Intrusive Cognitions Research Articles

Intrusive thoughts and memories in adolescents with major depressive disorder or post-traumatic stress disorder.

Research in adults suggests that intrusive memories and intrusive thoughts (often referred to as intrusive cognitions) are common in members of the general population and are often seen in clinical disorders. However, little is known about the experience of intrusive cognitions in adolescents, particularly in adolescents with major depressive disorder (MDD) and post-traumatic stress disorder (PTSD). The present study sought to gather fundamental data on these phenomena (i.e., frequency, characteristics and appraisals of intrusive cognitions) in adolescents with MDD and PTSD. Adolescents aged 11-18 with MDD (n = 11), PTSD (n = 13) and a non-clinical control group (n = 25) completed structured interviews concerning their intrusive memories and thoughts. Intrusive thoughts were common in all three groups but were particularly frequently experienced in the MDD group. Intrusive memories were expectedly very common in the PTSD group but also experienced by over half of the adolescents with MDD. Both clinical groups reported more negative emotions in response to their intrusive thoughts or memories and appraised these cognitions more negatively than the non-clinical group. Intrusive memories and thoughts are common experiences in adolescents with MDD and PTSD. Emotions and appraisals relating to these cognitions may be targets for psychological intervention in this age group. However, small sample sizes limit the conclusions that can be drawn. Replication is needed with larger numbers of clinical participants.

Relationship Between Spiritual Care Needs and Cognitive Intrusion of Pain in Patients with Advanced-Stage Cancer in Türkiye.

Pain is a common symptom experienced by patients with advanced-stage cancers. This research was conducted to determine the relationship between spiritual care needs and the cognitive intrusion of pain in patients with advanced-stage cancer. The data were collected through the patient information form, visual pain scale (VPS), spiritual care needs scale (SCNS), and cognitive intrusion of pain scale (CIPS). The study was conducted with138 advanced cancer patients. Patients had a moderate level of spiritual care needs and an above moderate level of cognitive intrusion of pain. A positive correlation was found between the total CIPS score and the meaning and hope subdimension score of SCNS (p = 0.022). Cognitive intrusion of pain increased as the need for meaning and hope in spiritual care increased. In conclusion, meeting the spiritual care needs of patients is important to prevent patients from focusing excessively on the pain they are experiencing.

A Shark Inspired Ensemble Deep Learning Stacks for Ensuring the Security in Internet of Things (IoT)-Based Smart City Infrastructure

Recent advancements in the Internet of Things (IoT) have paved the way for intelligent and sustainable solutions in smart city environments. However, despite these advantages, IoT-connected devices present significant privacy and security risks, as network attacks increasingly exploit user-centric information. To protect the network against the rapidly growing number of cyber-attacks, it is essential to employ a cognitive intrusion detection system (CIDS) capable of handling complex and voluminous network data. This research presents a novel ensemble deep learning framework designed to enhance cybersecurity in IoT-based smart city ecosystems. The proposed architecture integrates Self-Attention Convolutional Neural Networks, Bidirectional Gated Recurrent Units, and Shark Smell Optimized Feed Forward Networks to create a robust, adaptive system for detecting and mitigating cyber threats. By leveraging fog computing, the model significantly reduces latency and computational overhead, making it highly suitable for large-scale IoT deployments. Extensive experimentation using the ToN-IoT dataset demonstrates the framework's exceptional performance, achieving a 99.78% detection rate across various attack types and an AUC of 0.989. The proposed model outperforms existing state-of-the-art approaches, achieving a mean fitness function value of 0.85640 and a standard deviation of 0.037630 in binary classification outcomes. In multi-class classification, the model maintains a mean fitness function value of 0.8230 and a variance of 2.28930 × 104, significantly outperforming other meta-heuristic algorithms such as Particle Swarm Optimization (PSO) and Genetic Algorithm (GA). The model exhibits superior accuracy and efficiency compared to existing state-of-the-art approaches, particularly in identifying complex and emerging threats. This research makes significant contributions by introducing innovative feature extraction techniques, optimizing model performance for resource-constrained environments, and providing a scalable solution for securing smart city infrastructure. The findings highlight the potential of ensemble deep learning approaches to fortify IoT networks against cyberattacks, paving the way for more resilient and secure smart cities.

