Abstract

Pain is a multidimensional process, which can be modulated by emotions; however, the mechanisms underlying this modulation are unknown. We used pictures with different emotional valence (negative, positive, and neutral) as primes and applied electrical painful stimuli as targets to healthy participants. We assessed pain intensity and unpleasantness ratings and recorded electroencephalograms (EEGs). We found that pain unpleasantness and not pain intensity ratings were modulated by emotion, with increased ratings for negative and decreased ratings for positive pictures. We also found two consecutive gamma band oscillations (GBOs) related to pain processing from time frequency analyses of the EEG signals. The early GBO had a cortical distribution contralateral to the painful stimulus and its amplitude was positively correlated with intensity and unpleasantness ratings, but not with prime valence. The late GBO had a centroparietal distribution and its amplitude was larger for negative compared to neutral and positive pictures. The emotional modulation effect (negative vs. positive) of the late GBO amplitude was positively correlated with pain unpleasantness. The early GBO might reflect the overall pain perception, possibly involving the thalamocortical circuit, while the late GBO might be related to the affective dimension of pain and top-down-related processes.

Highlights

  • Pain is an unpleasant sensory and emotional experience associated with potential or actual tissue damage or described in such terms

  • Pain intensity ratings were comparable across valence conditions [F(2,40) = 0.843, p = 0.371, negative: 31.49 ± 18.31, neutral: 31.70 ± 16.28, and positive: 30.41 ± 17.39]

  • The ANOVA results reported above led to similar results [i.e., F(2,36) = 1.83, p = 0.192 for pain intensity ratings and F(2,36) = 7.84, p < 0.001 for pain unpleasantness ratings]

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Summary

Introduction

Pain is an unpleasant sensory and emotional experience associated with potential or actual tissue damage or described in such terms. From this definition, it emerges that pain contains both a sensory-discriminative and an affective-motivational dimension [1, 2]. The sensory-discriminative dimension refers to the intensity quality of pain, whereas the affective-motivational dimension reflects the unpleasantness of a painful experience and the associated tendency to avoid it [3,4,5]. Listening to pleasant music reduced both pain intensity and unpleasantness [8]. In all these studies, presentations of emotional material and painful stimulation occurred simultaneously.

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