Visual attention during neonatal pain assessment: A 2-second exposure to
a facial expression is sufficient
Abstract
Facial expression has been widely used in clinical practice to assess
pain in newborns. However, the inherent visual attention required to
make such vital inference is poorly understood. It is also unknown
whether this inference occurs differently when comparing health
professionals with other adults. To investigate these issues, we have
recorded and monitored the pupil size signal of 102 subjects (44
experts, 29 parents, and 29 non-experts) while visually analyzing 20
frontal face images of 10 distinct newborns after a painful procedure
and at painless rest. Our experimental results have showed that neonatal
pain assessment is more cognitively demanding when analyzing the
presence of pain rather than its absence. Moreover, our results disclose
that a 2-second exposure to a facial expression is sufficient to make
this assessment, regardless whether done by health professionals or
non-health ones, suggesting that this highly specific visual task is not
driven by clinical experience.