Affective pain modulation in fibromyalgia, somatoform pain disorder, back pain, and healthy controls.

Arnold BS, Alpers GW, Süß H, Friedel E, Kosmützky G, Geier A, Pauli P.
Klinikum Bad Bocklet, Frankenstrasse 36, 97708 Bad Bocklet.

Previous research suggested that patients with fibromyalgia (FM) experience a higher pain intensity (clinical pain) than do patients with musculoskeletal pain after negative emotional priming compared to positive priming. To further examine affective pain modulation in FM, we applied an experimental pain induction to compare 30 patients with FM with 30 healthy (pain-free) participants (HC), and 30 patients with back pain (BP). For another group of 30 patients with somatoform pain disorder (SF), we predicted the same pain modulation as for FM. As primes we presented positive, neutral, negative, and pain-related pictures and assessed pain intensity in response to a fixed pressure weight. Overall, picture valence modulated pain intensities (in the order of pain-related>negative pictures>neutral), but the pain intensities between neutral and positive pictures did not differ significantly. SF reported significantly higher pain intensities than did BP and HC; FM were in between, but did not differ significantly from the three other groups. There was no interaction of priming and group. Affective modulation of pain was not specifically altered in FM and SF, but SF were more sensitive to pressure pain than BP and HC.

PMID: 17723312 [PubMed – as supplied by publisher]

1: Eur J Pain. 2007 Aug 25; [Epub ahead of print]

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Folllowing Rick Usher's death in December 2008, at his request in September of that year, I had agreed, as his principal contributor and an experienced journalist, to run the FMS Global News service due to his heavy commitments to music and raising research funds through this avenue. Following his sad and sudden death I hope to continue his work as he would have wished.
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One Response to Affective pain modulation in fibromyalgia, somatoform pain disorder, back pain, and healthy controls.

  1. Pingback: Back-Pain » Blog Archive » Back-Pain Zapper Debuts In Chicago (NBC 5 Chicago)

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