Cited by 76Pain Mechanisms and TreatmentsPain Management and TreatmentMusculoskeletal pain and rehabilitation

A brief cognitive-behavioural intervention for pain reduces secondary hyperalgesia

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Salomons, Tim V., Moayedi, Massieh, Erpelding, Nathalie, Davis, Karen D.·2014·Pain

Abstract

Repeated exposure to pain can result in sensitization of the central nervous system, enhancing subsequent pain and potentially leading to chronicity. The ability to reverse this sensitization in a top-down manner would be of tremendous clinical benefit, but the degree that this can be accomplished volitionally remains unknown. Here we investigated whether a brief (~5 min) cognitive-behavioural intervention could modify pain perception and reduce central sensitization (as reflected by secondary hyperalgesia). In each of 8 sessions, 2 groups of healthy human subjects received a series of painful thermal stimuli that resulted in secondary hyperalgesia. One group (regulate) was given brief pain-focused cognitive training at each session, while the other group (control) received a non-pain-focused intervention. The intervention selectively reduced pain unpleasantness but not pain intensity in the regulate group. Furthermore, secondary hyperalgesia was significantly reduced in the regulate group compared with the control group. Reduction in secondary hyperalgesia was associated with reduced pain catastrophizing, suggesting that changes in central sensitization are related to changes in pain-related cognitions. Thus, we demonstrate that central sensitization can be modified volitionally by altering pain-related thoughts.

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Crossref · 10.1016/j.pain.2014.02.012

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  1. Beck A. Cognitive therapy of depression. New York: Guilford Press; 1979.

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Authors
Salomons, T. V., Moayedi, M., Erpelding, N., & Davis, K. D.
Affiliations
  • University Health Network (CA)
  • University of Toronto (CA)
Corresponding author
Davis, Karen D.
Venue
Pain
Published
2014-08
Volume
155
Issue
8
Pages
1446-1452
ISSN
0304-3959 (ISSN-L)
OpenAlex
W2105744208
Cited by
76
References
49
Citations by year
2026: 1 · 2025: 8 · 2024: 7 · 2023: 3 · 2022: 6 · 2021: 9 · 2020: 5 · 2019: 8 · 2018: 7 · 2017: 7 · 2016: 9 · 2015: 4 · 2014: 2
FWCI
4.88
Type
journal article
Language
en
Open access
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
  • CentAUR (University of Reading) (submittedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Funders
  • Fonds National de la Recherche Luxembourg (PDR-09-023)
  • University of Toronto
  • Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords
cognitive-behavioural intervention, secondary hyperalgesia, central sensitization, pain catastrophizing, pain perception, pain unpleasantness, pain-related cognitions, thermal pain, pain intensity
MeSH terms
Adult, Female, Hot Temperature, Humans, Hyperalgesia, Male, Pain, Psychotherapy, Brief, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult, Pain Management

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