WOBIB: 76 - Faymonville, et al. (2000) Neural mechanism ...
 
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M. E. Faymonville; S. Laureys; C. Degueldre; G. DelFiore; A. Luxen; G. Franck; M. Lamy; P. Maquet. Neural mechanisms of antinociceptive effects of hypnosis. Anesthesiology 92(5):1257-67, 2000. PMID: 10781270. WOBIB: 76.

BACKGROUND: The neural mechanisms underlying the modulation of pain perception by hypnosis remain obscure. In this study, we used positron emission tomography in 11 healthy volunteers to identify the brain areas in which hypnosis modulates cerebral responses to a noxious stimulus. METHODS: The protocol used a factorial design with two factors: state (hypnotic state, resting state, mental imagery) and stimulation (warm non-noxious vs. hot noxious stimuli applied to right thenar eminence). Two cerebral blood flow scans were obtained with the 15O-water technique during each condition. After each scan, the subject was asked to rate pain sensation and unpleasantness. Statistical parametric mapping was used to determine the main effects of noxious stimulation and hypnotic state as well as state-by-stimulation interactions (i.e., brain areas that would be more or less activated in hypnosis than in control conditions, under noxious stimulation). RESULTS: Hypnosis decreased both pain sensation and the unpleasantness of noxious stimuli. Noxious stimulation caused an increase in regional cerebral blood flow in the thalamic nuclei and anterior cingulate and insular cortices. The hypnotic state induced a significant activation of a right-sided extrastriate area and the anterior cingulate cortex. The interaction analysis showed that the activity in the anterior (mid-)cingulate cortex was related to pain perception and unpleasantness differently in the hypnotic state than in control situations. CONCLUSIONS: Both intensity and unpleasantness of the noxious stimuli are reduced during the hypnotic state. In addition, hypnotic modulation of pain is mediated by the anterior cingulate cortex.

Asymmetry: 0.46729 (left: -1, right: +1)

VRML2 file (149 Kb)

1 Hot pain on right hand in rest, mental imagery and hypnosis. Hot pain (typically 47 degrees) on the thenar surface of the right hand versus 35 degrees stimuli. During rest, mental imagery and hypnosis. WOEXP: 233.
2 Hot pain on right hand in rest and mental imagery. Hot pain (typically 47 degrees) on the thenar surface of the right hand versus 35 degrees stimuli. During rest and mental imagery. WOEXP: 234.
3 Hot pain on right hand during hypnosis. Hot pain (typically 47 degrees) on the thenar surface of the right hand versus 35 degrees stimuli. During hypnosis. WOEXP: 235.
4 Hypnosis. Hypnosis versus rest and mental imagery. During warm and hot stimuli. Hypnosis and mental imagery involved pleasant autobiographical memories. WOEXP: 236.
5 Interaction between hypnosis and hot pain on right hand. Interaction between hypnosis and hot pain (typically 47 degrees) on the thenar surface of the right hand versus 35 degrees stimuli and rest and mental imagery. WOEXP: 237.
6 Correlated with pain ratings in hot pain on right hand in rest, mental imagery and hypnosis. Increases due to pain rating in hot pain (typically 47 degrees) on the thenar surface of the right hand versus 35 degrees stimuli. During rest, mental imagery and hypnosis. WOEXP: 238.
7 Increase due to hypnosis versus rest and mental imagery. Increases due to hypnosis versus rest and mental imagery. During warmth and hot pain the thenar surface of the right hand. WOEXP: 239.
8 Interaction between hypnosis and pain ratings in hot pain on right hand.. Interaction between hypnosis and increases due to pain rating in hot pain (typically 47 degrees) on the thenar surface of the right hand. WOEXP: 240.


corner cube of WOBIB_76

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