Articles producció científica> Psicologia

Neuromodulatory treatments for chronic pain: Efficacy and mechanisms

  • Identification data

    Identifier: imarina:9285372
    Authors:
    Jensen, Mark PDay, Melissa AMiro, Jordi
    Abstract:
    Chronic pain is common, and the available treatments do not provide adequate relief for most patients. Neuromodulatory interventions that modify brain processes underlying the experience of pain have the potential to provide substantial relief for some of these patients. The purpose of this Review is to summarize the state of knowledge regarding the efficacy and mechanisms of noninvasive neuromodulatory treatments for chronic pain. The findings provide support for the efficacy and positive side-effect profile of hypnosis, and limited evidence for the potential efficacy of meditation training, noninvasive electrical stimulation procedures, and neurofeedback procedures. Mechanisms research indicates that hypnosis influences multiple neurophysiological processes involved in the experience of pain. Evidence also indicates that mindfulness meditation has both immediate and long-term effects on cortical structures and activity involved in attention, emotional responding and pain. Less is known about the mechanisms of other neuromodulatory treatments. On the basis of the data discussed in this Review, training in the use of self-hypnosis might be considered a viable 'first-line' approach to treat chronic pain. More-definitive research regarding the benefits and costs of meditation training, noninvasive brain stimulation and neurofeedback is needed before these treatments can be recommended for the treatment of chronic pain. © 2014 Macmillan Publishers Limited.
  • Others:

    Author, as appears in the article.: Jensen, Mark P; Day, Melissa A; Miro, Jordi
    Department: Psicologia
    URV's Author/s: Miró Martínez, Jordi
    Keywords: Transcranial magnetic stimulation Stress reduction Spinal-cord-injury Review Priority journal Pain management Neurotransmitter agents Neurophysiology Neuropathic pain Neuromodulation Neurofeedback Mindfulness meditation Meditation Hypnotic analgesia Hypnosis Humans Functional connectivity Fibromyalgia syndrome Emotion Electrostimulation Electric stimulation therapy Eeg biofeedback treatment Clinical importance Clinical effectiveness Chronic pain Brain Autogenic training Attention Analgesia
    Abstract: Chronic pain is common, and the available treatments do not provide adequate relief for most patients. Neuromodulatory interventions that modify brain processes underlying the experience of pain have the potential to provide substantial relief for some of these patients. The purpose of this Review is to summarize the state of knowledge regarding the efficacy and mechanisms of noninvasive neuromodulatory treatments for chronic pain. The findings provide support for the efficacy and positive side-effect profile of hypnosis, and limited evidence for the potential efficacy of meditation training, noninvasive electrical stimulation procedures, and neurofeedback procedures. Mechanisms research indicates that hypnosis influences multiple neurophysiological processes involved in the experience of pain. Evidence also indicates that mindfulness meditation has both immediate and long-term effects on cortical structures and activity involved in attention, emotional responding and pain. Less is known about the mechanisms of other neuromodulatory treatments. On the basis of the data discussed in this Review, training in the use of self-hypnosis might be considered a viable 'first-line' approach to treat chronic pain. More-definitive research regarding the benefits and costs of meditation training, noninvasive brain stimulation and neurofeedback is needed before these treatments can be recommended for the treatment of chronic pain. © 2014 Macmillan Publishers Limited.
    Thematic Areas: Neurology (clinical) Medicina ii Medicina i General medicine Engenharias iv Clinical neurology Cellular and molecular neuroscience
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: jordi.miro@urv.cat
    Author identifier: 0000-0002-1998-6653
    Record's date: 2024-10-12
    Papper version: info:eu-repo/semantics/submittedVersion
    Link to the original source: https://www.nature.com/articles/nrneurol.2014.12
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Nature Reviews Neurology. 10 (3): 167-178
    APA: Jensen, Mark P; Day, Melissa A; Miro, Jordi (2014). Neuromodulatory treatments for chronic pain: Efficacy and mechanisms. Nature Reviews Neurology, 10(3), 167-178. DOI: 10.1038/nrneurol.2014.12
    Article's DOI: 10.1038/nrneurol.2014.12
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2014
    Publication Type: Journal Publications
  • Keywords:

    Cellular and Molecular Neuroscience,Clinical Neurology,Neurology (Clinical)
    Transcranial magnetic stimulation
    Stress reduction
    Spinal-cord-injury
    Review
    Priority journal
    Pain management
    Neurotransmitter agents
    Neurophysiology
    Neuropathic pain
    Neuromodulation
    Neurofeedback
    Mindfulness meditation
    Meditation
    Hypnotic analgesia
    Hypnosis
    Humans
    Functional connectivity
    Fibromyalgia syndrome
    Emotion
    Electrostimulation
    Electric stimulation therapy
    Eeg biofeedback treatment
    Clinical importance
    Clinical effectiveness
    Chronic pain
    Brain
    Autogenic training
    Attention
    Analgesia
    Neurology (clinical)
    Medicina ii
    Medicina i
    General medicine
    Engenharias iv
    Clinical neurology
    Cellular and molecular neuroscience
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