scholarly journals Influences of EEG Alpha2 Power Changes and Hypnotic Suggestibility on Placebo Analgesia: The Mediation Role of Involuntariness

2021 ◽  
Vol 168 ◽  
pp. S18
Author(s):  
Vilfredo De Pascalis
Keyword(s):  
Author(s):  
Véronique A. Taylor ◽  
Pierre Rainville

Placebos achieve scientifically proven pain-relieving effects yet are inactive substances for the treatment of pain. Levine, Gordon, and Fields were the first to demonstrate the role of endogenous opioids in placebo-induced analgesia during dental post-operative pain. Several studies using pharmacological manipulations and/or neuroimaging techniques confirmed their findings that placebo analgesia is reversible by naloxone, and also identified brain pathways involved in opioidergic neurotransmission during placebo analgesia (prefrontal regions rich in opioid receptors such as the anterior cingulate cortex, presumably initiating descending pain modulation through downstream projections to the brainstem). Fifty years of research in pharmacology and neurobiology have contributed to the identification of physical as well as psychological determinants of placebo analgesia. Expectations of pain relief are maintained by conditioned learning and reward-related processes, reflected by interactions between different neurotransmitters (opioids, dopamine, endocannabinoids) in a variety of brain circuits related to executive/cognitive processes as well as affect and reward.


2011 ◽  
Vol 5 (S1) ◽  
pp. 32-33
Author(s):  
N. Wrobel ◽  
C. Ritter ◽  
K. Wiech ◽  
U. Bingel
Keyword(s):  

2014 ◽  
Vol 15 (12) ◽  
pp. 1282-1293 ◽  
Author(s):  
Peter Krummenacher ◽  
Joe Kossowsky ◽  
Caroline Schwarz ◽  
Peter Brugger ◽  
John M. Kelley ◽  
...  

2021 ◽  
Author(s):  
Vilfredo De Pascalis ◽  
Arianna Vecchio

Abstract We induced placebo analgesia (PA), a phenomenon explicitly attenuating the self-pain feeling, to assess whether this resulted in reduced empathy pain when witnessing a confederate undergoing such pain experience. We recorded EEG and electrocardiogram during a painful control and PA treatment in healthy adults who rated their experienced pain and empathy for pain. We derived HRV changes and, using wavelet analysis of non-phase-locked event-related EEG oscillations, EEG spectral power differences for self-pain and other-pain conditions. First-hand PA produced a reduction of self-pain and self-unpleasantness, whereas we observed only a slight decrease of other unpleasantness. We derived linear combinations of HRV and EEG band power changes significantly associated with self-pain and empathy for pain changes using PCAs. We found that relative HR-slowing together with decreased midline ϑ-band (4-8 Hz) power directly influenced self-pain reduction and, indirectly, through chained mediating effects of the Behavioral Inhibition System and Fight-Flight-Freezing System traits. In the other-pain condition, we detected a direct influence of the midline β2-band (22-30 Hz) power reduction on the other-pain decline with a positive mediating role of Total Empathic Ability. These findings suggest that PA modulation of first-hand versus other pain relies on functionally different physiological processes involving different personality traits.


2011 ◽  
Vol 6 (3) ◽  
pp. 389-398 ◽  
Author(s):  
Christopher Brown ◽  
Alison Watson ◽  
Debbie Morton ◽  
Andrea Power ◽  
Wael El-Deredy ◽  
...  

1979 ◽  
Vol 76 (7) ◽  
pp. 3528-3531 ◽  
Author(s):  
J. D. Levine ◽  
N. C. Gordon ◽  
J. C. Bornstein ◽  
H. L. Fields
Keyword(s):  

Author(s):  
Markus Rütgen ◽  
Eva-Maria Wirth ◽  
Igor Riečanský ◽  
Allan Hummer ◽  
Christian Windischberger ◽  
...  

AbstractThe neural mechanisms underpinning empathy for pain are still a matter of debate. One of the major questions is whether empathy-related pain responses indicate domain-general vs. pain-specific affective responses. Using fMRI and psychopharmacological experiments, we investigated if placebo analgesia reduces first-hand and empathic experiences of affective touch, and compared them to the effects on pain. Placebo analgesia also affected the first-hand and empathic experience of unpleasant touch, implicating domain-general effects. However, and in contrast to pain and pain empathy, administering an opioid antagonist did not block these effects. Moreover, placebo analgesia reduced neural activity related to both modalities in the bilateral insular cortex, while it specifically modulated activity in the anterior midcingulate cortex for pain and pain empathy. These findings provide causal evidence that one of the major neurochemical systems for pain regulation is involved in pain empathy, and crucially substantiate the role of shared representations in empathy.


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