Cited by 323Pain Management and Placebo EffectNeural and Behavioral Psychology StudiesPain Mechanisms and Treatments

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Anterolateral Prefrontal Cortex Mediates the Analgesic Effect of Expected and Perceived Control over Pain

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Wiech, Katja, Kalisch, Raffael, Weiskopf, Nikolaus, Pleger, Burkhard, Stephan, Klaas Enno, Dolan, Raymond J.·2006·The Journal of Neuroscience

DOI 10.1523/jneurosci.2568-06.2006PMC PMC2635565

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Abstract

Perceived control attenuates pain and pain-directed anxiety, possibly because it changes the emotional appraisal of pain. We examined whether brain areas associated with voluntary reappraisal of emotional experiences also mediate the analgesic effect of perceived control over pain. Using functional magnetic resonance imaging, we compared self-controlled noxious stimuli with physically identical stimuli that were externally controlled. Self-controlled stimulation was accompanied by less pain and anxiety and higher activation in dorsal anterior cingulate (dACC), right dorsolateral, and bilateral anterolateral prefrontal (alPFC) cortices. Activation in dACC and right alPFC was negatively correlated with pain intensity ratings. For externally controlled pain, activation in right alPFC was inversely correlated with the participants' general belief to have control over their lives. Our results are consistent with a reappraisal view of control and suggest that the analgesic effect of perceived control relies on activation of right alPFC. Failure to activate right alPFC may explain the maladaptive effects of strong general control beliefs during uncontrollable pain.

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Authors: Wiech, K., Kalisch, R., Weiskopf, N., Pleger, B., Stephan, K. E., & Dolan, R. J.
Affiliations: Wellcome Centre for Human Neuroimaging (GB)
ORCID: Wiech, Katja
Weiskopf, Nikolaus
Pleger, Burkhard
Stephan, Klaas Enno
Dolan, Raymond J.
Venue: The Journal of Neuroscience
Publisher: Society for Neuroscience
Published: 2006-11-01
Volume: 26
Issue: 44
Pages: 11501-11509
ISSN: 0270-6474 (ISSN-L)
1529-2401
DOI: 10.1523/jneurosci.2568-06.2006
PMC: PMC2635565
OpenAlex: W2081172822
Cited by: 323
References: 58
Citations by year: 2026: 9 · 2025: 10 · 2024: 11 · 2023: 15 · 2022: 13 · 2021: 19 · 2020: 13 · 2019: 27 · 2018: 18 · 2017: 20 · 2016: 18 · 2015: 17 · 2014: 18 · 2013: 22 · 2012: 16
FWCI: 5.82
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-sa
creativecommons.org/licenses/by-nc-sa/4.0/ (vor, 181 d)
Locations: Journal of Neuroscience (publishedVersion, cc-by-nc-sa)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
UCL Discovery (University College London) (submittedVersion)
Max Planck Digital Library (submittedVersion, other-oa)
MPG.PuRe (Max Planck Society) (submittedVersion)
MPG.PuRe (Max Planck Society) (submittedVersion, other-oa)
Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
Zurich Open Repository and Archive (University of Zurich)
Funders: Wellcome Trust (078865)
European Commission
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
Keywords: analgesia, dorsal anterior cingulate cortex, dorsolateral prefrontal cortex, emotional reappraisal, external control, pain intensity
MeSH terms: Adult, Analgesia, Brain Mapping, Electric Stimulation, Female, Humans, Pain, Pain Measurement, Perception, Pain Threshold, Prefrontal Cortex

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Anterolateral Prefrontal Cortex Mediates the Analgesic Effect of Expected and Perceived Control over Pain

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