Fear-learning deficits in subjects with fibromyalgia syndrome?

作者: J. Jenewein , H. Moergeli , H. Sprott , D. Honegger , L. Brunner

DOI: 10.1002/J.1532-2149.2013.00300.X

关键词:

摘要: BACKGROUND: Fibromyalgia syndrome (FMS) is frequently associated with psychiatric conditions, particularly anxiety. Deficits in contingency learning during fear conditioning have been hypothesized to increase anxiety and, consequently, pain sensation susceptible individuals. The goal of this study was examine the relationship between and experience subjects FMS rheumatoid arthritis (RA). METHODS: Fourteen female subjects, 14 age-matched RA healthy controls (HCs) were included a fear-conditioning experiment. conditioned stimulus (CS) consisted visual signs, unconditioned (US) thermal stimuli. CS- predicted low-temperature exposure (US), while CS+ followed by low or high temperature. RESULTS: In group, only 50% aware US-CS contingency, whereas 86% all HCs contingency. induced more than HCs. As expected, experienced as less painful after these subjects. did not show such adaptive conditioning. effects type CS on heart rate changes significant but unaware CONCLUSIONS: Contingency deficits represent potentially promising specific, largely unstudied, psychopathological factor FMS. may sensation. These findings potential contribute development novel therapeutic approaches for

参考文章(51)
Frank C Arnett, None, Revised criteria for the classification of rheumatoid arthritis. Bulletin on The Rheumatic Diseases. ,vol. 38, pp. 1- 6 ,(1989)
Kati Thieme, Herta Flor, Dennis C Turk, Psychological pain treatment in fibromyalgia syndrome: efficacy of operant behavioural and cognitive behavioural treatments Arthritis Research & Therapy. ,vol. 8, pp. 1- 12 ,(2006) , 10.1186/AR2010
Roland Staud, Biology and therapy of fibromyalgia: pain in fibromyalgia syndrome. Arthritis Research & Therapy. ,vol. 8, pp. 208- 208 ,(2006) , 10.1186/AR1950
Alexander Ploghaus, Charvy Narain, Christian F. Beckmann, Stuart Clare, Susanna Bantick, Richard Wise, Paul M. Matthews, J. Nicholas P. Rawlins, Irene Tracey, Exacerbation of Pain by Anxiety Is Associated with Activity in a Hippocampal Network The Journal of Neuroscience. ,vol. 21, pp. 9896- 9903 ,(2001) , 10.1523/JNEUROSCI.21-24-09896.2001
Gordon J.G. Asmundson, Joel Katz, Understanding the co-occurrence of anxiety disorders and chronic pain: state-of-the-art. Depression and Anxiety. ,vol. 26, pp. 888- 901 ,(2009) , 10.1002/DA.20600
G. Hasler, S. Fromm, R. P. Alvarez, D. A. Luckenbaugh, W. C. Drevets, C. Grillon, Cerebral blood flow in immediate and sustained anxiety. The Journal of Neuroscience. ,vol. 27, pp. 6313- 6319 ,(2007) , 10.1523/JNEUROSCI.5369-06.2007
Andrew Mathews, Colin MacLeod, Selective processing of threat cues in anxiety states Behaviour Research and Therapy. ,vol. 23, pp. 563- 569 ,(1985) , 10.1016/0005-7967(85)90104-4
Mustafa Al Absi, Paul D. Rokke, Can anxiety help us tolerate pain Pain. ,vol. 46, pp. 43- 51 ,(1991) , 10.1016/0304-3959(91)90032-S
Se Hoon Park, Soo-Mee Bang, Eunmi Nam, Eun Kyung Cho, Dong Bok Shin, Jae Hoon Lee, Jeong Yeal Ahn, A randomized double-blind placebo-controlled study of low-dose intravenous Lorazepam to reduce procedural pain during bone marrow aspiration and biopsy. Pain Medicine. ,vol. 9, pp. 249- 252 ,(2008) , 10.1111/J.1526-4637.2006.00284.X