The effects of attentional set on subjective magnitude
ratings, spinal reflexes, and somatosensory evoked potentials
(SEP) elicited by innocuous and painful sural nerve stimulation
were investigated in 24 subjects. Cuing stimuli informed
subjects as to whether a visual identification or a somatosensory
rating task would follow. Twenty percent of the trials
were invalidly cued, where the subjects were expecting
a visual stimulus but were given a sural nerve stimulus
and vice versa. Subjective magnitude ratings were lower
in the invalidly cued condition than the validly cued condition.
Attentional set had no effect on innocuous-related spinal
or early cortical responses, nor on the spinal nociceptive
withdrawal reflex. The pain-related negative difference
potential (NDP) and P2 component of the SEP were largest
in the invalidly cued condition. These results provide
further support for our hypothesis that the NDP is generated
in part by the anterior cingulate, and suggest that the
anterior cingulate response to pain reflects non-pain-specific
cognitive processes (e.g., orienting attention towards
important stimuli in the environment and/or response competition)
and not some aspect of the pain experience. The effects
of attentional set on the pain-related P2 suggests that
it might correspond to the P3a event-related potential.
If this is the case, the pain-related P2 could serve as
a useful index of neural processes involved in the cognitive-evaluative
aspect of pain.