FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Becker, S
   Navratilova, E
   Nees, F
   Van Damme, S
AF Becker, Susanne
   Navratilova, Edita
   Nees, Frauke
   Van Damme, Stefaan
TI Emotional and Motivational Pain Processing: Current State of Knowledge
   and Perspectives in Translational Research
SO PAIN RESEARCH & MANAGEMENT
LA English
DT Review
ID IRRITABLE-BOWEL-SYNDROME; CHRONIC NEUROPATHIC PAIN; ENDOGENOUS OPIOID
   ACTIVITY; VENTRAL TEGMENTAL AREA; MOVEMENT-RELATED PAIN; FEAR-AVOIDANCE
   MODEL; CHRONIC BACK-PAIN; NUCLEUS-ACCUMBENS; ELECTRICAL-STIMULATION;
   FIBROMYALGIA PATIENTS
AB Pain elicits fear and anxiety and promotes escape, avoidance, and adaptive behaviors that are essential for survival. When pain persists, motivational priority and attention shift to pain-related information. Such a shift often results in impaired functionality, leading to maladaptive pain-related fear and anxiety and escape and avoidance behaviors. Neuroimaging studies in chronic pain patients have established that brain activity, especially in cortical and mesolimbic regions, is different from activity observed during acute pain in control subjects. In this review, we discuss the psychophysiological and neuronal factors that may be associated with the transition to chronic pain. We review information from human studies on neural circuits involved in emotional and motivational pain processing and how these circuits are altered in chronic pain conditions. We then highlight findings from animal research that can increase our understanding of the molecular and cellular mechanisms underlying emotional-motivational pain processing in the brain. Finally, we discuss how translational approaches incorporating results from both human and animal investigations may aid in accelerating the discovery of therapies.
C1 [Becker, Susanne; Nees, Frauke] Heidelberg Univ, Med Fac Mannheim, Cent Inst Mental Hlth, Dept Cognit & Clin Neurosci, Mannheim, Germany.
   [Navratilova, Edita] Univ Arizona, Dept Pharmacol, Tucson, AZ USA.
   [Van Damme, Stefaan] Univ Ghent, Dept Expt Clin & Hlth Psychol, Ghent, Belgium.
RP Becker, S (reprint author), Heidelberg Univ, Med Fac Mannheim, Cent Inst Mental Hlth, Dept Cognit & Clin Neurosci, Mannheim, Germany.
EM susanne.becker@zi-mannheim.de
OI Becker, Susanne/0000-0002-5681-4084
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NR 159
TC 0
Z9 0
U1 1
U2 1
PU HINDAWI LTD
PI LONDON
PA ADAM HOUSE, 3RD FLR, 1 FITZROY SQ, LONDON, W1T 5HF, ENGLAND
SN 1203-6765
EI 1918-1523
J9 PAIN RES MANAG
JI Pain Res. Manag.
PY 2018
AR UNSP 5457870
DI 10.1155/2018/5457870
PG 12
WC Clinical Neurology
SC Neurosciences & Neurology
GA GP0FY
UT WOS:000440485600001
PM 30123398
OA gold
DA 2018-10-15
ER

EF