The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.
When shared pain is not half the pain: enhanced central nervous system processing and verbal reports of pain in the presence of a solicitous spouse
Open accessAbstract
The experience of pain and pain behaviors is not only determined by physiological but also psychosocial factors. In this context, the learning history of the individual and specifically operant reinforcement related to spouse responses might play an important role. We investigated the effect of a solicitous and habitually pain-reinforcing spouse for the processing of pain in patients with chronic pain. Using multichannel electroencephalography, pain behaviors, and self-reports of pain, we examined 20 patients with chronic back pain (10 with solicitous and 10 with nonsolicitous spouses) and 10 matched healthy controls. The participants received a series of painful and nonpainful electrical stimuli applied to the site of pain (back) and a control area (finger) in the presence vs absence of the spouse. The global field power of the electroencephalogram with a focus in the frontal region was enhanced in patients with chronic back pain who had a solicitous spouse compared to those with a nonsolicitous spouse and the healthy controls. This was specific for the painful stimulation at the back and occurred only in the presence but not the absence of the spouse. Pain ratings of intensity and unpleasantness were also higher in the patients with solicitous spouses when the spouse was present during painful stimulation. These data suggest that significant other responses indicative of operant reinforcement may have a direct effect on the cerebral processing of pain and related pain perception.
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“and that therapy outcomes can be improved if therapy is addressed to both partners [35, 36].”
From Endometriosis: patient–doctor communication and psychological counselling (2023) · cites this paper as [35]
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Cites
Empathy for Pain Involves the Affective but not Sensory Components of Pain
Singer, T., Seymour, B., O'Doherty, J., Kaube, H., Dolan, R. J., & Frith, C. D. (2004) · Science · doi:10.1126/science.1093535 · Cited by 3,929 · cited 2×
“These data are, however, in accordance with findings by Singer et al.40 showing that empathy toward the pain experience of another person is also mediated by the anterior cingulate.”
ResultPain Affect Encoded in Human Anterior Cingulate But Not Somatosensory Cortex
Rainville, P., Duncan, G. H., Price, D. D., Carrier, B., & Bushnell, M. C. (1997) · Science · doi:10.1126/science.277.5328.968 · Cited by 2,629 · cited 2×
“In relation to brain activity, the location of the differential effects in the frontocentral region suggests that this activity may originate from the anterior cingulate and might thus be more related to affective than sensory-discriminative pain processing.(38) A detailed source analysis was not possible with this ty…”
BackgroundResultThe West Haven-Yale Multidimensional Pain Inventory (WHYMPI)
Kerns, R. D., Turk, D. C., & Rudy, T. E. (1985) · Pain · doi:10.1016/0304-3959(85)90004-1 · Cited by 2,128
Towards a theory of chronic pain
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Nociception, pain, negative moods, and behavior selection
Baliki, M. N., & Apkarian, A. V. (2015) · Neuron · doi:10.1016/j.neuron.2015.06.005 · Cited by 731
Extensive reorganization of primary somatosensory cortex in chronic back pain patients
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Self-citationCortical Representation of the Sensory Dimension of Pain
Hofbauer, R. K., Rainville, P., Duncan, G. H., & Bushnell, M. C. (2001) · Journal of Neurophysiology · doi:10.1152/jn.2001.86.1.402 · Cited by 611 · cited 1×
“These data also are in accordance with studies that sought to separate emotional and sensory components of pain and found differential activity in either the anterior cingulate (unpleasantness focus) or the somatosensory cortex (sensory focus).(23,38)Notably, they support the hypothesis of a shift in functional brain…”
ResultTurner, J. A., Jensen, M. P., & Romano, J. M. (2000) · Pain · doi:10.1016/s0304-3959(99)00259-6 · Cited by 487
Attachment figures activate a safety signal-related neural region and reduce pain experience
Eisenberger, N. I., Master, S. L., Inagaki, T. K., Taylor, S. E., Shirinyan, D., Lieberman, M. D., & Naliboff, B. D. (2011) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1108239108 · Cited by 471
Cited by
Sorted by citations
Löffler, M., Levine, S. M., Usai, K., Desch, S., Mišić, M., Nees, F., & Flor, H. (2022) · Cell Reports Medicine · doi:10.1016/j.xcrm.2022.100677 · Cited by 45
Self-citationThe impact of the social context on the development of secondary hyperalgesia: an experimental study
Jaltare, K. P., Vanderijst, L., Karos, K., & Torta, D. M. E. (2023) · Pain · doi:10.1097/j.pain.0000000000002971 · Cited by 16
Naka, A., Kotz, C., Gutmann, E., Pramhas, S., Schukro, R. P., Ristl, R., Schuhfried, O., Crevenna, R., & Sator, S. (2023) · Medicina · doi:10.3390/medicina59050823 · Cited by 13
Differential effects of everyday-life social support on chronic pain
Weiss, M. H., Jachnik, A., Lampe, E. C., Gründahl, M., Harnik, M. A., Sommer, C., Rittner, H. L., & Hein, G. (2024) · BMC Neurology · doi:10.1186/s12883-024-03792-z · Cited by 11
Endometriosis: patient–doctor communication and psychological counselling
Wischmann, T., & Ditzen, B. (2023) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-023-07292-2 · Cited by 11
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Metadata
- Authors
- Nees, F., Ditzen, B., & Flor, H.
- Affiliations
- Heidelberg University (DE)
- University Hospital Heidelberg (DE)
- Corresponding author
- Flor, Herta
- Venue
- Pain
- Published
- 2021-12-15
- Volume
- 163
- Issue
- 9
- Pages
- e1006-e1012
- ISSN
- 0304-3959 (ISSN-L)
- 1872-6623
- PMC
- PMC9393802
- OpenAlex
- W4200598987
- Cited by
- 18
- References
- 41
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 6 · 2022: 1
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Pain (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- chronic back pain, shared pain, operant reinforcement, pain processing, pain perception, psychosocial factors in pain, pain behavior
- MeSH terms
- Back Pain, Central Nervous System, Humans, Pain Measurement, Spouses, Chronic Pain
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