&lt;p&gt;Gaining insights on the influence of attention, anxiety, and anticipation on pain perception&lt;/p&gt;

Chayadi, Ellentika; McConnell, Bridget L.

doi:10.2147/jpr.s176889

Cited by 20 publications

(17 citation statements)

References 74 publications

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“…On the other hand, distraction tasks that use the sense of sight show results that mark a tendency in favor of these tasks in both adults and children . We highlight the study by Law et al., in which children with an average age of 8.9 years participated.…”

Section: Discussionmentioning

confidence: 60%

“…The distraction tasks that use the sense of sight had a potentially greater effect than other senses in alleviating pain, since sight is the dominant sense in terms of perception, playing a prominent role in pain perception . Pain reduction with visual distractors in healthy children and adults, with pain induced experimentally, tends to confirm this idea.…”

Section: Discussionmentioning

confidence: 82%

“…This factor would be fundamental to advocating these techniques in future psychological interventions in terms of individuals’ cognitive styles. In addition, variables such as stress, anxiety, depression, and sleep quality, which can modify the perception of pain, should be considered.…”

Section: Discussionmentioning

confidence: 99%

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Pain and Distraction According to Sensory Modalities: Current Findings and Future Directions

et al. 2019

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Background: This review discusses the findings in the literature on pain and distraction tasks according to their sensory modality. Distraction tasks have been shown to reduce (experimentally induced) acute pain and chronic pain. This can be influenced by nature and by the sensory modalities used in the distraction tasks. Yet the effect on reducing pain according to the sensory modality of the distraction task has received little attention. Methods: A bibliographic search was performed in different databases. The studies will be systematized according to the sensory modality in which the distraction task was applied.Results: The analyzed studies with auditory distractors showed a reduction of acute pain in adults. However, these are not effective at healthy children and in adults with chronic pain. Visual distractors showed promising results in acute pain in adults and children. Similarly, tactile and mixed distractors decreased acute pain in adults. Conclusion: Distraction tasks by diverse sensory modalities have a positive effect on decreasing the perception of acute pain in adults. Future studies are necessary given the paucity of research on this topic, particularly with tactile distractors (there is only one study). Finally, the most rigorous methodology and the use of ecological contexts are encouraged in future research. &

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 82%

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Pain and Distraction According to Sensory Modalities: Current Findings and Future Directions

et al. 2019

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“…The neural activity along the pain transmission pathway is inhibited or amplified by ascending and descending neural circuits (for a revision see Woolf, 2018). This modulation allows a wide range of factors to modulate pain sensation and perception, including psychosocial and environmental factors (for a review see Chayadi and Mcconnell, 2019).…”

Section: Nociceptive Signaling Pathway and Pain Hypersensitivitymentioning

confidence: 99%

Kynurenine and Tetrahydrobiopterin Pathways Crosstalk in Pain Hypersensitivity

et al. 2020

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Despite the identification of molecular mechanisms associated with pain persistence, no significant therapeutic improvements have been made. Advances in the understanding of the molecular mechanisms that induce pain hypersensitivity will allow the development of novel, effective, and safe therapies for chronic pain. Various proinflammatory cytokines are known to be increased during chronic pain, leading to sustained inflammation in the peripheral and central nervous systems. The pro-inflammatory environment activates additional metabolic routes, including the kynurenine (KYN) and tetrahydrobiopterin (BH4) pathways, which generate bioactive soluble metabolites with the potential to modulate neuropathic and inflammatory pain sensitivity. Inflammation-induced upregulation of indoleamine 2,3-dioxygenase 1 (IDO1) and guanosine triphosphate cyclohydrolase I (GTPCH), both rate-limiting enzymes of KYN and BH4 biosynthesis, respectively, have been identified in experimental chronic pain models as well in biological samples from patients affected by chronic pain. Inflammatory inducible KYN and BH4 pathways upregulation is characterized by increase in pronociceptive compounds, such as quinolinic acid (QUIN) and BH4, in addition to inflammatory mediators such as interferon gamma (IFN-γ) and tumor necrosis factor alpha (TNF-α). As expected, the pharmacologic and genetic experimental manipulation of both pathways confers analgesia. Many metabolic intermediates of these two pathways such as BH4, are known to sustain pain, while others, like xanthurenic acid (XA; a KYN pathway metabolite) have been recently shown to be an inhibitor of BH4 synthesis, opening a new avenue to treat chronic pain. This review will focus on the KYN/BH4 crosstalk in chronic pain and the potential modulation of these metabolic pathways that could induce analgesia without dependence or abuse liability.

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“…The results indicated that attention competition was helpful for reducing pain. 13 Changes in cognitive and emotional effects could be reflected by gamma neural oscillations in parietal and occipital regions. 14,15 Studies on pain induced by external stimulation and nociceptive input have found that parietal and occipital regions have specific EEG activity patterns.…”

Section: Introductionmentioning

confidence: 99%

<p>Sad Music Modulates Pain Perception: An EEG Study</p>

Guo

Wang

et al. 2020

JPR

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Background: Music has shown positive effects on pain management in previous studies. However, the relationship between musical emotional types and therapeutic effects remains unclear. To investigate this issue, this study tested three typical emotional types of music and discussed their neural mechanisms in relation to pain modulation. Subjects and Methods: In this experiment, 40 participants were exposed to cold pain under four conditions: listening to happy music, listening to neutral music, listening to sad music and no sound. EEG and pain thresholds were recorded. The participants were divided into the remission group and the nonremission group for analysis. Differences among conditions were quantified by the duration of exposure to the pain-inducing stimulus in the remission group. EEG data were obtained using a fast Fourier transform (FFT) and then correlated with the behavioral data. Results: We found that sad music had a significantly better effect on alleviating pain, as a result of brain oscillations in a higher beta band and the gamma band at the O2 and P4 electrodes. The comparison between the remission group and the nonremission group suggested that personality may affect music-induced analgesia, and dominance, liveliness and introvert and extrovert personality traits were associated with pain modulation by sad music. Additionally, in the network analysis, we compared brain networks under the three conditions and discussed the possible mechanisms underlying the better analgesic effect of sad music. Conclusion: Sad music may have a better effect on alleviating pain, and its neural mechanisms are also discussed. This work may help understand the effects of music on pain modulation, which also has potential value for clinical use.

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<p>Gaining insights on the influence of attention, anxiety, and anticipation on pain perception</p>

Cited by 20 publications

References 74 publications

Pain and Distraction According to Sensory Modalities: Current Findings and Future Directions

Pain and Distraction According to Sensory Modalities: Current Findings and Future Directions

Kynurenine and Tetrahydrobiopterin Pathways Crosstalk in Pain Hypersensitivity

<p>Sad Music Modulates Pain Perception: An EEG Study</p>

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