Cited by 52Opioid Use Disorder TreatmentPain Mechanisms and TreatmentsPain Management and Opioid Use

Negative affect heightens opiate withdrawal-induced hyperalgesia in heroin dependent individuals

Open access
Carcoba, Luis M., Contreras, Arturo E., Cepeda-Benito, Antonio, Meagher, Mary W.·2011·Journal of Addictive Diseases

Abstract

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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Crossref · 10.1080/10550887.2011.581985

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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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Research works printed but not linked: 3

  1. [40]Wunsch A Philippot P Plaghki L Affective associative learning modifies the sensory perception of nociceptive stimuli without participant’s awareness Pain 2003 102 27 38 12620594
  2. [45]Koob GF Le Moal M Neurobiological mechanisms for opponent motivational processes in addiction Philos Trans R Soc Lond B Biol Sci 2008 363 1507 3113 3123 12 18653439 PMC2607326
  3. [65]Bederson JB Fields HL Barbaro NM Hyperalgesia during naloxone-precipitated withdrawal from morphine is associated with increased on-cell activity in the rostral ventromedial medulla Somatosens Mot Re 1990 7 185 203 2378192

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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
Venue
Journal of Addictive Diseases
Published
2011-07-01
Volume
30
Issue
3
Pages
258-270
ISSN
  • 1055-0887 (ISSN-L)
  • 1545-0848
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
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

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