An SDN-based Hybrid-DL-driven cognitive intrusion detection system for IoT ecosystem

Smart homes, healthcare, transportation, agriculture, manufacturing, and many more sectors can all benefit from IoT technology. This revolutionary way of interacting with the world could increase efficiency, convenience, and productivity. However, it also raises concerns regarding security, privacy, and data management. To mitigate security threats in IoT networks, this article presents a software-defined networking-enabled cognitive hybrid-deep learning model for intrusion detection in IoT ecosystem. The primary purpose of this framework is to continuously and efficiently identify cybersecurity threats in the IoT environment. With the influence of the cognitive computing paradigm, the designed system can analyse, understand, and even respond to various traffic approaching IoT devices. The proposed model is trained and tested using the cutting-edge N-BaIoT and CICDDoS2019 datasets. The experimental results demonstrate a high level of accuracy, yielding an acceptable false positive rate in conjunction with reasonable testing time. Furthermore, the architecture considers the limited resources of IoT devices, ensuring that they are not overburdened in the process. The proposed model obtained an acceptable accuracy rate of 99. 86 %, 99. 96 % precision, 99. 903 % recall, and 99.93 % F1-Score. The proposed model outperformed the other hybrid-DL models, such as Cu-GRU+LSTM and Cu-GRU+DNN.

The Relationship Between Cognitive Intrusion of Pain, Fear of Surgery, and Comfort

The aim of this study was to examine the relationship between cognitive intrusion of pain, fear of surgery, and comfort in the perioperative period. This was a descriptive study conducted with 180 patients hospitalized for surgery in a training and research hospital. A sociodemographic questionnaire, Surgical Fear Questionnaire, General Comfort Questionnaire, and Experience of Cognitive Intrusion of Pain Scale were administered to the participants prior to surgery, while General Comfort Questionnaire and Experience of Cognitive Intrusion of Pain Scale were administered after surgery. Of the participants with a mean age of 49.94 ± 17.26 years, 62.2% were male and 31.1% had at least one chronic disease. The mean preoperative and postoperative pain scores were 2.65 and 3.47, respectively. There was a statistically significant negative correlation between perioperative experience of cognitive intrusion of pain and perioperative comfort and a positive correlation between perioperative experience of cognitive intrusion of pain and preoperative fear of surgery (p < .05). Cognitive intrusion of pain does not change in the perioperative period. As the cognitive intrusion of pain increases, patient comfort decreases and surgical fear increases. Our study contributes to the literature since it is the first study evaluating the cognitive intrusion of pain in the perioperative period.

Transdiagnostic psychopathology in the light of robust single-trial event-related potentials.

Recent evidence indicates that event-related potentials (ERPs) as measured on the electroencephalogram (EEG) are more closely related to transdiagnostic, dimensional measures of psychopathology (TDP) than to diagnostic categories. A comprehensive examination of correlations between well-studied ERPs and measures of TDP is called for. In this study, we recruited 50 patients with emotional disorders undergoing 14 weeks of transdiagnostic group psychotherapy as well as 37 healthy comparison subjects (HC) matched in age and sex. HCs were assessed once and patients three times throughout treatment (N = 172 data sets) with a battery of well-studied ERPs and psychopathology measures consistent with the TDP framework The Hierarchical Taxonomy of Psychopathology (HiTOP). ERPs were quantified using robust single-trial analysis (RSTA) methods and TDP correlations with linear regression models as implemented in the EEGLAB toolbox LIMO EEG. We found correlations at several levels of the HiTOP hierarchy. Among these, a reduced P3b was associated with the general p-factor. A reduced error-related negativity correlated strongly with worse symptomatology across the Internalizing spectrum. Increases in the correct-related negativity correlated with symptoms loading unto the Distress subfactor in the HiTOP. The Flanker N2 was related to specific symptoms of Intrusive Cognitions and Traumatic Re-experiencing and the mismatch negativity to maladaptive personality traits at the lowest levels of the HiTOP hierarchy. Our study highlights the advantages of RSTA methods and of using validated TDP constructs within a consistent framework. Future studies could utilize machine learning methods to predict TDP from a set of ERP features at the subject level.

