Cited by 318Pain Mechanisms and TreatmentsStress Responses and CortisolPain Management and Treatment

Stress-induced hyperalgesia

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Jennings, Elaine M., Okine, Bright N., Roche, Michelle, Finn, David P.·2014·Progress in Neurobiology

Abstract

The importance of the modulation of pain by emotion is now widely recognised. In particular, stress and anxiety, depending on their nature, duration and intensity, can exert potent, but complex, modulatory influences typified by either a reduction or exacerbation of the pain state. Exposure to either acute or chronic stress can increase pain responding under experimental conditions and exacerbate clinical pain disorders. There is evidence that exposure to chronic or repeated stress can produce maladaptive neurobiological changes in pathways associated with pain processing, resulting in stress-induced hyperalgesia (SIH). Preclinical studies of SIH are essential for our understanding of the mechanisms underpinning stress-related pain syndromes and for the identification of neural pathways and substrates, and the development of novel therapeutic agents for their clinical management. In this review, we describe clinical and pre-clinical models used to study SIH and discuss the neural substrates, neurotransmitters and neuromodulatory systems involved in this phenomenon.

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Crossref · 10.1016/j.pneurobio.2014.06.003

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Authors
Jennings, E. M., Okine, B. N., Roche, M., & Finn, D. P.
Affiliations
Ollscoil na Gaillimhe – University of Galway (IE)
Corresponding author
Finn, David P.
Venue
Progress in Neurobiology
Publisher
Elsevier BV
Published
2014-10
Volume
121
Pages
1-18
ISSN
0301-0082 (ISSN-L)
OpenAlex
W2035912882
Cited by
318
References
218
Citations by year
2026: 25 · 2025: 25 · 2024: 35 · 2023: 26 · 2022: 29 · 2021: 21 · 2020: 26 · 2019: 21 · 2018: 17 · 2017: 40 · 2016: 31 · 2015: 19 · 2014: 1 · 2013: 1
FWCI
3.55
Type
journal article
Language
en
Open access
Locations
  • Progress in Neurobiology (publishedVersion)
  • PubMed (publishedVersion)
  • ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (acceptedVersion, cc-by-nc-nd)
  • Arrow@dit (Dublin Institute of Technology) (acceptedVersion)
  • University of Galway Research Repository (submittedVersion, cc-by)
Funders
Science Foundation Ireland (10/IN.1/B2976)
Topics
  • Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords
stress-induced hyperalgesia, chronic stress, anxiety, pain modulation, emotional pain, pain processing, neural correlates, neurotransmitters, neuromodulatory systems, preclinical models, clinical model
MeSH terms
Animals, Brain, Humans, Hyperalgesia, Pain, Spinal Cord, Stress, Psychological

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