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疼痛主观体验中个体差异的神经关联。

Neural correlates of interindividual differences in the subjective experience of pain.

作者信息

Coghill Robert C, McHaffie John G, Yen Yi-Fen

机构信息

Department of Neurobiology and Anatomy, and Center for the Study of Pharmacological Plasticity in the Presence of Pain, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.

出版信息

Proc Natl Acad Sci U S A. 2003 Jul 8;100(14):8538-42. doi: 10.1073/pnas.1430684100. Epub 2003 Jun 24.

Abstract

Some individuals claim that they are very sensitive to pain, whereas others say that they tolerate pain well. Yet, it is difficult to determine whether such subjective reports reflect true interindividual experiential differences. Using psychophysical ratings to define pain sensitivity and functional magnetic resonance imaging to assess brain activity, we found that highly sensitive individuals exhibited more frequent and more robust pain-induced activation of the primary somatosensory cortex, anterior cingulate cortex, and prefrontal cortex than did insensitive individuals. By identifying objective neural correlates of subjective differences, these findings validate the utility of introspection and subjective reporting as a means of communicating a first-person experience.

摘要

一些人声称他们对疼痛非常敏感,而另一些人则表示他们对疼痛的耐受性很好。然而,很难确定这些主观报告是否反映了个体间真实的体验差异。我们使用心理物理学评分来定义疼痛敏感性,并通过功能磁共振成像来评估大脑活动,发现与不敏感的个体相比,高度敏感的个体在疼痛诱发的初级体感皮层、前扣带回皮层和前额叶皮层的激活更为频繁和强烈。通过识别主观差异的客观神经关联,这些发现证实了内省和主观报告作为传达第一人称体验方式的效用。

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