Confidence in subjective pain is predicted by reaction time during decision making

Abstract Self-report is the gold standard for measuring pain. However, decisions about pain can vary substantially within and between individuals. We measured whether self-reported pain is accompanied by metacognition and variations in confidence, similar to perceptual decision-making in other modal...

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Autores principales:	Troy C. Dildine, Elizabeth A. Necka, Lauren Y. Atlas
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d6cb2eeaef6947cd905176174520f1da
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spelling	oai:doaj.org-article:d6cb2eeaef6947cd905176174520f1da2021-12-02T15:10:05ZConfidence in subjective pain is predicted by reaction time during decision making10.1038/s41598-020-77864-82045-2322https://doaj.org/article/d6cb2eeaef6947cd905176174520f1da2020-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-77864-8https://doaj.org/toc/2045-2322Abstract Self-report is the gold standard for measuring pain. However, decisions about pain can vary substantially within and between individuals. We measured whether self-reported pain is accompanied by metacognition and variations in confidence, similar to perceptual decision-making in other modalities. Eighty healthy volunteers underwent acute thermal pain and provided pain ratings followed by confidence judgments on continuous visual analogue scales. We investigated whether eye fixations and reaction time during pain rating might serve as implicit markers of confidence. Confidence varied across trials and increased confidence was associated with faster pain rating reaction times. The association between confidence and fixations varied across individuals as a function of the reliability of individuals’ association between temperature and pain. Taken together, this work indicates that individuals can provide metacognitive judgments of pain and extends research on confidence in perceptual decision-making to pain.Troy C. DildineElizabeth A. NeckaLauren Y. AtlasNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-14 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Troy C. Dildine Elizabeth A. Necka Lauren Y. Atlas Confidence in subjective pain is predicted by reaction time during decision making
description	Abstract Self-report is the gold standard for measuring pain. However, decisions about pain can vary substantially within and between individuals. We measured whether self-reported pain is accompanied by metacognition and variations in confidence, similar to perceptual decision-making in other modalities. Eighty healthy volunteers underwent acute thermal pain and provided pain ratings followed by confidence judgments on continuous visual analogue scales. We investigated whether eye fixations and reaction time during pain rating might serve as implicit markers of confidence. Confidence varied across trials and increased confidence was associated with faster pain rating reaction times. The association between confidence and fixations varied across individuals as a function of the reliability of individuals’ association between temperature and pain. Taken together, this work indicates that individuals can provide metacognitive judgments of pain and extends research on confidence in perceptual decision-making to pain.
format	article
author	Troy C. Dildine Elizabeth A. Necka Lauren Y. Atlas
author_facet	Troy C. Dildine Elizabeth A. Necka Lauren Y. Atlas
author_sort	Troy C. Dildine
title	Confidence in subjective pain is predicted by reaction time during decision making
title_short	Confidence in subjective pain is predicted by reaction time during decision making
title_full	Confidence in subjective pain is predicted by reaction time during decision making
title_fullStr	Confidence in subjective pain is predicted by reaction time during decision making
title_full_unstemmed	Confidence in subjective pain is predicted by reaction time during decision making
title_sort	confidence in subjective pain is predicted by reaction time during decision making
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/d6cb2eeaef6947cd905176174520f1da
work_keys_str_mv	AT troycdildine confidenceinsubjectivepainispredictedbyreactiontimeduringdecisionmaking AT elizabethanecka confidenceinsubjectivepainispredictedbyreactiontimeduringdecisionmaking AT laurenyatlas confidenceinsubjectivepainispredictedbyreactiontimeduringdecisionmaking
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Confidence in subjective pain is predicted by reaction time during decision making

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