The DOI matches its Crossref record; 67 of the 68 references it cites were found in a registry or an index.
Involvement of the nucleus accumbens and dopamine system in chronic pain
Abstract
Chronic pain syndrome is a complex disorder that includes not only the presence of spontaneous pain and exaggerated responses to painful and nonpainful stimuli but also the development of a negative affective, motivational, and cognitive state and the persistent desire to eliminate pain. Recent evidence indicates that chronic pain shares basic mechanisms with reward-based learning and drug addiction1–3 and that the transition from acute to chronic pain reflects functional reorganization of this reward/motivational circuitry.4
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“The NAc, a key hub in the dopaminergic system, is thought to mediate motivational, affective, and self‐regulatory aspects of chronic pain (Benarroch 2016) and sensorimotor function.”
Citations
Cites
How do you feel — now? The anterior insula and human awareness
(Bud) Craig, A. D. (2009) · Nature Reviews Neuroscience · doi:10.1038/nrn2555 · Cited by 6,657
Bardo, M. T., & Hammer, R. P. (1991) · Neuroscience · doi:10.1016/0306-4522(91)90226-e · Cited by 3,229
Human brain mechanisms of pain perception and regulation in health and disease
Apkarian, A. V., Bushnell, M. C., Treede, R., & Zubieta, J. (2005) · European Journal of Pain · doi:10.1016/j.ejpain.2004.11.001 · Cited by 3,126
Endogenous Pain Control Systems: Brainstem Spinal Pathways and Endorphin Circuitry
Basbaum, A. I., & Fields, H. L. (1984) · Annual Review of Neuroscience · doi:10.1146/annurev.ne.07.030184.001521 · Cited by 2,687
Pain 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 1×
“The somatosensory cortices (S1 and S2) encode information about pain features, including its location and duration(12); the insula is important for the subjective experience of pain,(13) and together with the dorsal anterior cingulate (midcingulate) cortex encodes emotional and motivational aspects of pain.(14) Both t…”
BackgroundCognitive and emotional control of pain and its disruption in chronic pain
Bushnell, M. C., Čeko, M., & Low, L. A. (2013) · Nature Reviews Neuroscience · doi:10.1038/nrn3516 · Cited by 2,076
Lamm, C., Decety, J., & Singer, T. (2011) · NeuroImage · doi:10.1016/j.neuroimage.2010.10.014 · Cited by 2,016
Placebo-Induced Changes in fMRI in the Anticipation and Experience of Pain
Wager, T. D., Rilling, J. K., Smith, E. E., Sokolik, A., Casey, K. L., Davidson, R. J., Kosslyn, S. M., Rose, R. M., & Cohen, J. D. (2004) · Science · doi:10.1126/science.1093065 · Cited by 1,992
Modulation of Striatal Projection Systems by Dopamine
Gerfen, C. R., & Surmeier, D. J. (2011) · Annual Review of Neuroscience · doi:10.1146/annurev-neuro-061010-113641 · Cited by 1,700
An fMRI-Based Neurologic Signature of Physical Pain
Wager, T. D., Atlas, L. Y., Lindquist, M. A., Roy, M., Woo, C.-W., & Kross, E. (2013) · New England Journal of Medicine · doi:10.1056/nejmoa1204471 · Cited by 1,597
Research works printed but not linked: 1
