{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T07:05:41Z","timestamp":1789110341788,"version":"build-2803163510"},"reference-count":61,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":252,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Research and Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic low back pain (CLBP) is frequently accompanied by both maladaptive pain\u2010related behaviors and alterations in cognitive processing. Although these domains are often studied independently, their interdependence, particularly whether cognitive performance may contribute to variability in pain\u2010related psychological constructs, remains insufficiently characterized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross\u2010sectional investigation, 60 adults with CLBP completed validated questionnaires assessing pain catastrophizing (PCS), fear of movement (TSK), and symptoms associated with central sensitization (CSI). Cognitive function was evaluated across multiple domains, including attentional interference (Stroop Color Word Test), cognitive flexibility (CTMT2), and processing speed (Coding). Correlation and hierarchical regression analyses were performed to examine relationships and predictive effects while accounting for demographic and clinical factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>PCS demonstrated consistent associations with reduced performance across all cognitive domains. Fear of movement was selectively related to attentional interference and processing speed, whereas central sensitization showed limited direct correlations. In regression models, cognitive flexibility (set\u2010shifting) and processing speed significantly contributed to the prediction of catastrophizing, while only set\u2010shifting independently predicted central sensitization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These findings indicate that specific aspects of executive function\u2014particularly cognitive flexibility\u2014may play a meaningful role in shaping maladaptive pain\u2010related cognitions. Incorporating cognitive assessment into clinical evaluation may provide additional insight into individual differences in pain presentation and treatment responsiveness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/prm\/3164609","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T06:06:47Z","timestamp":1789106807000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Differential Predictive Capabilities of Cognitive Performance on Psychological Pain Variables in Chronic Low Back Pain"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7654-4301","authenticated-orcid":false,"given":"Cory","family":"Alcon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassidy","family":"Krieger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Piluso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_2_11_1_2","volume-title":"Optimizing Placebo and Minimizing Nocebo to Reduce Pain, Catastrophizing, and Opioid Use: A Review of the Science and an Evidence-Informed Clinical Toolkit","author":"Darnall B. D.","year":"2018"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/AJE\/KWF136"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.3233\/BMR-150653"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2009.06.012"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1586\/ern.09.34"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/NRRHEUM.2011.2"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00846540"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.59.10.877"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.24731"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-098673"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2665-9913(21)00176-4"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1152\/jn.00372.2009"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2019.05.004"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/5719380"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pny008"},{"key":"e_1_2_11_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/02739615.2018.1441028"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.1037\/pro0000104"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000001293"},{"key":"e_1_2_11_19_2","unstructured":"Center for Health Statistics N National Center for Health Statistics Data Presentation Standards for Proportions Data Evaluation and Methods Research https:\/\/www.cdc.gov\/nchs\/products\/index.htm."},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000001244"},{"key":"e_1_2_11_21_2","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193146"},{"key":"e_1_2_11_22_2","doi-asserted-by":"crossref","unstructured":"AartsenM. J. SmitsC. H. M. Van TilburgT. KnipscheerK. C. P. M. andDeegD. J. H. 2002 57 Activity in Older Adults: Cause or Consequence of Cognitive Functioning? A Longitudinal Study on Everyday Activities and Cognitive Performance in Older Adults.","DOI":"10.1093\/geronb\/57.2.P153"},{"key":"e_1_2_11_23_2","unstructured":"ParkerJ. TalihM. MalecD.et al. 2017 175 National Center for Health Statistics Data Presentation Standards for Proportions."