2002
DOI: 10.1093/brain/awf022
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Imaging how attention modulates pain in humans using functional MRI

Abstract: Current clinical and experimental literature strongly supports the phenomenon of reduced pain perception whilst attention is distracted away from noxious stimuli. This study used functional MRI to elucidate the underlying neural systems and mechanisms involved. An analogue of the Stroop task, the counting Stroop, was used as a cognitive distraction task whilst subjects received intermittent painful thermal stimuli. Pain intensity scores were significantly reduced when subjects took part in the more cognitively… Show more

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Cited by 766 publications
(589 citation statements)
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References 47 publications
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“…More extensive areas of cingulate cortex have been reported for pain-related contrasts but are clearly not of sufficient consistency across studies to survive empirical scrutiny. A notable example is perigenual cingulate activity, which is reported more frequently for contrasts that include upregulated or downregulated pain states [Bantick et al, 2002;Lorenz et al, 2002]. The discrete locale of the ALE cingulate clusters may have important implications for cingulotomy as a treatment for intractable pain.…”
Section: Discussionmentioning
confidence: 99%
“…More extensive areas of cingulate cortex have been reported for pain-related contrasts but are clearly not of sufficient consistency across studies to survive empirical scrutiny. A notable example is perigenual cingulate activity, which is reported more frequently for contrasts that include upregulated or downregulated pain states [Bantick et al, 2002;Lorenz et al, 2002]. The discrete locale of the ALE cingulate clusters may have important implications for cingulotomy as a treatment for intractable pain.…”
Section: Discussionmentioning
confidence: 99%
“…While participants in the control condition of Study 1 imagined their hand, to assess the influence of the specific contents of imagery rather than the process of imagery, participants in the control condition of Study 2 did nothing, to assess the effects of the mere passage of time (natural history), and to thereby allow for a comparison that is more representative of clinical practice. An additional reason for using a different control condition in Study 2, was that we were concerned that the image used in the control condition of Study 1 might also affect pain; merely imagining one's hand, which was previously immersed in the cold water, might reduce pain via mindfulness‐like processes (Reiner et al., 2013), or might alternatively increase pain by enhancing awareness of the pain (Bantick et al., 2002). Secondary, we aimed to assess whether the effects of response imagery on pain could be enhanced by adding a verbal suggestion.…”
Section: Studymentioning
confidence: 99%
“…Several of the 75 experiments were eliminated as they included data acquired on non-Stroop tasks such as the Flanker task and the Simon task [Derbyshire et al, 1998;Fan et al, 2003;Peterson et al, 2002]. This restriction also eliminated variations of the Stroop task such as the emotional Stroop [Isenberg et al, 1999;George et al, 1994;Whalen et al, 1998], the counting Stroop [Bantick et al, 2002;Bush et al, 1998], and other variations of the Stroop task [de Zubicaray et al, 2001;Milham et al, 2003]. Subject groups were limited to normal subjects [Milham et al, 2002;Yucel et al, 2002].…”
Section: Selection Of Conditions and Contrastsmentioning
confidence: 99%