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How words impact on pain
Alexander Ritter1, Marcel Franz2, Wolfgang H R Miltner2
1Section of Neurological Rehabilitation, Hans-Berger Department of Neurology, Jena University Hospital, Jena, Germany.
Brain and Behavior
|August 2, 2019
Summary
Wording before medical procedures impacts pain perception. Pain-related words amplified pain and brain activity more than negative words, supporting motivational priming and neural network theories.
Area of Science:
- Neuroscience
- Psychology
Background:
- Wording used before and during painful medical procedures can significantly influence perceived pain and discomfort.
- Two theories, motivational priming theory and the theory of neural networks, may explain these effects.
Purpose of the Study:
- To investigate how negative, pain-related, and neutral words, used as priming stimuli before noxious stimuli, affect cortical processing and pain ratings.
- To determine the applicability of motivational priming theory and the theory of neural networks in explaining the impact of wording on pain perception.
Main Methods:
- Functional magnetic resonance imaging (fMRI) was used to observe brain activity.
- Participants were exposed to noxious stimuli after being primed with negative, pain-related, or neutral words.
Main Results:
- Both negative and pain-related words, compared to neutral words, led to increased pain ratings and brain activation in several areas, supporting motivational priming theory.
- Pain ratings and activation in specific brain regions (somatosensory cortices, motor cortex, thalamus, etc.) were even greater for pain-related words than for negative words, supporting the theory of neural networks.
Conclusions:
- The study demonstrates that wording significantly influences pain perception.
- These findings have potential implications for clinical practice, suggesting that careful language use can modulate patient experiences of pain.
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