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Tell me what to expect: how instructions affect the pain response of patients with chronic myofascial pain with referral.

作者信息

García-González María, Ardizone-García Ignacio, Jiménez-Ortega Laura

机构信息

Neuroscience of Emotion Cognition and Nociception Group (NeuroCEN Group), Faculty of Odontology, Complutense University of Madrid, 28040 Madrid, Spain.

Department of Clinical Dentistry, Faculty of Biomedical Sciences, European University of Madrid, 28670 Madrid, Spain.

出版信息

J Oral Facial Pain Headache. 2024 Dec;38(4):61-75. doi: 10.22514/jofph.2024.039. Epub 2024 Dec 12.


DOI:10.22514/jofph.2024.039
PMID:39800957
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11810663/
Abstract

The aims of the study are to analyze the influence of pain and no pain expectations on the physiological (electromyography (EMG) and pupillometry) and cognitive (Numerical Rating Scale (NRS)) response to pain. Pain expectation and no pain expectation situations were induced by employing instructional videos. The induction of pain was performed by palpating the masseter with an algometer in a sample of 2 groups: 30 healthy participants (control group) and 30 patients (Temporomandibular disorders (TMD) group) with chronic myofascial pain with referral in the masseter muscle (Diagnostic Criteria for Temporomandibular Dissorders (DC/TMD)). Used a mixed design all participants were exposed to pain and no pain conditions in the same session, but the order of the presentation was counterbalanced across participants to control its possible influence. A significantly larger pupillary diameter was observed in the pain expectation relative to the no pain expectation condition in both groups. The TMD group presented larger EMG activity and larger scores in anxiety, somatization, catastrophizing and central sensitization than the control group. In the NRS, the TMD group also showed a significantly higher score than the control group. The TMD group presented similar NRS scores in the expectation condition compared to the no pain expectation condition, while the control group presented higher scores for pain expectation than for no pain expectation. Pain expectation modulated the pain cognitive pain assessment and pupil diameter in controls. The cognitive pain assessment was altered in the TMD group compared to the control group, particularly in the no pain expectation condition, this may be due to a negative reappraisal of pain due to past experiences, as pointed out by the observed level of catastrophizing. Pain expectations did not influence the EMG, significantly higher EMG activity was found in the TMD group compared to the control group regardless of expectation type.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8dd/11810663/fb24567fd935/fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8dd/11810663/28532109ba21/fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8dd/11810663/e6273a1b7d9f/fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8dd/11810663/8b447d0ef7ba/fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8dd/11810663/cd128314ac7f/fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8dd/11810663/fb24567fd935/fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8dd/11810663/28532109ba21/fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8dd/11810663/e6273a1b7d9f/fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8dd/11810663/8b447d0ef7ba/fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8dd/11810663/cd128314ac7f/fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8dd/11810663/fb24567fd935/fig5.jpg

相似文献

[1]
Tell me what to expect: how instructions affect the pain response of patients with chronic myofascial pain with referral.

J Oral Facial Pain Headache. 2024-12

[2]
Prevalence of central sensitization and somatization in adults with temporomandibular disorders-a prospective observational study.

J Oral Facial Pain Headache. 2024-12

[3]
Depression and somatization in patients with temporomandibular disorders.

J Prosthet Dent. 2002-11

[4]
Psychopathology and clinical features in an Italian sample of patients with myofascial and temporomandibular joint pain: preliminary data.

Int J Psychiatry Med. 2007

[5]
Comorbidity between depression and anxiety in patients with temporomandibular disorders according to the research diagnostic criteria for temporomandibular disorders.

J Oral Facial Pain Headache. 2015

[6]
Nocturnal masseter muscle activity is related to symptoms and somatization in temporomandibular disorders.

J Psychosom Res. 2012-8-29

[7]
Influence of Instructions and Expectations in Pain Perception on Pupil Diameter and the Cognitive Assessment of Pain.

J Manipulative Physiol Ther. 2024

[8]
Analysis of stimulus-evoked pain in patients with myofascial temporomandibular pain disorders.

Pain. 2001-6

[9]
Glutamate-evoked jaw muscle pain as a model of persistent myofascial TMD pain?

Arch Oral Biol. 2008-7

[10]
Increased pain and muscle glutamate concentration after single ingestion of monosodium glutamate by myofascial temporomandibular disorders patients.

Eur J Pain. 2016-10

本文引用的文献

[1]
Pupillometry as an integrated readout of distinct attentional networks.

Trends Neurosci. 2022-8

[2]
VAS and NRS, Same or Different? Are Visual Analog Scale Values and Numerical Rating Scale Equally Viable Tools for Assessing Patients after Microdiscectomy?

Pain Res Manag. 2022

[3]
The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises.

Pain. 2020-9-1

[4]
Individuals with chronic pain have the same response to placebo analgesia as healthy controls in terms of magnitude and reproducibility.

Pain. 2020-12

[5]
The neuro-pathophysiology of temporomandibular disorders-related pain: a systematic review of structural and functional MRI studies.

J Headache Pain. 2020-6-19

[6]
Simultaneous Noxious Stimulation of the Human Anterior Temporalis and Masseter Muscles. Part II: Effects on Jaw Muscle Electromyographic Activity.

J Oral Facial Pain Headache. 2019-8-27

[7]
Pain or nociception? Subjective experience mediates the effects of acute noxious heat on autonomic responses - corrected and republished.

Pain. 2019-6

[8]
The Automatic Detection of Chronic Pain-Related Expression: Requirements, Challenges and the Multimodal Dataset.

IEEE Trans Affect Comput. 2016

[9]
Best Practices and Advice for Using Pupillometry to Measure Listening Effort: An Introduction for Those Who Want to Get Started.

Trends Hear. 2018

[10]
Long-term changes in biopsychosocial characteristics related to temporomandibular disorder: findings from the OPPERA study.

Pain. 2018-11

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