Ibancos-Losada María Del Rocío, Díaz-Fernández Ángeles, Cortés-Pérez Irene, Obrero-Gaitán Esteban, López-Moreno Virginia, Osuna-Pérez María Catalina
Department of Health Sciences, University of Jaen, Campus las Lagunillas, 23071 Jaen, Spain.
FisioMas Physiotherapy Center, C/Antonio Sánchez Bonil 4, Peal de Becerro, 23460 Jaen, Spain.
Biomedicines. 2024 May 25;12(6):1172. doi: 10.3390/biomedicines12061172.
The variability of the Conditioned Pain Modulation (CPM) effect can be attributed to conditioning stimulus (CS) characteristics, such as intensity, duration, unpleasantness, or affinity. This study investigates the impact of affinity and unpleasantness variables on the CPM effect using two protocols (cold water and ischemia) in the same healthy individuals (n = 54). Additional variables were also examined for their potential influence on the CPM effect. The main results are as follows: (1) a higher level of affinity and a lower level of unpleasantness for the stimuli used resulted in a stronger CPM effect; (2) significant differences were observed in the extreme categories (high and low) of both variables, whereas the 'indifferent' group did not show a clear trend; (3) within-subject analysis demonstrated that affinity for the CS had a clear impact on the CPM effect; (4) no correlations were found between the CPM effect and the additional variables, except for the extraversion variable with the CPM effect of the ischemia protocol, and CS duration variable with CPM effect in the cold water protocol; and (5) only the affinity variable explained the CPM effect in both protocols in the multiple linear regression analysis. The affinity variable was found to influence the CPM effects significantly, indicating its important role in our perception and response to pain.
条件性疼痛调制(CPM)效应的变异性可归因于条件刺激(CS)的特征,如强度、持续时间、不愉快程度或亲和性。本研究在同一组健康个体(n = 54)中使用两种方案(冷水和缺血),调查亲和性和不愉快程度变量对CPM效应的影响。还研究了其他变量对CPM效应的潜在影响。主要结果如下:(1)所用刺激的亲和性水平较高且不愉快程度较低会导致更强的CPM效应;(2)在这两个变量的极端类别(高和低)中观察到显著差异,而“无差异”组未显示出明显趋势;(3)受试者内分析表明,对CS的亲和性对CPM效应有明显影响;(4)除了外向性变量与缺血方案的CPM效应以及CS持续时间变量与冷水方案的CPM效应之间存在相关性外,未发现CPM效应与其他变量之间存在相关性;(5)在多元线性回归分析中,只有亲和性变量在两种方案中都能解释CPM效应。发现亲和性变量对CPM效应有显著影响,表明其在我们对疼痛的感知和反应中起重要作用。
Front Psychiatry. 2019-9-24
J Physiol. 2017-7-1