- 10.1016/j.rapm.2007.01.001 · DOI · Paper page
Cited by
Sorted by citations
Pain induces adaptations in ventral tegmental area dopamine neurons to drive anhedonia-like behavior
Markovic, T., Pedersen, C. E., Massaly, N., Vachez, Y. M., Ruyle, B. C., Murphy, C. A., Abiraman, K., Shin, J. H., Garcia, J. J., Yoon, H. J., et al. (2021) · Nature Neuroscience · doi:10.1038/s41593-021-00924-3 · Cited by 129
Role of Descending Dopaminergic Pathways in Pain Modulation
Li, C., Liu, S., Lu, X., & Tao, F. (2019) · Current Neuropharmacology · doi:10.2174/1570159x17666190430102531 · Cited by 103
Reward Circuitry Plasticity in Pain Perception and Modulation
DosSantos, M. F. H., Moura, B. D. S., & DaSilva, A. F. M. (2017) · Frontiers in Pharmacology · doi:10.3389/fphar.2017.00790 · Cited by 71
Chung, G., Kim, C. Y., Yun, Y.-C., Yoon, S. H., Kim, M., Kim, Y. K., & Kim, S. J. (2017) · Scientific Reports · doi:10.1038/s41598-017-09991-8 · Cited by 67
Association between Chronic Pain and Alterations in the Mesolimbic Dopaminergic System
Yang, S., Boudier‐Revéret, M., Choo, Y. J., & Chang, M. C. (2020) · Brain Sciences · doi:10.3390/brainsci10100701 · Cited by 65
Pain-related nucleus accumbens function: modulation by reward and sleep disruption
Seminowicz, D. A., Remeniuk, B., Krimmel, S. R., Smith, M. T., Barrett, F. S., Wulff, A. B., Furman, A. J., Geuter, S., Lindquist, M. A., Irwin, M. R., et al. (2019) · Pain · doi:10.1097/j.pain.0000000000001498 · Cited by 62
Kerekes, N., Sánchez‐Pérez, A. M., & Landry, M. (2021) · Medical Hypotheses · doi:10.1016/j.mehy.2021.110717 · Cited by 53
Lin, C., Chaudhuri, К. R., Fan, J., Ko, C.-I., Rizos, A., Chang, C.-W., Lin, H.-I., & Wu, Y. (2017) · Scientific Reports · doi:10.1038/s41598-017-06782-z · Cited by 40
Guo, M., Wu, Y., Zheng, D., Chen, L., Xiong, B., Wu, J., Li, K., Wang, L., Lin, K., Zhang, Z., et al. (2022) · Neuroscience Bulletin · doi:10.1007/s12264-022-00955-1 · Cited by 35
Mayaud, L., Wu, H., Barthélemy, Q., Favennec, P., Delpierre, Y., Congedo, M., Dupeyron, A., & Ritz, M. (2019) · European Spine Journal · doi:10.1007/s00586-019-06051-9 · Cited by 51
García-González, D., Dumitru, I., Zuccotti, A., Yen, T.-Y., Herranz-Pérez, V., Tan, L. L., Neitz, A., García-Verdugo, J., Kuner, R., Alfonso, J., et al. (2020) · Molecular Psychiatry · doi:10.1038/s41380-020-0823-4 · Cited by 24
Pain in Parkinson's disease: a neuroanatomy-based approach
Nardelli, D., Gambioli, F., Bartolo, M. I. D., Mancinelli, R., Biagioni, F., Carotti, S., Falato, E., Leodori, G., Puglisi‐Allegra, S., Vivacqua, G., et al. (2024) · Brain Communications · doi:10.1093/braincomms/fcae210 · Cited by 31
Acupuncture for Psychological Disorders Caused by Chronic Pain: A Review and Future Directions
Lin, L., Li, H., Yang, J., Hao, X.-W., Yan, S., Wang, Y., Yu, F.-T., Shi, G., & Liu, C. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2020.626497 · Cited by 27
Zhang, Y., Ma, H., Bai, Y., Hou, X., Yang, Y., Wang, G., & Li, Y. (2024) · ACS Chemical Neuroscience · doi:10.1021/acschemneuro.4c00125 · Cited by 28
Neural circuit mechanisms of acupuncture effect: where are we now?
