Literature DB >> 33003073

Alterations in Neural Responses and Pain Perception in Older Adults During Distraction.

Ana María González-Roldán1, Juan Lorenzo Terrasa, Carolina Sitges, Marian van der Meulen, Fernand Anton, Pedro Montoya.   

Abstract

OBJECTIVE: Although it is acknowledged that pain may be modulated by cognitive factors, little is known about the effect of aging on these control processes. The present study investigated electroencephalographical correlates of pain processing and its cognitive modulation in healthy older individuals.
METHODS: For this purpose, the impact of distraction on pain was evaluated in 21 young (9 men; 20.71 [2.30]) and 20 older (10 men; 66.80 [4.14]) adults. Participants received individually adjusted electrical pain stimuli in a high-distraction condition (one-back task) and in a low-distraction condition (simple letter response task). Pain-related evoked potentials and pain ratings were analyzed.
RESULTS: Both groups rated pain as less intense (F(1,39) = 13.954, p < .001) and less unpleasant (F(1,39) = 10.111, p = .003) when it was experienced during the high- rather than the low-distraction condition. However, in comparison to younger participants, older adults gave higher unpleasantness ratings to painful stimulation (F(1,39) = 4.233, p = .046), accompanied by attenuated neural responses (N1-P1 and P3 amplitudes), regardless of the distraction condition (F(1,38) = 6.028 [p = .019] and F(1,38) = 6.669 [p = .014], respectively).
CONCLUSIONS: Older participants felt pain relief through distraction, like younger participants. However, we also found that aging may enhance affective aspects of pain perception. Finally, our results show that aging is characterized by reduced neural processing of painful stimuli. This phenomenon could be related to the increased vulnerability of older participants to develop chronic pain.

Entities:  

Year:  2020        PMID: 33003073     DOI: 10.1097/PSY.0000000000000870

Source DB:  PubMed          Journal:  Psychosom Med        ISSN: 0033-3174            Impact factor:   4.312


  3 in total

Review 1.  Chronic Pain in the Elderly: Mechanisms and Perspectives.

Authors:  Ana P A Dagnino; Maria M Campos
Journal:  Front Hum Neurosci       Date:  2022-03-03       Impact factor: 3.169

2.  Better Executive Functions Are Associated With More Efficient Cognitive Pain Modulation in Older Adults: An fMRI Study.

Authors:  Katharina M Rischer; Fernand Anton; Ana M González-Roldán; Pedro Montoya; Marian van der Meulen
Journal:  Front Aging Neurosci       Date:  2022-07-07       Impact factor: 5.702

3.  Anterior Cingulate Cortex Activity During Rest Is Related to Alterations in Pain Perception in Aging.

Authors:  Juan L Terrasa; Pedro Montoya; Carolina Sitges; Marian van der Meulen; Fernand Anton; Ana M González-Roldán
Journal:  Front Aging Neurosci       Date:  2021-07-06       Impact factor: 5.750

  3 in total

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