Meijer Larissa L, Schielen Zoë A, van Ree Kim Y, Dijkerman H Chris
Experimental Psychology/Helmholtz Institute, Utrecht University, Utrecht, Netherlands.
Front Med (Lausanne). 2021 Feb 15;8:628020. doi: 10.3389/fmed.2021.628020. eCollection 2021.
Itch is a common symptom in dermatologic and other diseases and can have a severe impact on quality of life and mental health. As a proportion of patients with itch-symptoms is resistant to commonly used anti-histamine treatments, development of new treatments is desirable. Past research on pain, itch and affective touch (i.e. slow, gentle stroking of the skin activating C-tactile fibers) revealed an inhibitory relationship between affective touch and pain and between pain and itch. Given the overlap in neural processing between these three sensory submodalities, a possible interaction between affective touch and itch might be expected. This study investigated whether there is a relationship between itch and affective touch, and if so, whether affective touch inhibits itch. Itch was electrically induced with the use of electrodes that were placed at the ventral side of the wrist of 61 participants. A within-subject design was conducted with two conditions. An experimental -affective touch- condition (stroking the forearm with a soft brush at 3 cm/s) and a control -non-affective touch- condition (stroking the forearm with a soft brush at 18 cm/s). Touch was applied on the dorsal side of the forearm, the same arm as were the electrodes were placed. For each condition itch was induced for 20 min, with every 2 min a VAS-scale measurement of the level of experienced itch. Both types of touch reduced the experienced itch compared to baseline ( < 0.01, partial η = 0.67). However, affective touch had an additional significant relieving effect compared to non-affective touch ( = 0.03, partial η= 0.08). The alleviation of itch started after 2 min of stroking and continued to increase up till 6 min, where after the relieving effect stabilized but still persisted. This finding suggest that affective touch, as with acute pain, has a relieving effect on electrically induced itch.
瘙痒是皮肤病和其他疾病的常见症状,会对生活质量和心理健康产生严重影响。由于一部分有瘙痒症状的患者对常用的抗组胺治疗有抗性,因此需要开发新的治疗方法。过去关于疼痛、瘙痒和情感性触觉(即缓慢、轻柔地抚摸皮肤激活C类触觉纤维)的研究揭示了情感性触觉与疼痛之间以及疼痛与瘙痒之间的抑制关系。鉴于这三种感觉亚模态在神经处理上的重叠,可以预期情感性触觉与瘙痒之间可能存在相互作用。本研究调查了瘙痒与情感性触觉之间是否存在关系,如果存在,情感性触觉是否能抑制瘙痒。通过将电极置于61名参与者手腕腹侧来电诱发瘙痒。采用了一种包含两种条件的被试内设计。一种是实验性的——情感性触觉条件(用软刷以3厘米/秒的速度抚摸前臂),另一种是对照性的——非情感性触觉条件(用软刷以18厘米/秒的速度抚摸前臂)。触摸施加在前臂背侧,即放置电极的同一只手臂上。对于每种条件,瘙痒诱发20分钟,每2分钟用视觉模拟量表测量一次所体验到的瘙痒程度。与基线相比,两种类型的触摸都减轻了所体验到的瘙痒(P<0.01,偏η² = 0.67)。然而,与非情感性触觉相比,情感性触觉具有额外的显著缓解作用(P = 0.03,偏η² = 0.08)。瘙痒的缓解在抚摸2分钟后开始,并持续增加直至6分钟,之后缓解效果稳定但仍持续存在。这一发现表明,与急性疼痛一样,情感性触觉对电诱发的瘙痒有缓解作用。