Acquisition and extinction of operant pain-related avoidance behavior using a 3 degrees-of-freedom robotic arm

Autor: Riet Fonteyne, Ann Meulders, Johan W.S. Vlaeyen, Mathijs Franssen
Přispěvatelé: Section Experimental Health Psychology, RS: FPN CPS I
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
CATASTROPHIZING SCALE
Extinction
Psychological

0302 clinical medicine
Surveys and Questionnaires
Fear of movement-related pain
ANXIETY
Operant conditioning
SAFETY BEHAVIOR
Range of Motion
Articular

Reinforcement
Skin
05 social sciences
Robotics
Extinction
Middle Aged
Low back pain
Neurology
Arm
Anxiety
Female
Analysis of variance
medicine.symptom
Psychology
Reinforcement
Psychology

Robotic arm
LOW-BACK-PAIN
Adult
medicine.medical_specialty
Pain-related fear
Operant learning
Behavioral avoidance
Pain
Stimulus (physiology)
050105 experimental psychology
VALIDATION
CHRONIC MUSCULOSKELETAL PAIN
Young Adult
03 medical and health sciences
Physical medicine and rehabilitation
MOVEMENT-RELATED PAIN
Avoidance Learning
medicine
Humans
0501 psychology and cognitive sciences
Muscle Strength
FEAR-AVOIDANCE
HEALTHY PARTICIPANTS
Analysis of Variance
Electric Stimulation
Associative learning
MODEL
Anesthesiology and Pain Medicine
Neurology (clinical)
030217 neurology & neurosurgery
Zdroj: Pain, 157(5), 1094-1104. LIPPINCOTT WILLIAMS & WILKINS
ISSN: 0304-3959
DOI: 10.1097/j.pain.0000000000000483
Popis: Ample empirical evidence endorses the role of associative learning in pain-related fear acquisition. Nevertheless, research typically focused on self-reported and psychophysiological measures of fear. Avoidance, which is overt behavior preventing the occurrence of an aversive (painful) stimulus, has been largely neglected so far. Therefore, we aimed to fill this gap and developed an operant conditioning procedure for pain-related avoidance behavior. Participants moved their arm to a target location using the HapticMaster (FCS Robotics; Moog Inc, East Aurora, New York), a 3 degrees-of-freedom, force-controlled robotic arm. Three movement trajectories led to the target location. If participants in the Experimental Group took the shortest/easiest trajectory, they always received a painful stimulus (T1 = 100% reinforcement; no resistance). If they deviated from this trajectory, the painful stimulus could be partly or totally prevented (T2 = 50% reinforcement; T3 = 0% reinforcement), but more effort was needed (T2 = moderate resistance and deviation; T3 = strongest resistance and largest deviation). The Yoked Group received the same reinforcement schedule irrespective of their own behavior. During the subsequent extinction phase, no painful stimuli were delivered. Self-reported pain-expectancy and pain-related fear were assessed, and avoidance behavior was operationalized as the maximal distance from the shortest trajectory. During acquisition, the Experimental Group reported more pain-related fear and pain-expectancy to T1 vs T2 vs T3 and deviated more from the shortest trajectory than the Yoked Group. During subsequent extinction, avoidance behavior, self-reported fear, and pain-expectancy decreased significantly, but conditioned differences persisted despite the absence of painful stimuli. To conclude, this operant learning task might provide a valid paradigm to study pain-related avoidance behavior in future studies.
Databáze: OpenAIRE