Sensory and cognitive intrusions with and without media content during the COVID-19 pandemic: Isolation, media use, sleep and stress factors

COVID-19 pandemic restrictive measures curtailed environmental stimuli and social contact while encouraging media consumption. This study investigated isolation, media use, sleep and stress factors related to involuntary phenomena with and without media content. Video game players answered an online survey (N = 397; males 70.8 %; mean age = 28.04). Experiencing intrusions during lockdown (mean = 65.81 min outdoors per day) was common: earworms (92 %), Game Transfer Phenomena (GTP) (e.g., re-experiencing game content such as images, sounds, thoughts and impulses) (91 %), intrusive thoughts/imagery (ITI) (90 %), mobile phone intrusions (MPI) (e.g., vibration, ringing) (67 %) and hallucinations (49 %). All intrusions were correlated; however, different factors were related to the likelihood of experiencing them. Time playing and time using social media were correlated with intrusions with and without media content. No correlations were found with watching something or using a computer. Older age decreased the odds of GTP, ITI and hallucinations, although factors such as stress and meeting people outside the household had higher effects. Stress, rather than isolation, media use or sleep factors, appear to have been a key factor for most of the intrusions during lockdown. Particularly younger players appear to be susceptible to intrusions with and without media content.

Metanalysis of the efficacy of metacognitive therapy and acceptance and commitment therapy on cognitive intrusion

Metanalysis of the efficacy of metacognitive therapy and acceptance and commitment therapy on cognitive intrusion

What makes an obsession? A systematic-review and meta-analysis on the specific characteristics of intrusive cognitions in OCD in comparison with other clinical and non-clinical populations.

The Diagnostic and Statistical Manual 5th ed. defines obsessions in obsessive-compulsive disorder (OCD) as frequent, persistent, intrusive, unwanted thoughts that provoke anxiety and distress and lead to attempts to neutralize them with either thoughts or actions. However, no systematic review has yet evaluated characteristics that are specific to obsessions occurring in OCD. The aim of the current systematic review and meta-analysis was to investigate the specific features of obsessions occurring in OCD by comparing them to both obsessionally and non-obsessionally-themed intrusions in non-clinical and other clinical populations. Based on a registered protocol, 832 records were found, of which 15 were included in the systematic review and meta-analysis, with a total of 1891 participants. Obsessionally-themed intrusions that occur among those with OCD caused more distress, guilt, negative emotion and interference as compared to similarly-themed intrusions that occur within the general population. The distinction between obsessionally-themed intrusions among those with OCD as compared to those occurring in anxiety and depressive disorder primarily revolves around a higher level of persistence, pervasiveness and distress associated with their occurrence. Further, unacceptability, uncontrollability, ego-dystonicity, alienness, guilt, the form of the intrusion, association with the self and lack of any basis in reality also differentiates between obsessions and intrusions occurring in other disorders. Obsessions share many characteristics with thoughts occurring in other disorders and can be distinguished using a combination of characteristics specific to individual disorders.

