The use of functional neuroimaging to evaluate psychological and other non-pharmacological treatments for clinical pain.

Détails

ID Serval
serval:BIB_E2FE7278EB91
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
The use of functional neuroimaging to evaluate psychological and other non-pharmacological treatments for clinical pain.
Périodique
Neuroscience letters
Auteur⸱e⸱s
Jensen K.B., Berna C., Loggia M.L., Wasan A.D., Edwards R.R., Gollub R.L.
ISSN
1872-7972 (Electronic)
ISSN-L
0304-3940
Statut éditorial
Publié
Date de publication
29/06/2012
Peer-reviewed
Oui
Volume
520
Numéro
2
Pages
156-164
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
Résumé
A large number of studies have provided evidence for the efficacy of psychological and other non-pharmacological interventions in the treatment of chronic pain. While these methods are increasingly used to treat pain, remarkably few studies focused on the exploration of their neural correlates. The aim of this article was to review the findings from neuroimaging studies that evaluated the neural response to distraction-based techniques, cognitive behavioral therapy (CBT), clinical hypnosis, mental imagery, physical therapy/exercise, biofeedback, and mirror therapy. To date, the results from studies that used neuroimaging to evaluate these methods have not been conclusive and the experimental methods have been suboptimal for assessing clinical pain. Still, several different psychological and non-pharmacological treatment modalities were associated with increased pain-related activations of executive cognitive brain regions, such as the ventral- and dorsolateral prefrontal cortex. There was also evidence for decreased pain-related activations in afferent pain regions and limbic structures. If future studies will address the technical and methodological challenges of today's experiments, neuroimaging might have the potential of segregating the neural mechanisms of different treatment interventions and elucidate predictive and mediating factors for successful treatment outcomes. Evaluations of treatment-related brain changes (functional and structural) might also allow for sub-grouping of patients and help to develop individualized treatments.

Mots-clé
Animals, Brain/physiopathology, Chronic Pain/physiopathology, Chronic Pain/psychology, Chronic Pain/therapy, Cognitive Therapy, Humans, Hypnosis, Imagery (Psychotherapy), Magnetic Resonance Imaging, Neurofeedback, Neuroimaging, Pain Management, Physical Therapy Modalities
Pubmed
Web of science
Création de la notice
07/02/2018 17:47
Dernière modification de la notice
20/08/2019 16:06
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