The role of expectations, control and reward in the development of pain persistence based on a unified model
Chronic, or persistent pain affects more than 10% of adults in the general population. This makes it one of the major physical and mental health care problems. Although pain is an important acute warning signal that allows the organism to take action before tissue damage occurs, it can become persis...
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| Format: | Article |
| Language: | English |
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eLife Sciences Publications Ltd
2023-03-01
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| Series: | eLife |
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| Online Access: | https://elifesciences.org/articles/81795 |
| _version_ | 1797859200092602368 |
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| author | Christian Büchel |
| author_facet | Christian Büchel |
| author_sort | Christian Büchel |
| collection | DOAJ |
| description | Chronic, or persistent pain affects more than 10% of adults in the general population. This makes it one of the major physical and mental health care problems. Although pain is an important acute warning signal that allows the organism to take action before tissue damage occurs, it can become persistent and its role as a warning signal thereby inadequate. Although per definition, pain can only be labeled as persistent after 3 months, the trajectory from acute to persistent pain is likely to be determined very early and might even start at the time of injury. The biopsychosocial model has revolutionized our understanding of chronic pain and paved the way for psychological treatments for persistent pain, which routinely outperform other forms of treatment. This suggests that psychological processes could also be important in shaping the very early trajectory from acute to persistent pain and that targeting these processes could prevent the development of persistent pain. In this review, we develop an integrative model and suggest novel interventions during early pain trajectories, based on predictions from this model. |
| first_indexed | 2024-04-09T21:25:35Z |
| format | Article |
| id | doaj.art-1ff53a077b7a4feeafd281c75564649f |
| institution | Directory Open Access Journal |
| issn | 2050-084X |
| language | English |
| last_indexed | 2024-04-09T21:25:35Z |
| publishDate | 2023-03-01 |
| publisher | eLife Sciences Publications Ltd |
| record_format | Article |
| series | eLife |
| spelling | doaj.art-1ff53a077b7a4feeafd281c75564649f2023-03-27T15:21:12ZengeLife Sciences Publications LtdeLife2050-084X2023-03-011210.7554/eLife.81795The role of expectations, control and reward in the development of pain persistence based on a unified modelChristian Büchel0https://orcid.org/0000-0003-1965-906XDepartment of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyChronic, or persistent pain affects more than 10% of adults in the general population. This makes it one of the major physical and mental health care problems. Although pain is an important acute warning signal that allows the organism to take action before tissue damage occurs, it can become persistent and its role as a warning signal thereby inadequate. Although per definition, pain can only be labeled as persistent after 3 months, the trajectory from acute to persistent pain is likely to be determined very early and might even start at the time of injury. The biopsychosocial model has revolutionized our understanding of chronic pain and paved the way for psychological treatments for persistent pain, which routinely outperform other forms of treatment. This suggests that psychological processes could also be important in shaping the very early trajectory from acute to persistent pain and that targeting these processes could prevent the development of persistent pain. In this review, we develop an integrative model and suggest novel interventions during early pain trajectories, based on predictions from this model.https://elifesciences.org/articles/81795chronic painpainbrain |
| spellingShingle | Christian Büchel The role of expectations, control and reward in the development of pain persistence based on a unified model eLife chronic pain pain brain |
| title | The role of expectations, control and reward in the development of pain persistence based on a unified model |
| title_full | The role of expectations, control and reward in the development of pain persistence based on a unified model |
| title_fullStr | The role of expectations, control and reward in the development of pain persistence based on a unified model |
| title_full_unstemmed | The role of expectations, control and reward in the development of pain persistence based on a unified model |
| title_short | The role of expectations, control and reward in the development of pain persistence based on a unified model |
| title_sort | role of expectations control and reward in the development of pain persistence based on a unified model |
| topic | chronic pain pain brain |
| url | https://elifesciences.org/articles/81795 |
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