Unheard risk: considering the role of intrusive cognitions in relapse

Substance use disorders (SUD) represent a pervasive and ongoing public health crisis responsible for many deaths and hospitalizations each year. Despite decades of research, we have yet to develop an effective cross-substance treatment model. Many who seek and enter treatment for SUD end up relapsing despite their intentions. Inconsistency in treatment success necessitates the identification of novel, universal therapeutic targets in the underlying core mechanisms of SUD. Determining the cognitive mechanisms which promote addictive behaviors is an essential first step to fully understand relapse and maintenance in SUD. The goal of the current review is to explore underlying cognitive processes which prolong SUD despite treatment. Through this, we propose a mechanistic model for how intrusive cognitions may jeopardize symptom improvement and SUD treatment success via risky decision making. Intrusive cognitions - images, words, memories, or impulses - demand little cognitive effort, and lend themselves to quick action and decisions. In the current paper, we present evidence which shows how intrusive cognitions, poorly inhibited, could impair the decision making process in SUD and lead to subsequent addictive behaviors.

The interplay between executive function deficits, psychopathological traits and dysfunctional gaming habits in the context of Game Transfer Phenomena

Game Transfer Phenomena (GTP) are involuntary occurrences involving video game content that some players may experience. GTP can manifest as sensory or cognitive intrusions related to a game (e.g., images, sounds or recurrent thoughts) or involuntary automatic responses such as verbal outbursts, walking towards objects or involuntary limb movements. Many GTP appear to reflect failures in attention and inhibitory control among video game players. This study examines executive function deficits, psychopathological traits, fatigue and gaming habits related to fatigue, such as poor gaming-related sleep hygiene (PGSH). The assessment methods included cognitive tasks, such as the and the Sustained Attention to Response Task (SART) and the Go/No-Go (GNG) task and self-reports on everyday cognitive failures (CF), attention-deficit/hyperactivity disorder (ADHD) and gaming disorder (GD). A total of 247 players 18–42 years old (M = 26.57 years; standard deviation [SD] = 6.030) participated; 75.7% were male. GTP was associated with ADHD and fatigue. PGSH, cognitive failures and GD emerged as significant in the hierarchical multiple regression full model. PGSH partially mediated the relationship between GD and GTP and between cognitive failures and GTP. This study has taken initial steps towards understanding what role cognitive failures and dysfunctional gaming habits have on GTP.

Multidimensional assessment of Game Transfer Phenomena: Intrusive cognitions, perceptual distortions, hallucinations and dissociations.

Game Transfer Phenomena (GTP) refers to a cluster of involuntary phenomena related to playing videogames, including sensory and cognitive intrusions, transient changes in perception and self-agency. The Game Transfer Phenomena Scale (GTPS) has been used to measure the frequency of GTP with respect to five factors. The present study aimed to validate an instrument for assessing the multiple dimensions of GTP (GTP-MDS) that helps clarify the distinction between GTP experiences. GTP were contextualized onto the spectrum of intrusive cognitions, perceptual distortions, and dissociations. The relationship between GTP, involuntary phenomena without game content (INVWG) in terms of, e.g., hallucinations and perceptual distortions, and game-biased perceptions (GBPA), as well as the positive and negative impact of GTP and level of distress were also examined. The data were collected using a survey (N = 1,301, male 83.4%, mean age = 28.14). Separate confirmatory factor analyses of the dimensions of “inner intrusions/misperceptions,” “outer intrusions/distortions,” and “dissociations/mix-ups” produced acceptable fit indices. The findings show that phenomena manifesting as internal experiences are more common, while those manifesting as externalized intrusions are less common. Correlations between the GTP dimensions, INVWG, and GBPA, such as the insertion of game elements in thoughts, perceptions, and dreams, supported convergent validity. The correlations between the GTP dimensions and hours played supported criterion validity. Distress was correlated with outer intrusions and dissociations/mix-ups, but not with inner intrusions. Taken together, these results support the validity and reliability of the proposed assessment of GTP constructs.

