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Blok 3.3 - Pain - College 3

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May 2, 2021
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Written in
2020/2021
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Aantekeningen lecture 3
Reciprocal interactions between emotion, cognition and pain
 Vicious circle.
 Pain and emotions increase each other.
 Feedback system




Attentional modulation of pain
 Distraction
 Using VR (snow world) on extreme burning injuries  reduces pain
 Less pain in VR conditions than control condition


Cross-modal Attention
 Smelling different odors & thermal heat pain simultaneously
 Focus on the odor or focus on the pain.
 Focusing on the odor (attention) reported less pain.
 Attention has a strong effect on pain perception




Attention modulates pain processing in primary somatosensory cortex (S1)

, When participants pay attention to the pain stimuli, S1 lights up more than when they pay
attention to an auditory task.


Attentional effects of pain
 Pain grabs attentional processing resources, reduces visual processing of faces.
 Visual perception is massively lowered when we feel pain at the same time.


Summary
 Distraction reduces pain
 Attention away from pain reduces pain, attention towards pain ehancens pain (mainly the
sensory component)
 Main target brain areas: sensory pain system (S1, S2)
 Pain has a strong hold on attention: reduction of other sensory processes.




Emotional modulation


Affective odors
 (neutral, pleasant, unpleasant)
 Reduction of pain perception when pleasant odor
 Enhancemant of pain perception when unpleasant odor
 Only for women




Affective music
 (silence, pleasant, unpleasant)
 Painful thermal heat stimuli
 reduction of pain perception with pleasant music
 Enhancement of pain perception with unpleasant
music
 Pain perception is highest in silent condition




Emotional modulation of pain on subjective,
physiological and motor level.
R112,05
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