Intrinsic attention to pain is associated with a pronociceptive phenotype

Autor: Greig Adams, Richard Harrison, Wiebke Gandhi, Carien M. van Reekum, Tim V. Salomons
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: PAIN Reports, Vol 6, Iss 2, p e934 (2021)
Druh dokumentu: article
ISSN: 2471-2531
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DOI: 10.1097/PR9.0000000000000934
Popis: Abstract. Introduction:. Evidence suggests that attention to pain is a product of both incoming sensory signals and cognitive evaluation of a stimulus. Intrinsic attention to pain (IAP) is a measure that captures an individual's natural tendency to attend to a painful stimulus and may be important in understanding why pain disrupts cognitive functioning in some individuals more than others. Objective:. In this study, we explored the extent to which IAP was associated with the modulation of incoming sensory signals characteristic of a pronociceptive phenotype: temporal summation (TS) and conditioned pain modulation (CPM). Method:. 44 healthy participants (23 female; Mage=23.57, S.D.=5.50) were assessed on IAP, TS and CPM. Results:. We found that IAP was positively correlated with TS and CPM. A regression model showed that TS and CPM explained 39% of the variance in IAP scores. Both mechanisms seem to contribute independently to the propensity to attend to pain. Conclusion:. These findings highlight that modulatory mechanisms at the spinal/supraspinal level exert a strong influence on an individual's ability to disengage from pain.
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