Turkish Version of The Experience of Cognitive Intrusion of Pain Scale (ECIPS): Validity and Reliability Study Among Patients With Cancer

Cognitive intrusion is a critical characteristic of pain. The aim of the present study was to test the validity and reliability of the Turkish version of the Experience of Cognitive Intrusion of Pain Scale developed by Attridge et al. in 2015. This methodological study conducted in the hematology clinic of an educational research hospital between February 2018 and June 2018 included 120 patients aged between 18 and 65 years. The study data were collected with the Sociodemographic Characteristics Questionnaire, Pain Catastrophizing Scale (PCS) and Experience of Cognitive Intrusion of Pain Scale (ECIPS). The Cronbach’s α coefficient of ECIPS was 0.96 and item-total correlation coefficients ranged between 0.79 - 0.89 (p &amp;lt; 0.01) and factor loadings were ranged between 0.82 - 0.91. ECIPS had a very strong correlation with PCS (r = 0.835, p &amp;lt; 0.001). Confirmatory factor analysis showed that the scale has good fit in revealing a single-factor structure. Item analysis, internal consistency, test-retest, face, criterion, construct validity and confirmatory factor analyses demonstrated that the Turkish version of the ECIPS was a valid and reliable tool and could be used to assess the level of cognitive intrusion of pain.

Нейрокогнитивные модели вербальных галлюцинаций при шизофрении: обзор

Recent studies at the interface between psychiatry and neuroscience demonstrate a trend towards the investigation of single significant clinical characteristics of mental disorders in contrast to the analysis of a mental disorder as a homogeneous nosological unit. Thus, a large body of studies is focused on auditory verbal hallucinations (AVH) in schizophrenia, which are one of the core positive symptoms of the disorder and an important diagnostic criterion. Nevertheless, the neuropsychological and neurophysiological mechanisms of AVH in patients with schizophrenia remain debatable. In this paper, we will review the main neurocognitive models of AVH in schizophrenia, including models of intrusive cognitions and poor inhibitory control, a model of attentional shift to inner auditory stimuli and an inability to reallocate its resources, a model of expectation maximization, a model of working memory deficit, a model of poor source-monitoring, models of AVH within cultural-historical approach, and a model of impaired verbal self-monitoring in inner speech. The results of several neuroimaging and neurophysiological studies relevant to the models are also highlighted. We conclude that schizophrenia patients with AVH demonstrate deficits in executive functions and language, or rather a poor cross-functional interaction between them.

Artificial Intelligence and Edge Computing-Enabled Web Spam Detection for Next Generation IoT Applications

For next generation IoT applications, edge devices provides most of the computing resources close to the proximity of the end users. These devices having built-in intelligence using various AI techniques can take independent decisions in the environment where these are deployed. Motivated from these concerns, We suggest a cognitive intrusion security system to maintain the credibility of search engine results, which eliminates the advertising images from penetrating the image database of the web browser. The proposed framework provides edge intelligence for web data filteration and detects the web spam by considering three different layers, i.e., data collection services, edge computing services, and cloud services. The target is to detect the malicious images. Firstly, the features of an image such as mean, image gradient, entropy are fetched and then the retrieved data is processed in the proposed framework. Deep learning algorithms are used for the validation of the proposed system. By evaluating it on real-time collected dataset, it resulted in an accuracy of 98.77%.

Coping strategies associated to widespread fear and post-traumatic stress criteria in a Mexican sample during COVID-19 pandemic: A cross-sectional study

