Pain and the emotional brain: pain-related cortical processes are better reflected by affective evaluation than by cognitive evaluation

Abstract The experience of pain has been dissociated into two interwoven aspects: a sensory-discriminative aspect and an affective-motivational aspect. We aimed to explore which of the pain descriptors is more deeply rooted in the human brain. Participants were asked to evaluate applied cold pain. T...

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Main Authors: Anne Stankewitz, Astrid Mayr, Stephanie Irving, Viktor Witkovsky, Enrico Schulz
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-35294-2
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author Anne Stankewitz
Astrid Mayr
Stephanie Irving
Viktor Witkovsky
Enrico Schulz
author_facet Anne Stankewitz
Astrid Mayr
Stephanie Irving
Viktor Witkovsky
Enrico Schulz
author_sort Anne Stankewitz
collection DOAJ
description Abstract The experience of pain has been dissociated into two interwoven aspects: a sensory-discriminative aspect and an affective-motivational aspect. We aimed to explore which of the pain descriptors is more deeply rooted in the human brain. Participants were asked to evaluate applied cold pain. The majority of the trials showed distinct ratings: some were rated higher for unpleasantness and others for intensity. We compared the relationship between functional data recorded from 7 T MRI with unpleasantness and intensity ratings and revealed a stronger relationship between cortical data and unpleasantness ratings. The present study underlines the importance of the emotional-affective aspects of pain-related cortical processes in the brain. The findings corroborate previous studies showing a higher sensitivity to pain unpleasantness compared to ratings of pain intensity. For the processing of pain in healthy subjects, this effect may reflect the more direct and intuitive evaluation of emotional aspects of the pain system, which is to prevent harm and to preserve the physical integrity of the body.
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spelling doaj.art-77941a1c8d76486d97e7ba4bed63bc402023-05-28T11:14:41ZengNature PortfolioScientific Reports2045-23222023-05-011311910.1038/s41598-023-35294-2Pain and the emotional brain: pain-related cortical processes are better reflected by affective evaluation than by cognitive evaluationAnne Stankewitz0Astrid Mayr1Stephanie Irving2Viktor Witkovsky3Enrico Schulz4Department of Neuroradiology, Klinikum Rechts Der Isar, Technische Universität MünchenDepartment of Radiology, University Hospital, Ludwig-Maximilians-Universität MünchenDepartment of Neurology, University Hospital, Ludwig-Maximilians-Universität MünchenDepartment of Theoretical Methods, Institute of Measurement Science, Slovak Academy of SciencesDepartment of Radiology, University Hospital, Ludwig-Maximilians-Universität MünchenAbstract The experience of pain has been dissociated into two interwoven aspects: a sensory-discriminative aspect and an affective-motivational aspect. We aimed to explore which of the pain descriptors is more deeply rooted in the human brain. Participants were asked to evaluate applied cold pain. The majority of the trials showed distinct ratings: some were rated higher for unpleasantness and others for intensity. We compared the relationship between functional data recorded from 7 T MRI with unpleasantness and intensity ratings and revealed a stronger relationship between cortical data and unpleasantness ratings. The present study underlines the importance of the emotional-affective aspects of pain-related cortical processes in the brain. The findings corroborate previous studies showing a higher sensitivity to pain unpleasantness compared to ratings of pain intensity. For the processing of pain in healthy subjects, this effect may reflect the more direct and intuitive evaluation of emotional aspects of the pain system, which is to prevent harm and to preserve the physical integrity of the body.https://doi.org/10.1038/s41598-023-35294-2
spellingShingle Anne Stankewitz
Astrid Mayr
Stephanie Irving
Viktor Witkovsky
Enrico Schulz
Pain and the emotional brain: pain-related cortical processes are better reflected by affective evaluation than by cognitive evaluation
Scientific Reports
title Pain and the emotional brain: pain-related cortical processes are better reflected by affective evaluation than by cognitive evaluation
title_full Pain and the emotional brain: pain-related cortical processes are better reflected by affective evaluation than by cognitive evaluation
title_fullStr Pain and the emotional brain: pain-related cortical processes are better reflected by affective evaluation than by cognitive evaluation
title_full_unstemmed Pain and the emotional brain: pain-related cortical processes are better reflected by affective evaluation than by cognitive evaluation
title_short Pain and the emotional brain: pain-related cortical processes are better reflected by affective evaluation than by cognitive evaluation
title_sort pain and the emotional brain pain related cortical processes are better reflected by affective evaluation than by cognitive evaluation
url https://doi.org/10.1038/s41598-023-35294-2
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