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The Effect of Pain on Mismatch Negativity.

 Bruce D. Dick, John F. Connolly, Patrick J. McGrath, Gerhard Stroink and Finley Allen
  
 

Abstract:
In order to examine the effect of pain preattentively on the mismatch negativity (MMN) event-related potential, electroencephalogram (EEG) recordings were made at 54 electrode sites in twenty undergraduate volunteers. Auditory tones were presented to participants while they attended to a video in pain (forearm in 3-4 degree Celsius water) and no-pain (forearm in 17-19 degree Celsius water) conditions. Additional information regarding participants' pain experience was collected using the McGill Pain Questionnaire (MPQ), the Pain Catastrophizing Scale (PCS), and a modified Pain Coping Strategies Questionnaire (PCSQ). We hypothesized that MMN amplitude in the pain condition would be decreased as a result of a disruption by pain of frontal region attention-switch processes. Results showed differential effects (frontally) of pain on MMN amplitude between three groups of participants. Contrary to our hypothesis, the majority of participants showed an increase in frontal MMN amplitude, suggesting a preattentive orienting response to auditory stimuli while in pain. A small group of participants showed a decrease in MMN amplitude as hypothesized while another small group of participants showed no change in MMN amplitude as a result of pain. The MPQ, PCS, and PSCQ data did not clearly differentiate the groups. We conclude that pain does appear to have a preattentive effect but that underlying individual differences in perceptual processing may significantly modulate this effect. *

 
 


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