Intrinsic network activity reflects the ongoing experience of chronic pain

Analyses of intrinsic network activity have been instrumental in revealing cortical processes that are altered in chronic pain patients. In a novel approach, we aimed to elucidate how intrinsic functional networks evolve in regard to the fluctuating intensity of the experience of chronic pain. In a...

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Main Authors: Jahn, P, Deak, B, Mayr, A, Stankewitz, A, Keeser, D, Griffanti, L, Witkovsky, V, Irving, S, Schulz, E
Format: Journal article
Language:English
Published: Springer Nature 2021
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author Jahn, P
Deak, B
Mayr, A
Stankewitz, A
Keeser, D
Griffanti, L
Witkovsky, V
Irving, S
Schulz, E
author_facet Jahn, P
Deak, B
Mayr, A
Stankewitz, A
Keeser, D
Griffanti, L
Witkovsky, V
Irving, S
Schulz, E
author_sort Jahn, P
collection OXFORD
description Analyses of intrinsic network activity have been instrumental in revealing cortical processes that are altered in chronic pain patients. In a novel approach, we aimed to elucidate how intrinsic functional networks evolve in regard to the fluctuating intensity of the experience of chronic pain. In a longitudinal study with 156 fMRI sessions, 20 chronic back pain patients and 20 chronic migraine patients were asked to continuously rate the intensity of their endogenous pain. We investigated the relationship between the fluctuation of intrinsic network activity with the time course of subjective pain ratings. For chronic back pain, we found increased cortical network activity for the salience network and a local pontine network, as well as decreased network activity in the anterior and posterior default mode network for higher pain intensities. Higher pain intensities in chronic migraine were accompanied with lower activity in a prefrontal cortical network. By taking the perspective of the individual, we focused on the variability of the subjective perception of pain, which include phases of relatively low pain and phases of relatively high pain. The present design of the assessment of ongoing endogenous pain can be a powerful and promising tool to assess the signature of a patient’s endogenous pain encoding.
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spelling oxford-uuid:85a4fa8c-e067-46cb-9a92-6a39f9d2b5422022-03-26T21:58:59ZIntrinsic network activity reflects the ongoing experience of chronic painJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:85a4fa8c-e067-46cb-9a92-6a39f9d2b542EnglishSymplectic ElementsSpringer Nature2021Jahn, PDeak, BMayr, AStankewitz, AKeeser, DGriffanti, LWitkovsky, VIrving, SSchulz, EAnalyses of intrinsic network activity have been instrumental in revealing cortical processes that are altered in chronic pain patients. In a novel approach, we aimed to elucidate how intrinsic functional networks evolve in regard to the fluctuating intensity of the experience of chronic pain. In a longitudinal study with 156 fMRI sessions, 20 chronic back pain patients and 20 chronic migraine patients were asked to continuously rate the intensity of their endogenous pain. We investigated the relationship between the fluctuation of intrinsic network activity with the time course of subjective pain ratings. For chronic back pain, we found increased cortical network activity for the salience network and a local pontine network, as well as decreased network activity in the anterior and posterior default mode network for higher pain intensities. Higher pain intensities in chronic migraine were accompanied with lower activity in a prefrontal cortical network. By taking the perspective of the individual, we focused on the variability of the subjective perception of pain, which include phases of relatively low pain and phases of relatively high pain. The present design of the assessment of ongoing endogenous pain can be a powerful and promising tool to assess the signature of a patient’s endogenous pain encoding.
spellingShingle Jahn, P
Deak, B
Mayr, A
Stankewitz, A
Keeser, D
Griffanti, L
Witkovsky, V
Irving, S
Schulz, E
Intrinsic network activity reflects the ongoing experience of chronic pain
title Intrinsic network activity reflects the ongoing experience of chronic pain
title_full Intrinsic network activity reflects the ongoing experience of chronic pain
title_fullStr Intrinsic network activity reflects the ongoing experience of chronic pain
title_full_unstemmed Intrinsic network activity reflects the ongoing experience of chronic pain
title_short Intrinsic network activity reflects the ongoing experience of chronic pain
title_sort intrinsic network activity reflects the ongoing experience of chronic pain
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