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Alteration in Pain Modulation in Women With Persistent Pain After Lumpectomy: Influence of Catastrophizing

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Edwards, Robert R., Mensing, George, Cahalan, Christine, Greenbaum, Seth, Narang, Sanjeet, Belfer, Inna, Schreiber, Kristin L., Campbell, Claudia, Wasan, Ajay D., Jamison, Robert N.·2013·Journal of Pain and Symptom Management

DOI 10.1016/j.jpainsymman.2012.06.016PMC PMC3713099

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Abstract

Context Persistent pain is common after surgical treatment of breast cancer, but fairly little is known about the changes in sensory processing that accompany such pain syndromes.Objectives This study used quantitative sensory testing to compare psychophysical responses to standardized noxious stimulation in two groups of women who had previously undergone breast cancer surgery: women with (n=37) and without (n=34) persistent postoperative pain.Methods Participants underwent a single testing session in which responses to a variety of noxious stimuli were assessed.Results Findings suggested that women with chronic pain after breast cancer surgery display enhanced temporal summation of mechanical pain, deficits in endogenous pain inhibition, and more intense painful aftersensations compared with those without long-term pain. Some of these group differences were mediated by higher levels of pain catastrophizing in the group of women with persistent pain.Conclusion These findings suggest that persistent postoperative pain is associated with alterations in central nervous system pain-modulatory processes. Future treatment studies might benefit from targeting these pain-modulatory systems, and additional studies using functional neuroimaging methods might provide further valuable information about the pathophysiology of long-term postsurgical pain in women treated for breast cancer.

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See all 150

Authors: Edwards, R. R., Mensing, G., Cahalan, C., Greenbaum, S., Narang, S., Belfer, I., Schreiber, K. L., Campbell, C., Wasan, A. D., & Jamison, R. N.
Affiliations: Brigham and Women's Hospital (US)
Tufts University (US)
University of Pittsburgh (US)
Johns Hopkins University (US)
Corresponding author: Edwards, Robert R.
ORCID: Edwards, Robert R.
Belfer, Inna
Schreiber, Kristin L.
Campbell, Claudia
Wasan, Ajay D.
Jamison, Robert N.
Venue: Journal of Pain and Symptom Management
Publisher: Elsevier BV
Published: 2013-07
Volume: 46
Issue: 1
Pages: 30-42
ISSN: 0885-3924 (ISSN-L)
DOI: 10.1016/j.jpainsymman.2012.06.016
PMC: PMC3713099
OpenAlex: W2100867581
Cited by: 150
References: 109
Citations by year: 2026: 10 · 2025: 10 · 2024: 8 · 2023: 6 · 2022: 15 · 2021: 18 · 2020: 13 · 2019: 11 · 2018: 11 · 2017: 11 · 2016: 8 · 2015: 10 · 2014: 10 · 2013: 8
FWCI: 6.22
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 2387 d)
Locations: Journal of Pain and Symptom Management (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (R21 CA120500)
Topics: Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Pain Management
Keywords: chronic postoperative pain, breast cancer surgery, breast-conserving surgery, pain catastrophizing, pain modulation, temporal summation, endogenous pain inhibition, mechanical pain, central sensitization, women
MeSH terms: Aged, Breast Neoplasms, Cross-Sectional Studies, Female, Humans, Middle Aged, Pain Measurement, Postoperative Pain, Mastectomy, Segmental, Pain Threshold, Catastrophization, Pain Perception

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Alteration in Pain Modulation in Women With Persistent Pain After Lumpectomy: Influence of Catastrophizing

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