Introduction. The COVID-19 pandemic has impacted the population generating widespread fear due to people’s perception that both their health and safety are at risk. Widespread fear, a synonym for social anxiety, is associated with affective intrusive cognitions. Likewise, it is related to symptoms of post-traumatic stress, physiological intrusive and eluding coping responses, and could be associated with long-term vulnerability to develop PTSD. Objective. To assess the association between coping strategies, widespread fear to COVID-19, and symptoms of post-traumatic stress disorder in Mexican population exposed to the SARS-CoV2 pandemic. Method. A cross sectional, empirical, descriptive study through survey research was performed; 370 participants were sampled by nationality quotas, and they completed digital self-informed instruments on an on-line psychosocial intervention. Sample size was estimated using a power analysis. Results. Findings showed reliable indicators between physiological coping and PTSD symptoms. There was a 42% variance related to PTSD delayed intrusive cognitive responses, a 40% variance was related to PTSD negative alterations in cognitions and mood, a 31% variance was explained by hyperarousal responses, and a 29% of the variance represented PTSD avoidance symptoms. Widespread fear of COVID-19 was explained by affective behavioral coping strategies linked also to PTSD symptoms. Discussion and conclusion. Research found consistency between findings and theories on emotion-centered strategies, which in turn were are related to affective coping around widespread fear to COVID-19 and avoidance intrusive symptoms, physiological coping with avoidance, considering future community post-traumatic stress traits and anxiety disorders in Mexican communities exposed to the pandemic, linking strategies with community trauma.

Intersectional Trauma of Women of Color in Academe: Cultivating Trauma-informed Organizations

Women faculty of color endure gendered racial (intersectional) trauma in the workplace that often results in posttraumatic stress symptoms (e.g., cognitive intrusions and avoidance) and poor work outcomes. However, organizational interventions often place the onus on the worker to alleviate such deleterious stressors rather than eradicating its discriminatory practices on a systemic level. Oppressive and psychological injurious practices toward women of color in academe include isolation from academic networks, epistemological exclusion, and invisible labor. Facing both sexism and racism, women faculty of color are also uniquely ascribed stereotyped gendered racial roles (e.g., Strong Black Woman and lotus blossom) and are more sexually harassed and objectified than White women and men of all races and ethnicities. Such harmful encounters elicit trauma-induced safety checking coping behaviors that prioritizes the needs of the dominant group over that of their own. A multilevel trauma-informed approach, however, could attenuate the psychological demands of the worker and generate accountability at organizational and management levels. As such, this symposium will highlight the use of intersectionality theory and the public health intervention model (primary, secondary, and tertiary interventions) as an integrated framework to cultivate trauma informed organizations, thereby mitigating re-traumatization and promoting the well-being and career advancement of women faculty of color.

Game Transfer Phenomena and Problematic Interactive Media Use: Dispositional and Media Habit Factors

The study of the effects of interactive media has mainly focused on dysregulated behaviors, the conceptualization of which is supported by the paradigms of addiction. Research into Game Transfer Phenomena (GTP) examines the interplay between video game features, events while playing, and the manipulation of hardware, which can lead to sensory-perceptual and cognitive intrusions (e.g., hallucinations and recurrent thoughts) and self-agency transient changes (e.g., automatic behaviors) related to video games. GTP can influence the interpretation of stimuli and everyday interactions and, in contrast to gaming disorder, are relatively common and not necessarily negative. However, some players have reported feeling distress due to their GTP. This study focuses on how dispositional and interactive media habit factors are related to GTP and two forms of problematic interactive media [problematic video game playing (PVG) and problematic social media use (PSMU)]. A sample of 343 university students who played video games completed an online survey (58.7% male, 19–25 years old). Not all who had experienced GTP were identified as exhibiting PVG or PSMU, but all of those in the PVG group had experienced GTP. Overall, the profiles of the groups, including GTP (91.4%), PVG (28.5%), and PSMU (24.8%), were in accordance with previous findings. Those in the GTP and the PVG groups were characterized by being male, being highly engaged in the game (either while playing or via game-related activities), and showed preferences for game-related activities. However, while those in the GTP group were significantly more likely to be fantasy-prone, those with PVG were the ones who played most per day. Those in the PSMU group were characterized by being female and/or extroverted, frequently using social/sharing platforms, and seldom playing video games. A hierarchical binary logistic regression revealed that males were more likely to experience GTP. Increases in PVG, fantasy proneness, and neuroticism increased the odds of GTP. Future work can benefit from considering the role of GTP in gaming disorder, since intrusive thoughts, cognitive biases, and poor impulse control are pivotal in the initiation and maintenance of dysfunctional playing behaviors.

