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AbstractSelf-report is the gold standard for measuring pain. However, decisions about pain can vary substantially within and between individuals. We measured whether self-reported pain is accompanied by metacognition and variations in confidence, similar to perceptual decision-making in other modalities. Eighty healthy volunteers underwent acute thermal pain and provided pain ratings followed by confidence judgments on continuous visual analogue scales. We investigated whether eye fixations anddoi:10.1038/s41598-020-77864-8 pmid:33288781 fatcat:ljrpzejfsrfwrh5uiw2myroqz4