},{"key":"e_1_2_11_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000164099.92112.29"},{"key":"e_1_2_11_25_2","doi-asserted-by":"publisher","DOI":"10.1037\/\/1040-3590.7.4.524"},{"key":"e_1_2_11_26_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1025570508954"},{"key":"e_1_2_11_27_2","doi-asserted-by":"crossref","unstructured":"OsmanA. BarriosF. X. GutierrezP. M. KopperB. A. MerrifieldT. andGrittmannL. 2000 23 The Pain Catastrophizing Scale: Further Psychometric Evaluation With Adult Samples.","DOI":"10.1023\/A:1005548801037"},{"key":"e_1_2_11_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.PAIN.2006.07.016"},{"key":"e_1_2_11_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/S00586-016-4682-2\/FIGURES\/1"},{"key":"e_1_2_11_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/JABR.12123"},{"key":"e_1_2_11_31_2","doi-asserted-by":"publisher","DOI":"10.3389\/FPSYG.2017.00557"},{"key":"e_1_2_11_32_2","doi-asserted-by":"publisher","DOI":"10.4103\/0253-7176.116251"},{"key":"e_1_2_11_33_2","doi-asserted-by":"publisher","DOI":"10.1111\/J.1532-5415.2005.53152.X"},{"key":"e_1_2_11_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/1073191105283427"},{"key":"e_1_2_11_35_2","volume-title":"Comprehensive Trail-Making Test","author":"Reynolds C.","year":"2020"},{"key":"e_1_2_11_36_2","doi-asserted-by":"publisher","DOI":"10.1080\/13854040701399269"},{"key":"e_1_2_11_37_2","volume-title":"Wechsler Adult Intelligence Scale Administration and Scoring","author":"Wechsler D.","year":"2008"},{"key":"e_1_2_11_38_2","doi-asserted-by":"publisher","DOI":"10.1080\/09084282.2011.643958"},{"key":"e_1_2_11_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.medici.2016.12.001"},{"key":"e_1_2_11_40_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-019-0251-5"},{"key":"e_1_2_11_41_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001226"},{"key":"e_1_2_11_42_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000627"},{"key":"e_1_2_11_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(94)00057-Q"},{"key":"e_1_2_11_44_2","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12178"},{"key":"e_1_2_11_45_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awh098"},{"key":"e_1_2_11_46_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2023.06.016"},{"key":"e_1_2_11_47_2","doi-asserted-by":"publisher","DOI":"10.1177\/1352458511435717"},{"key":"e_1_2_11_48_2","doi-asserted-by":"publisher","DOI":"10.1177\/2049463716642600"},{"key":"e_1_2_11_49_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002047"},{"key":"e_1_2_11_50_2","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/5851450"},{"key":"e_1_2_11_51_2","doi-asserted-by":"publisher","DOI":"10.1177\/1352458517690821"},{"key":"e_1_2_11_52_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2021.102950"},{"key":"e_1_2_11_53_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2014.01.001"},{"key":"e_1_2_11_54_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2011.04.005"},{"key":"e_1_2_11_55_2","first-page":"389","article-title":"Cognitive Performance is Related to Central Sensitization and Health-Related Quality of Life in Patients With Chronic Whiplash-Associated Disorders and Fibromyalgia","volume":"18","author":"Coppieters I.","year":"2015","journal-title":"Pain Physician"},{"key":"e_1_2_11_56_2","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.90a.22019"},{"key":"e_1_2_11_57_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awt354"},{"key":"e_1_2_11_58_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2021.01.007"},{"key":"e_1_2_11_59_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(01)00267-6"},{"key":"e_1_2_11_60_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.JPAIN.2010.11.003"},{"key":"e_1_2_11_61_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(00)00296-7"}],"container-title":["Pain Research and Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/prm\/3164609","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/prm\/3164609","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/prm\/3164609","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T06:06:51Z","timestamp":1789106811000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/prm\/3164609"}},"subtitle":[],"editor":[{"given":"Suraiya","family":"Saleem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":61,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/prm\/3164609"],"URL":"https:\/\/doi.org\/10.1155\/prm\/3164609","archive":["Portico"],"relation":{},"ISSN":["1203-6765","1918-1523"],"issn-type":[{"value":"1203-6765","type":"print"},{"value":"1918-1523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-06-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"3164609"}}