The Event-Specific Benefits of Writing About a Difficult Life Experience.

Previous research demonstrates that writing about life’s difficult moments benefits the writer cognitively and emotionally. However, it is unclear whether the benefits of writing are specific to the event written about or whether the benefits are global. This study was designed to address this issue. Participants were 120 undergraduate students who had experienced at least two difficult life events. Participants were randomly assigned into experimental and control groups. Experimental participants wrote about one of these difficult events and control participants wrote about an interesting life event of their choosing. Experimental participants reported their positive and negative emotions as well as their cognitive avoidance and intrusion concerning the event written about and another event not written about. Control participants reported their emotions and cognitions concerning two difficult life events. All participants also reported their general distress. These assessments were done immediately after writing and one week later. The results indicated that experimental participants were emotionally stronger, less upset, and less cognitively avoidant about the particular difficult life event they wrote about compared to an event they did not write about. Similar comparisons between ratings of a written-about and a not-written-about event were not significant for passion, fear, and cognitive intrusion. There was evidence for a possible indirect effect of writing on general distress through changes in event-specific cognitions and emotions. Discussion of these results focuses on how writing may specifically help change a writer’s feelings and thoughts about a particular situation.

When driving hurts: characterizing the experience and impact of driving with back pain.

Driving is one of the most widespread aspects of daily living to people in the United States and is an active process that requires various cognitive functions, such as attention. Chronic low back pain (CLBP) is one of the more prevalent and costly health conditions in the world, with individuals who report CLBP also reporting significant impairment across different domains of daily life both physically and cognitively. However, despite the prevalence of these two constructs, research detailing the experience of driving in pain remains largely underrepresented. This cross-sectional study sought to characterize the driving experience of people who experience CLBP, focusing on the psychological constructs related to chronic pain like pain catastrophizing, affective responses (irritability, anxiety, fear), and self-reported driving behaviors and outcomes. This study distributed an online questionnaire measuring pain, disability, and other psychological constructs commonly associated with CLBP like pain catastrophizing through M-turk to 307 U.S. participants with recurring CLBP and regular driving activity. Participants also answered questions regarding driving in pain, affective responses to driving in pain (i.e.,irritability, anxiety, and fear), driving behaviors and violations, driving avoidance habits as a result of pain, opioid use, using pain medication while driving, and recent vehicle collisions within the past three years. Bivariate correlations were used to compare study variables, and one-way ANOVA's were used to compare means between participants with and without a collision history within the past three years. Findings demonstrated significant positive associations not only between the psychological factors commonly associated with chronic pain, such as pain intensity, pain disability, pain catastrophizing, and the cognitive intrusion by pain, but also statistically significant relationships between these measures and pain intensity while driving, affective responses to driving in pain, driving violations, and driving avoidance habits. Additionally, in comparison to participants with no collision history within the past three years, participants who had been driving during a vehicle collision reported greater pain catastrophizing and cognitive intrusion by pain scores. To our knowledge, the current study is the first to characterize driving experience specifically among individuals with CLBP, with attention to the relationship among key sensory, affective, and cognitive psychological metrics as well as self-reported driving history and behavior. The current findings reinforce multiple associations between pain and cognitive-affective variables that have been observed in literature outside the driving context, including pain intensity, anger, inattention, and behavioral disruption. Given that driving is a pervasive, potentially risky behavior that requires some form of cognitive focus and control, the current findings point to a continued need to examine these associations within this specific life context. We believe we have laid a groundwork for research considering the role of psychological pain variables in a driving performance. However, the nature of our analyses prevents any sort of causality from being inferred, and that future experimental research is warranted to better understand and explain these mechanisms underlying driving in pain while accounting for participant bias and subject interpretation.