalizing performance. Conclusion: Less efficient interoceptive accuracy and mentalizing abilities were found in cLBP patients without correlation between these performances.

Keywords: chronic pain; emotion recognition; interoception; low back pain; social cognition.

PMID: 34894713 DOI: 10.2217/pmt-2021-0090

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