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Record W4414803267 · doi:10.1016/j.jpain.2025.105569

Expectations and uncertainty shape pain perception during learning

2025· article· en· W4414803267 on OpenAlexafffund
Mégane Lacombe-Thibault, Michel‐Pierre Coll

Bibliographic record

VenueJournal of Pain · 2025
Typearticle
Languageen
FieldNeuroscience
TopicPain Management and Placebo Effect
Canadian institutionsCentre for Interdisciplinary Research in Rehabilitation
FundersFonds de Recherche du Québec - SantéCanadian Institutes of Health Research
KeywordsPerceptionPain perceptionPerceptual learningPain catastrophizingChronic painStability (learning theory)NociceptionMultilevel model

Abstract

fetched live from OpenAlex

Pain perception is modulated by expectations and learning processes, but the influence of uncertainty in this relationship is not well established. We aimed to examine the relationship between uncertainty, pain learning and perception using hierarchical Bayesian modeling. In an aversive learning task, fifty participants learned contingencies between auditory cues and painful stimulations under changing levels of uncertainty to create periods of stability and volatility. Model-free analysis of our data suggested unexpected trials resulted in reduced accuracy and greater response times. In unexpected trials, high pain perception was reduced, while low pain perception was increased, in line with documented effects of expectations on pain perception. Computational model fitting revealed participants' learning was best described by a two-level hierarchical gaussian filter model, suggesting participants adapted their beliefs at multiple levels during the task. Uncertainty influenced pain perception in opposite patterns for high and low pain stimulations: high pain perception was greater under high levels of uncertainty, while there was a non-significant trend for low pain perception to be reduced. Analyses of individual differences suggested depressive symptoms were associated with a reduced learning rate throughout the task. These results shed light on processes involved in pain learning in changing environments. They also suggest a possible relationship between learning alterations and psychological traits commonly found in chronic pain, such as depressive symptoms. PERSPECTIVE: This article explores the influence of varying levels of uncertainty on pain perception and learning. Findings reveal that uncertainty modulates pain perception differently depending on pain intensity and that pain learning is influenced by psychological traits. These results contribute to our understanding of pain modulation in dynamic environments.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.008
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.002
Threshold uncertainty score0.006

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.008
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0010.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.014
GPT teacher head0.269
Teacher spread0.256 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes2
Has abstractyes

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