Impulsivity and Cognitive Biases Related to Pain in Veterans Undergoing Treatment for Chronic Non-Malignant Pain - Summary - MDSpire

Impulsivity and Cognitive Biases Related to Pain in Veterans Undergoing Treatment for Chronic Non-Malignant Pain

  • By

  • James M. Bjork

  • Peter J. Norris

  • Zina Trost

  • April 23, 2026

  • 0 min

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Objective:

To investigate the relationship between impulsivity, cognitive biases related to pain, and psychological distress in veterans with chronic non-malignant pain (CNMP) compared to controls, emphasizing the comparative aspect.

Key Findings:
  • Veterans with CNMP exhibited higher levels of depression, anxiety, pain-related disability, and kinesiophobia compared to controls.
  • No significant differences in motoric impulsivity or attentional capture by pain-related stimuli were found between CNMP veterans and controls.
  • Psychological distress correlated positively with motoric impulsivity under conditions with pain-related visual distractors, indicating a potential area for further exploration.
Interpretation:

The study extends previous findings on psychological distress and delay discounting in CNMP by providing modest evidence for attentional bias towards pain stimuli in non-opioid managing CNMP veterans.

Limitations:
  • The study did not control for current opioid use in the CNMP group, which may affect the validity of the findings.
  • Sample size may limit the generalizability of the findings, suggesting caution in applying results broadly.
Conclusion:

Understanding cognitive features in CNMP veterans may inform safer pain management strategies and improve treatment outcomes, highlighting the need for tailored interventions.

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