No abstract

No abstract

This study investigated the short-term memory of dynamic changes in acute pain using psychophysical methods. Pain intensity or unpleasantness induced by painful contact-heat stimuli of 8, 9, or 10s was rated continuously during the stimulus or after a 14-s delay using an electronic visual analog scale in 10 healthy volunteers. Because the continuous visual analog scale time courses contained large amounts of redundant information, a principal component analysis was applied to characterize the main features inherent to both the concurrent rating and retrospective evaluations. Three components explained about 90% of the total variance across all trials and subjects, with the first component reflecting the global perceptual profile, and the second and third components explaining finer perceptual aspects (eg, changes in slope at onset and offset and shifts in peak latency). We postulate that these 3 principal components may provide some information about the structure of the mental representations of what one perceives, stores, and remembers during the course of few seconds. Analysis performed on the components confirmed significant memory distortions and revealed that the discriminative information about pain dimensions in concurrent ratings was partly or completely lost in retrospective ratings. Importantly, our results highlight individual differences affecting these memory processes. These results provide further evidence of the important transformations underlying the processing of pain in explicit memory and raise fundamental questions about the conversion of dynamic nociceptive signals into a mental representation of pain in perception and memory.

The dynamics of noxious sensation shapes pain perception, yet the memory of the temporal dimension of pain remains almost completely unexplored. Here, brain activity during the memory of pain duration was contrasted with that associated with the memory of pain intensity using functional magnetic resonance imaging and a delayed reproduction task. Participants encoded, maintained during a short delay, and reproduced (1) the "duration" of pain (ie, onset-to-offset), (2) the "dynamics" of pain (ie, evolution of pain over time), or (3) the intensity of pain (ie, control with no explicit temporal processing required). Results show that the inferior frontal gyrus/insula and adjacent striatal structures as well as the supramarginal and middle temporal gyri are activated in the duration task compared to the control intensity task. Specific examination of the memory delay of the duration task further revealed activation in the supramarginal gyrus extending to the parietal operculum (possibly SII) and primary somatosensory cortex (SI). In contrast, the memory delay of the dynamic task involved the bilateral supplementary motor area and the frontoparietal attentional network. Although SI, SII, and insula may contribute to the memory trace of pain sensation, other areas less commonly reported in pain studies are associated with time processing and may therefore contribute to the processing of temporal aspects of pain. Results further suggest a differential role of core timing regions of the brain depending on specific task instructions and attentional allocations to the single dimension of time, as compared to the joint processing of both time and intensity.

The presence of discrete events during an interval to be estimated generally causes a dilation of perceived duration (event-filling effect). Here, we investigated this phenomenon in the thermal modality using multi-seconds (19 s) innocuous cool stimuli that were either constant (continuous interval) or fluctuating to create three discrete sensory events (segmented interval). Moreover, we introduced a delay following stimulus offset, before the reproduction phase, to allow for a direct comparison with our recent study showing an underestimation of duration in a delayed reproduction task of heat pain sensations (Khoshnejad et al. in Pain 155:581-590, 2014. doi: 10.1016/j.pain.2013.12.015 ). The event-filling effect was tested by comparing the delayed reproduction of the segmented and the continuous stimuli in experimental conditions asking participants to (1) reproduce the dynamics of the sensation (i.e., changes in sensory intensity over time) or (2) reproduce only the interval duration (i.e., sensation onset-to-offset). A perceptual (control) condition required participants to report changes in sensation concurrently with the stimulus. Results of the dynamic task confirmed the underestimation of duration in the delayed reproduction task, but this effect was only found with the continuous and not with the segmented stimulus. This implies that the dilation of duration produced by segmentation might compensate for the underestimation of duration in this delayed reproduction task. However, this temporal dilation effect was only observed when participants were required to attend and reproduce the dynamics of sensation. These results suggest that the event-filling effect can be observed in the thermal sensory modality and that attention directed toward changes in sensory intensity might contribute to this effect.

No abstract