The impact of fear of pain on the temporal processing of emotional faces: modulation of attentional resources

Recent research has focused on the spatial attention bias toward pain-related cues in individuals with fear of pain (FOP), but our understanding of its temporal attention features, particularly regarding emotional faces, is limited. To address this gap, 39 individuals with high fear of pain (H-FOP) and 37 with low fear of pain (L-FOP) completed a rapid serial visual presentation dual task. Participants viewed a series of rapidly presented pictures, first identified neutral building images as the first target (T1) and then emotional faces (painful, neutral, and happy) as the second target (T2). T1 and T2 presented at time intervals of 232 ms (lag 2) and 696 ms (lag 6), respectively. Results indicate that H-FOP group members were less accurate in recognizing faces at lag 2 shortly after correctly identifying T1 compared to those L-FOP group members. Notably, all participants were more accurate in recognizing painful faces at lag 2 than in identifying neutral and happy faces, suggesting a negative bias toward pain stimuli when attentional resources were limited. In contrast, at lag 6, when attentional resources were more abundant, participants showed greater accuracy in recognizing neutral faces than emotional faces. These findings underscore the influence of fear of pain and available cognitive resources on the attentional processing of emotional faces over time, providing insights into how fear of pain affects the temporal dynamics of emotional face recognition and the role of attentional resources.