Wang, X., Wang, J., Han, R., Yu, C.-C., & Shen, F. (2024) · Frontiers in Neurology · doi:10.3389/fneur.2024.1399925 · Cited by 26
Noursadeghi, E., Rashvand, M., & Haghparast, A. (2022) · Brain Research · doi:10.1016/j.brainres.2022.147887 · Cited by 23
High trait impulsivity potentiates the effects of chronic pain on impulsive behavior
Cunha, A. M., Esteves, M., Pereira-Mendes, J., Guimarães, M. R., Almeida, A., & Leite‐Almeida, H. (2019) · Neurobiology of Pain · doi:10.1016/j.ynpai.2019.100042 · Cited by 19
Letzen, J. E., Boissoneault, J., Sevel, L. S., & Robinson, M. E. (2019) · Brain Imaging and Behavior · doi:10.1007/s11682-019-00076-w · Cited by 17
Islam, J., Elina, K. C., Kim, S., Kim, H. K., & Park, Y. S. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22168421 · Cited by 17
Kong, Q., Saccà, V., Zhu, M., Ursitti, A. K., & Kong, J. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12134426 · Cited by 17
Liu, M., Sun, Y., Li, X., & Chen, Z. (2022) · The Journal of Headache and Pain · doi:10.1186/s10194-022-01444-6 · Cited by 16
Yang, C., Yu, Z., Li, G., Li, C., & Li, C. (2024) · World Neurosurgery · doi:10.1016/j.wneu.2024.01.138 · Cited by 16
Elina, K. C., Moon, H. C., Kim, S., Kim, H. K., Won, S.-Y., Hyun, S., & Park, Y. S. (2019) · Neuromodulation Technology at the Neural Interface · doi:10.1111/ner.13059 · Cited by 15
Higginbotham, J. A., Abt, J. G., Teich, R. H., Dearman, J. J., Lintz, T., & Morón, J. A. (2025) · Neuron · doi:10.1016/j.neuron.2025.02.013 · Cited by 17
Faramarzi, G., Charmchi, E., Salehi, S., Zendehdel, M., & Haghparast, A. (2020) · European Journal of Pain · doi:10.1002/ejp.1716 · Cited by 14
Brandão, A. D. F., Bonet, I. J. M., Pagliusi, M., Zanetti, G. G., Pho, N., Tambeli, C. H., Parada, C. A., Vieira, A. S., & Sartori, C. R. (2020) · Frontiers in Neuroscience · doi:10.3389/fnins.2019.01453 · Cited by 13
Razavi, Y., Rashvand, M., Sharifi, A., Haghparast, A., Keyhanfar, F., & Haghparast, A. (2021) · Neuroscience Letters · doi:10.1016/j.neulet.2021.136141 · Cited by 10
Pain-Related Abnormal Neuronal Synchronization of the Nucleus Accumbens in Parkinson’s Disease
Kinugawa, K., Mano, T., Yamatani, Y., Miyasaka, T., Kataoka, H., & Sugie, K. (2022) · Brain Sciences · doi:10.3390/brainsci12010084 · Cited by 10
Focused Ultrasound Modulates Dopamine in a Mesolimbic Reward Circuit
Olaitan, G. O., Ganesana, M., Strohman, A., Lynch, W. J., Legon, W., & Venton, B. J. (2025) · Journal of Neurochemistry · doi:10.1111/jnc.70001 · Cited by 9
Gaspar, J. C., Okine, B. N., Dinneen, D., Roche, M., & Finn, D. P. (2022) · Molecules · doi:10.3390/molecules27062021 · Cited by 8
Brain functional connectivity changes by low back extension pain model in low back pain patients
Eun, S., Lee, J., Song, E.-M., Rosa, A. D., Lee, J., & Park, K. (2020) · PLoS ONE · doi:10.1371/journal.pone.0233858 · Cited by 7
Strigo, I. A., Spadoni, A. D., & Simmons, A. N. (2022) · Frontiers in Pain Research · doi:10.3389/fpain.2022.871961 · Cited by 7
Noursadeghi, E., & Haghparast, A. (2023) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2023.03.003 · Cited by 7
Hajhashemi, V., Salimian, M., & Hajihashemi, O. (2022) · Behavioural Pharmacology · doi:10.1097/fbp.0000000000000709 · Cited by 6
Hajhashemi, V., Sadeghi, H., & Madab, F. K. (2023) · The Korean journal of pain · doi:10.3344/kjp.23262 · Cited by 6
Higginbotham, J. A., Abt, J. G., Tiech, R. H., & Morón, J. A. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.08.19.504549 · Cited by 6
Gakare, S. G., Shelkar, G. P., Gawande, D. Y., Pavuluri, R., Gandhi, P. J., & Dravid, S. M. (2024) · Neurobiology of Disease · doi:10.1016/j.nbd.2024.106784 · Cited by 5
