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探究亲和力和不适感对健康个体条件性疼痛调制的影响。

Exploring the Impact of Affinity and Unpleasantness on Conditioned Pain Modulation among Healthy Individuals.

作者信息

Ibancos-Losada María Del Rocío, Díaz-Fernández Ángeles, Cortés-Pérez Irene, Obrero-Gaitán Esteban, López-Moreno Virginia, Osuna-Pérez María Catalina

机构信息

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.

出版信息

Biomedicines. 2024 May 25;12(6):1172. doi: 10.3390/biomedicines12061172.


DOI:10.3390/biomedicines12061172
PMID:38927379
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11200545/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1985/11200545/337b181c4690/biomedicines-12-01172-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1985/11200545/337b181c4690/biomedicines-12-01172-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1985/11200545/337b181c4690/biomedicines-12-01172-g001.jpg

相似文献

[1]
Exploring the Impact of Affinity and Unpleasantness on Conditioned Pain Modulation among Healthy Individuals.

Biomedicines. 2024-5-25

[2]
Individual variability and sex differences in conditioned pain modulation and the impact of resilience, and conditioning stimulus pain unpleasantness and salience.

Pain. 2020-8

[3]
Not just a matter of pain intensity: Effects of three different conditioning stimuli on conditioned pain modulation effects.

Neurophysiol Clin. 2018-6-25

[4]
Conditioned pain modulation is affected by occlusion cuff conditioning stimulus intensity, but not duration.

Eur J Pain. 2017-8-14

[5]
Assessment of CPM reliability: quantification of the within-subject reliability of 10 different protocols.

Scand J Pain. 2018-10-25

[6]
No relevant differences in conditioned pain modulation effects between parallel and sequential test design. A cross-sectional observational study.

PeerJ. 2021-12-14

[7]
A large conditioned pain modulation response is not related to a large blood pressure response: a study in healthy men.

Eur J Pain. 2014-10

[8]
Conditioned Pain Modulation Effectiveness: An Experimental Study Comparing Test Paradigms and Analyzing Potential Predictors in a Healthy Population.

Brain Sci. 2020-8-30

[9]
The effect of conditioning stimulus intensity on conditioned pain modulation (CPM) hypoalgesia.

Can J Pain. 2021-2-3

[10]
Short-term test-retest-reliability of conditioned pain modulation using the cold-heat-pain method in healthy subjects and its correlation to parameters of standardized quantitative sensory testing.

BMC Neurol. 2016-8-5

本文引用的文献

[1]
Conditioned Pain Modulation Effectiveness: An Experimental Study Comparing Test Paradigms and Analyzing Potential Predictors in a Healthy Population.

Brain Sci. 2020-8-30

[2]
Individual variability and sex differences in conditioned pain modulation and the impact of resilience, and conditioning stimulus pain unpleasantness and salience.

Pain. 2020-8

[3]
Placebo Manipulations Reverse Pain Potentiation by Unpleasant Affective Stimuli.

Front Psychiatry. 2019-9-24

[4]
Higher Dispositional Optimism Predicts Lower Pain Reduction During Conditioned Pain Modulation.

J Pain. 2018-9-13

[5]
Pain Modulation: From Conditioned Pain Modulation to Placebo and Nocebo Effects in Experimental and Clinical Pain.

Int Rev Neurobiol. 2018-8-14

[6]
Neural Tension Technique Improves Immediate Conditioned Pain Modulation in Patients with Chronic Neck Pain: A Randomized Clinical Trial.

Pain Med. 2019-6-1

[7]
Conditioned pain modulation (CPM) is not one single phenomenon - Large intra-individual differences depend on test stimulus (TS) and several other independent factors.

Scand J Pain. 2013-1-1

[8]
Individual Variation in Pain Sensitivity and Conditioned Pain Modulation in Acute Low Back Pain: Effect of Stimulus Type, Sleep, and Psychological and Lifestyle Factors.

J Pain. 2018-3-26

[9]
Conditioned pain modulation is affected by occlusion cuff conditioning stimulus intensity, but not duration.

Eur J Pain. 2017-8-14

[10]
The plasticity of descending controls in pain: translational probing.

J Physiol. 2017-7-1

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