Negative affect heightens opiate withdrawal-induced hyperalgesia in heroin dependent individuals
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This study examined the effect of emotion on opiate withdrawal induced hyperalgesia to determine whether emotional states modulate the magnitude of hyperalgesia. One hundred Hispanic men were recruited into one of three groups: heroin withdrawal, long-term heroin abstinence, and control. Participants were presented with pictures to induce neutral, positive, and negative emotional states. Affective valence, arousal, pain threshold, and tolerance to ischemic pain were measured. When pain threshold and tolerance were compared, the withdrawal group displayed significant heightened pain sensitivity when negative affect was induced. The authors also found that former heroin addicts showed heightened pain sensitivity following months of abstinence.
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Individuals in acute opioid withdrawal (24-72 hours) or protracted abstinence (average 30 months) exhibit lower pain thresholds and pain tolerance, and these decreases are exacerbated by negative emotional states.
“Individuals who were in acute withdrawal (24-72 hours) from opioids or protracted abstinence (average of 30 months) exhibited lower pain thresholds and pain tolerance, measured by the ischemic pain submaximal tourniquet procedure, and these decreases in pain thresholds were exacerbated by negative emotional states (Carcoba et al., 2011).”
From Drug Addiction: Hyperkatifeia/Negative Reinforcement as a Framework for Medications Development (2021) · cites this paper as Carcoba et al., 2011
Methods §2.1 gives 24–72 hours since the last heroin dose and a mean 30.4 months of abstinence; §2.2 confirms the tourniquet procedure. Results §3.4 and the Discussion report reduced thresholds and tolerance during withdrawal, but the abstinent group’s heightened pain sensitivity appeared only on tolerance assessments. Negative pictures further reduced pain thresholds in the withdrawal group, not demonstrably in both groups. (LLM, conf=0.90)
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- Authors
- Carcoba, L. M., Contreras, A. E., Cepeda-Benito, A., & Meagher, M. W.
- Affiliations
- Texas A&M University (US)
- a Texas A&M University , College Station, TX
- ORCID
- Meagher, Mary W.
- Venue
- Journal of Addictive Diseases
- Publisher
- Informa UK Limited
- Published
- 2011-07-01
- Volume
- 30
- Issue
- 3
- Pages
- 258-270
- ISSN
- 1055-0887 (ISSN-L)
- 1545-0848
- PMC
- PMC3209757
- OpenAlex
- W2001960231
- Cited by
- 52
- References
- 72
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 7 · 2023: 5 · 2022: 6 · 2021: 3 · 2020: 7 · 2019: 4 · 2017: 2 · 2016: 3 · 2015: 2 · 2014: 1
- FWCI
- 0.31
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Addictive Diseases (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- scholarworks - UTEP (The University of Texas at El Paso) (submittedVersion)
- Funders
- National Institute of Mental Health (T32MH065728, T32 MH 65728)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- heroin withdrawal, opioid withdrawal, hyperalgesia, negative affect, emotional state, pain threshold, pain tolerance, ischemic pain, heroin addiction, abstinence, emotional valence, arousal, Hispanic men
- MeSH terms
- Adult, Affect, Arousal, Heroin Dependence, Hispanic or Latino, Humans, Hyperalgesia, Male, Pain Measurement, Photic Stimulation, Substance Withdrawal Syndrome, Pain Threshold
About these checks
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