Ledebuhr, K. N. B., Nunes, G. D., Presa, M. H., Hartmann, C. M., Godoi, B., Bortolatto, C. F., & Brüning, C. A. (2024) · Toxicology and Applied Pharmacology · doi:10.1016/j.taap.2024.116881 · Cited by 4
Medina, S., Forero, C. G., Sanabria‐Mazo, J. P., Rodríguez‐Freire, C., Navarrete, J., O'Daly, O. G., Howard, M. A., & Luciano, J. V. (2025) · Brain and Behavior · doi:10.1002/brb3.70380 · Cited by 3
Saghafi, M., Danesh, E., Ghalandari-Shamami, M., Mousavi, Z., & Haghparast, A. (2025) · Behavioural Brain Research · doi:10.1016/j.bbr.2025.115572 · Cited by 3
Loss of effort in chronic low-back pain patients: Motivational anhedonia in chronic pain
Alldritt, S., Jammoul, M., Makary, M. M., Becker, S., Maeng, D. D., Keane, B. P., Zald, D. H., & Geha, P. (2025) · PLoS ONE · doi:10.1371/journal.pone.0317980 · Cited by 5
Natsubori, A., Miyazawa, M., Kojima, T., & Honda, M. (2022) · Neuroscience Research · doi:10.1016/j.neures.2022.12.008 · Cited by 3
Anterior Cerebral Artery Territory Infarction-Related Resolution of Chronic Lower Back Pain
Filley, C. M., Burke, H., & Anderson, C. A. (2017) · Journal of Neuropsychiatry · doi:10.1176/appi.neuropsych.17040080 · Cited by 3
Liu, G., Lin, C., Qiu, D., Li, X., Guo, Z., Li, Y.-D., Mei, Y., Zhang, M., Wang, J., Liu, X., et al. (2026) · The Journal of Headache and Pain · doi:10.1186/s10194-026-02351-w · Cited by 2
Scaling problem in Parkinson's disease patients with pain
Kim, M. S., Oh, J. S., Seo, S. Y., Kim, J. S., Han, Y. M., Kim, J. H., & Kang, S. Y. (2023) · Parkinsonism & Related Disorders · doi:10.1016/j.parkreldis.2023.105868 · Cited by 2
Optogenetic Approach in Trigeminal Neuralgia and Potential Concerns: Preclinical Insights
Elina, K. C., Islam, J., Lee, G., & Park, Y. S. (2023) · Molecular Neurobiology · doi:10.1007/s12035-023-03652-w · Cited by 2
Gabel, F., Hovhannisyan, V., Berkati, A.-K., Andry, V., & Goumon, Y. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.01.16.524193 · Cited by 2
Jia, W.-B., Wang, X.-Y., Xia, X.-X., Tang, L., Liang, Y., Lei, X.-L., Liu, X.-Q., Hu, W., & Zhang, Y. (2026) · Nature Communications · doi:10.1038/s41467-026-70580-3 · Cited by 1
Efficacy of transdermal rotigotine in chronic cluster headache: A case series
Lorenzo, C. D., Pellesi, L., Coppola, G., Parisi, V., Evangelista, M., Guérzoni, S., Rossi, P., Serrao, M., Pini, L. A., & Pierelli, F. (2018) · Cephalalgia Reports · doi:10.1177/2515816318809697 · Cited by 1
Duloxetine/gabapentin/pregabalin
(2016) · Reactions Weekly · doi:10.1007/s40278-016-24088-1
Villela, P. N. R., Balbona, J. V., Sarabudla, N., Hatoum, A. S., Haroutounian, S., Arpana Agrawal, A., & Johnson, E. C. (2025) · medRxiv · doi:10.1101/2025.09.29.25336894
Başer, T., & Saygın, M. (2026) · Cukurova Anestezi ve Cerrahi Bilimler Dergisi · doi:10.36516/jocass.1840651
Metadata
- Authors
- Benarroch, E. E.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Benarroch, Eduardo E.
- Venue
- Neurology
- Published
- 2016-10-18
- Volume
- 87
- Issue
- 16
- Pages
- 1720-1726
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2522550648
- Cited by
- 52
- References
- 68
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 6 · 2022: 9 · 2021: 5 · 2020: 5 · 2019: 6 · 2018: 1 · 2017: 4 · 2016: 1
- FWCI
- 3.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- chronic pain, nucleus accumbens, dopaminergic system, reward learning, drug addiction, negative affect, cognitive states, acute to chronic pain transition, functional reorganization
- MeSH terms
- Aged, Animals, Dopamine, Humans, Male, Motivation, Nucleus Accumbens, Mice, Pain Perception, Chronic Pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review