在慢性疼痛和疲劳中提高对惩罚的行为和神经敏感性
Flavia Mancini1, Pranav Mahajan2, Anna Á V Guttesen2
1Computational and Biological Learning Unit, Department of Engineering, University of Cambridge, Cambridge CB2 1PZ, UK.
Brain : a journal of neurology
|January 9, 2025
概括
慢性疼痛患者表现出改变的决策,对损失更加敏感. 这项神经成像研究将这种惩罚敏感性与动机和决策电路中的大脑活动联系起来.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 医疗成像医学成像
背景情况:
- 慢性疼痛和疲劳显著导致残疾.
- 减少动机和避免恐惧与肌肉骨疾病有关.
研究的目的:
- 在决策过程中识别慢性疼痛患者的行为和神经变化.
- 研究奖励和损失处理过程中疼痛,疲劳和大脑活动之间的联系.
主要方法:
- 使用功能性MRI (fMRI) 的行为神经成像研究.
- 29名患有慢性炎症性关节炎的参与者和28名健康对照.
- 工具学习任务 (四臂强盗) 使用计算增强学习模型.
主要成果:
- 慢性疼痛患者对惩罚的敏感性更高.
- 与惩罚预测错误相关的大脑活动增加在岛膜,膜,膜和背侧前额皮层中观察到.
- 胰岛中心性与主观疼痛和疲劳水平相关.
结论:
- 慢性疼痛中的疼痛和疲劳与损失决策中的客观行为变化有关.
- 这些变化与涉及动机和决策的特定大脑电路活动有关.
- 识别出的惩罚敏感度增加的模式与精神疾病不同,并支持疼痛的恐惧回避模型.
相关概念视频
Analgesia and Pain Management
490
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
490
Nociception
27.7K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
27.7K


