Leknes Siri, Tracey Irene
Oxford Centre for Functional MRI of the Brain, Department of Clinical Neurology, Oxford University, John Radcliffe Hospital, Oxford, OX3 9DU, UK.
Nat Rev Neurosci. 2008 Apr;9(4):314-20. doi: 10.1038/nrn2333.
Pain and pleasure are powerful motivators of behaviour and have historically been considered opposites. Emerging evidence from the pain and reward research fields points to extensive similarities in the anatomical substrates of painful and pleasant sensations. Recent molecular-imaging and animal studies have demonstrated the important role of the opioid and dopamine systems in modulating both pain and pleasure. Understanding the mutually inhibitory effects that pain and reward processing have on each other, and the neural mechanisms that underpin such modulation, is important for alleviating unnecessary suffering and improving well-being.
疼痛和愉悦是行为的强大驱动力,在历史上一直被视为对立的。疼痛与奖赏研究领域的新证据表明,疼痛和愉悦感觉的解剖学基础存在广泛的相似性。最近的分子成像和动物研究已经证明了阿片类和多巴胺系统在调节疼痛和愉悦方面的重要作用。了解疼痛和奖赏处理相互之间的抑制作用以及支撑这种调节的神经机制,对于减轻不必要的痛苦和改善幸福感至关重要。