A role for midcingulate cortex in the interruptive effects of pain anticipation on attention
Abstract Objective To investigate the anticipatory neural processes associated with the interruptive effects of pain anticipation on attention. Methods Sustained attention was measured in healthy subjects ( n = 24) by the number of task errors in a go/no-go task involving temporal discrimination of...
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Published in | Clinical neurophysiology Vol. 119; no. 10; pp. 2370 - 2379 |
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Main Authors | , |
Format | Journal Article |
Language | English |
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Elsevier Ireland Ltd
01.10.2008
Elsevier Science |
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Abstract | Abstract Objective To investigate the anticipatory neural processes associated with the interruptive effects of pain anticipation on attention. Methods Sustained attention was measured in healthy subjects ( n = 24) by the number of task errors in a go/no-go task involving temporal discrimination of non-painful cutaneous electrical stimuli. Painful distractors were randomly delivered to the same spatial location and the resulting increases in task errors (indicating interruption of attention) were measured. In a separate task the same subjects attended to the spatial location of painful laser stimuli delivered to the right forearm, and we localized the sources of anticipatory ERPs prior to stimulation. Results Pain anticipation was associated with activation of pain matrix areas including bilateral insula, mid- and posterior cingulate cortices, and bilateral inferior parietal cortices. Subjects with greater pain-related increases in task errors found the pain to be more unpleasant, and showed increased early pain-related anticipatory processing in the midcingulate cortex. They also demonstrated reduced processing in a spatial attention network comprising posterior cingulate and inferior parietal cortices. Conclusions The results suggest a role for the midcingulate cortex in interrupting attention during pain anticipation. Significance Individuals with greater anticipatory midcingulate responses may be predisposed to developing chronic pain and hypervigilance toward clinical pain symptoms. |
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AbstractList | Abstract Objective To investigate the anticipatory neural processes associated with the interruptive effects of pain anticipation on attention. Methods Sustained attention was measured in healthy subjects ( n = 24) by the number of task errors in a go/no-go task involving temporal discrimination of non-painful cutaneous electrical stimuli. Painful distractors were randomly delivered to the same spatial location and the resulting increases in task errors (indicating interruption of attention) were measured. In a separate task the same subjects attended to the spatial location of painful laser stimuli delivered to the right forearm, and we localized the sources of anticipatory ERPs prior to stimulation. Results Pain anticipation was associated with activation of pain matrix areas including bilateral insula, mid- and posterior cingulate cortices, and bilateral inferior parietal cortices. Subjects with greater pain-related increases in task errors found the pain to be more unpleasant, and showed increased early pain-related anticipatory processing in the midcingulate cortex. They also demonstrated reduced processing in a spatial attention network comprising posterior cingulate and inferior parietal cortices. Conclusions The results suggest a role for the midcingulate cortex in interrupting attention during pain anticipation. Significance Individuals with greater anticipatory midcingulate responses may be predisposed to developing chronic pain and hypervigilance toward clinical pain symptoms. To investigate the anticipatory neural processes associated with the interruptive effects of pain anticipation on attention. Sustained attention was measured in healthy subjects (n=24) by the number of task errors in a go/no-go task involving temporal discrimination of non-painful cutaneous electrical stimuli. Painful distractors were randomly delivered to the same spatial location and the resulting increases in task errors (indicating interruption of attention) were measured. In a separate task the same subjects attended to the spatial location of painful laser stimuli delivered to the right forearm, and we localized the sources of anticipatory ERPs prior to stimulation. Pain anticipation was associated with activation of pain matrix areas including bilateral insula, mid- and posterior cingulate cortices, and bilateral inferior parietal cortices. Subjects with greater pain-related increases in task errors found the pain to be more unpleasant, and showed increased early pain-related anticipatory processing in the midcingulate cortex. They also demonstrated reduced processing in a spatial attention network comprising posterior cingulate and inferior parietal cortices. The results suggest a role for the midcingulate cortex in interrupting attention during pain anticipation. Individuals with greater anticipatory midcingulate responses may be predisposed to developing chronic pain and hypervigilance toward clinical pain symptoms. To investigate the anticipatory neural processes associated with the interruptive effects of pain anticipation on attention. Sustained attention was measured in healthy subjects ( n = 24) by the number of task errors in a go/no-go task involving temporal discrimination of non-painful cutaneous electrical stimuli. Painful distractors were randomly delivered to the same spatial location and the resulting increases in task errors (indicating interruption of attention) were measured. In a separate task the same subjects attended to the spatial location of painful laser stimuli delivered to the right forearm, and we localized the sources of anticipatory ERPs prior to stimulation. Pain anticipation was associated with activation of pain matrix areas including bilateral insula, mid- and posterior cingulate cortices, and bilateral inferior parietal cortices. Subjects with greater pain-related increases in task errors found the pain to be more unpleasant, and showed increased early pain-related anticipatory processing in the midcingulate cortex. They also demonstrated reduced processing in a spatial attention network comprising posterior cingulate and inferior parietal cortices. The results suggest a role for the midcingulate cortex in interrupting attention during pain anticipation. Individuals with greater anticipatory midcingulate responses may be predisposed to developing chronic pain and hypervigilance toward clinical pain symptoms. |
Author | Brown, Christopher A Jones, Anthony KP |
Author_xml | – sequence: 1 fullname: Brown, Christopher A – sequence: 2 fullname: Jones, Anthony KP |
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Keywords | Nociception Cognitive Physiology Cingulate LORETA EEG Human Noxious stimulus Electrical stimulus Attention Electrophysiology Anticipation Electroencephalography Discrimination task Chronic Distractor Pain Upper limb |
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Snippet | Abstract Objective To investigate the anticipatory neural processes associated with the interruptive effects of pain anticipation on attention. Methods... To investigate the anticipatory neural processes associated with the interruptive effects of pain anticipation on attention. Sustained attention was measured... |
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SubjectTerms | Adult Attention - physiology Biological and medical sciences Brain Mapping Cingulate Cognitive Decision Making - physiology Dose-Response Relationship, Radiation EEG Electric Stimulation - adverse effects Electrodiagnosis. Electric activity recording Electroencephalography Electron Microscope Tomography - methods Evoked Potentials - physiology Female Fundamental and applied biological sciences. Psychology Gyrus Cinguli - physiopathology Humans Investigative techniques, diagnostic techniques (general aspects) Lasers - adverse effects LORETA Male Medical sciences Nervous system Neurology Neuropsychological Tests Nociception Pain - etiology Pain - physiopathology Pain - psychology Pain Measurement Pain Threshold - physiology Physiology Regression Analysis Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors Vertebrates: nervous system and sense organs Young Adult |
Title | A role for midcingulate cortex in the interruptive effects of pain anticipation on attention |
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