EXPRESS: Testing links between pain-related biases in visual attention and recognition memory: An eye-tracking study based on an impending pain paradigm.

Although separate lines of research have evaluated pain-related biases in attention or memory, laboratory studies examining links between attention and memory for pain-related information have received little consideration. In this eye-tracking experiment, we assessed relations between pain-related attention biases (ABs) and recognition memory biases (MBs) among 122 pain-free adults randomly assigned to impending pain (n = 59) versus impending touch (n = 63) conditions wherein offsets of trials that included pain images were followed by subsequent possibly painful and non-painful somatosensory stimulation, respectively. Gaze biases of participants were assessed during presentations of pain-neutral (P-N) and happy-neutral (H-N) face image pairs within these conditions. Subsequently, condition differences in recognition accuracy for previously-viewed versus novel pained and happy face images were examined. Overall gaze durations were significantly longer for pain (versus neutral) faces that signaled impending pain than impending non-painful touch, particularly among the less resilient in the former condition. Impending pain cohorts also exhibited comparatively better recognition accuracy for both pained and happy face images. Finally, longer gaze durations on pain faces that signaled potential pain, but not potential touch, were related to more accurate recognition of previously-viewed pain faces. In sum, pain cues that signal potential personal discomfort maintain visual attention more fully and are subsequently recognized more accuracy than are pain cues that signal non-painful touch stimulation.