Greater interruption of visual processing and memory encoding by visceral than somatic pain in healthy volunteers – An fMRI study

Visceral pain is regarded as more salient than somatic pain. It has greater affective and emotional components, i.e., it elicits higher levels of pain-related fear and is perceived as more unpleasant than somatic pain. In this fMRI study, we examined the neural effects of painful visceral as compare...

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Main Authors: Katharina Schmidt, Julian Kleine-Borgmann, Katrin Scharmach, Diana Müssgens, Sigrid Elsenbruch, Ulrike Bingel, Katarina Forkmann
Format: Article
Language:English
Published: Elsevier 2022-08-01
Series:NeuroImage
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1053811922004529
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author Katharina Schmidt
Julian Kleine-Borgmann
Katrin Scharmach
Diana Müssgens
Sigrid Elsenbruch
Ulrike Bingel
Katarina Forkmann
author_facet Katharina Schmidt
Julian Kleine-Borgmann
Katrin Scharmach
Diana Müssgens
Sigrid Elsenbruch
Ulrike Bingel
Katarina Forkmann
author_sort Katharina Schmidt
collection DOAJ
description Visceral pain is regarded as more salient than somatic pain. It has greater affective and emotional components, i.e., it elicits higher levels of pain-related fear and is perceived as more unpleasant than somatic pain. In this fMRI study, we examined the neural effects of painful visceral as compared to painful somatic stimulation on visual processing and memory encoding in a visual categorization and surprise recognition task in healthy volunteers. During the categorization task, participants received either rectal distensions or heat stimuli applied to the forearm, with stimuli being individually matched for unpleasantness. Behaviorally, visceral pain reduced memory encoding as compared to somatic pain (Kleine-Borgmann et al., 2021). Imaging analyses now revealed that visceral pain was associated with reduced activity (i.e., greater pain-related interruption) in neural areas typically involved in visual processing and memory encoding. These include the parahippocampal gyrus, fusiform gyrus, striatum, occipital cortex, insula, and the amygdala. Moreover, reduced engagement of the lateral occipital complex during visual categorization under visceral pain was associated with higher visceral pain-related fear. These findings obtained in healthy volunteers shed light on the neural circuitry underlying the interruptive effect of visceral pain and pave the way for future studies in patient samples.
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spelling doaj.art-37ab0f33943745bbbaf72c2dd2cffd132022-12-22T03:23:41ZengElsevierNeuroImage1095-95722022-08-01257119333Greater interruption of visual processing and memory encoding by visceral than somatic pain in healthy volunteers – An fMRI studyKatharina Schmidt0Julian Kleine-Borgmann1Katrin Scharmach2Diana Müssgens3Sigrid Elsenbruch4Ulrike Bingel5Katarina Forkmann6Department of Neurology and Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University Hospital Essen, Hufelandstrasse 55, Essen 45147, Germany; Corresponding author.Department of Neurology and Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University Hospital Essen, Hufelandstrasse 55, Essen 45147, GermanyDepartment of Neurology and Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University Hospital Essen, Hufelandstrasse 55, Essen 45147, GermanyDepartment of Neurology and Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University Hospital Essen, Hufelandstrasse 55, Essen 45147, GermanyDepartment of Neurology and Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University Hospital Essen, Hufelandstrasse 55, Essen 45147, Germany; Department of Medical Psychology and Medical Sociology, Ruhr University Bochum, GermanyDepartment of Neurology and Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University Hospital Essen, Hufelandstrasse 55, Essen 45147, GermanyDepartment of Neurology and Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University Hospital Essen, Hufelandstrasse 55, Essen 45147, GermanyVisceral pain is regarded as more salient than somatic pain. It has greater affective and emotional components, i.e., it elicits higher levels of pain-related fear and is perceived as more unpleasant than somatic pain. In this fMRI study, we examined the neural effects of painful visceral as compared to painful somatic stimulation on visual processing and memory encoding in a visual categorization and surprise recognition task in healthy volunteers. During the categorization task, participants received either rectal distensions or heat stimuli applied to the forearm, with stimuli being individually matched for unpleasantness. Behaviorally, visceral pain reduced memory encoding as compared to somatic pain (Kleine-Borgmann et al., 2021). Imaging analyses now revealed that visceral pain was associated with reduced activity (i.e., greater pain-related interruption) in neural areas typically involved in visual processing and memory encoding. These include the parahippocampal gyrus, fusiform gyrus, striatum, occipital cortex, insula, and the amygdala. Moreover, reduced engagement of the lateral occipital complex during visual categorization under visceral pain was associated with higher visceral pain-related fear. These findings obtained in healthy volunteers shed light on the neural circuitry underlying the interruptive effect of visceral pain and pave the way for future studies in patient samples.http://www.sciencedirect.com/science/article/pii/S1053811922004529Visceral painSomatic painHeat painInterruptive functionfMRIMemory encoding
spellingShingle Katharina Schmidt
Julian Kleine-Borgmann
Katrin Scharmach
Diana Müssgens
Sigrid Elsenbruch
Ulrike Bingel
Katarina Forkmann
Greater interruption of visual processing and memory encoding by visceral than somatic pain in healthy volunteers – An fMRI study
NeuroImage
Visceral pain
Somatic pain
Heat pain
Interruptive function
fMRI
Memory encoding
title Greater interruption of visual processing and memory encoding by visceral than somatic pain in healthy volunteers – An fMRI study
title_full Greater interruption of visual processing and memory encoding by visceral than somatic pain in healthy volunteers – An fMRI study
title_fullStr Greater interruption of visual processing and memory encoding by visceral than somatic pain in healthy volunteers – An fMRI study
title_full_unstemmed Greater interruption of visual processing and memory encoding by visceral than somatic pain in healthy volunteers – An fMRI study
title_short Greater interruption of visual processing and memory encoding by visceral than somatic pain in healthy volunteers – An fMRI study
title_sort greater interruption of visual processing and memory encoding by visceral than somatic pain in healthy volunteers an fmri study
topic Visceral pain
Somatic pain
Heat pain
Interruptive function
fMRI
Memory encoding
url http://www.sciencedirect.com/science/article/pii/S1053811922004529
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