Murphy - Pain Flashcards
Individuals w higher pain sensitivity show greater activation in areas association w/ affective-motivational pathways such as:
Anterior cingulate cortex (ACC)
Pre-frontal cortex (PFC)
Somatosensory Cortex (SI)
COMT (Catecholamine-o-methyltransferase) can be low , average, or high sensitivity for pain. It is involved in the regulation of ?
Enkephalin (endogenous opioid) and catecholamines (like norepinephrine)
What parts of the brain, which are the same as stimulated in cognitive behavior therapy to decrease eratic emotional behaviour, are stimulated in the placebo effect>
Dorsolateral prefrontal cortex (cognitive control)
Orbitofrontal cortex (evaluative and reward info)
Periaqueductal gray (enkephalin producing neurons, modulation of dorsal raphe nucleus)
How does the periaqueductal gray modulate pain.
Stimulation of enkephalin-producing neurons modulates the dorsal raphe nucleus to send more serotonin to spine