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This study was designed to investigate the neural mechanism of cognitive modulation of pain via a reappraisal strategy with high temporal resolution. The EEG signal was recorded from 29 participants who were instructed to down-regulate, up-regulate, or maintain their pain experience. The L2 minimum norm source reconstruction method was used to localize areas in which a significant effect of the instruction was present. Down-regulating pain by reappraisal exerted a robust effect on pain processing from as early as ~100 ms that diminished the activity of limbic brain regions: the anterior cingulate cortex, right orbitofrontal cortex, left anterior temporal region, and left insula. However, compared with the no-regulation condition, the neural activity was similarly attenuated in the up- and down-regulation conditions. We suggest that this effect could be ascribed to the cognitive load that was associated with the execution of a cognitively demanding reappraisal task that could have produced a general attenuation of pain-related areas regardless of the aim of the reappraisal task (i.e., up- or down-regulation attempts). These findings indicate that reappraisal effects reflect the joint influence of both reappraisal-specific (cognitive change) and unspecific (cognitive demand) factors, thus pointing to the importance of cautiously selected control conditions that allow the modulating impact of both processes to be distinguished.
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http://dx.doi.org/10.3758/s13415-020-00768-7 | DOI Listing |
Postgrad Med J
August 2025
Department of Surgery (Retd), NSCB Government Medical College, Jabalpur- 482 003, MP, India.
In an age of surgical innovation, the shift toward minimally invasive inguinal hernia repair demands critical reappraisal. Large-scale data and registry analyses reveal no consistent superiority of laparoscopic or robotic techniques over the traditional open repair, particularly regarding recurrence, complications, chronic pain, or patient satisfaction. The open Lichtenstein approach, often undervalued, remains a pragmatic, cost-effective, and evidence-based option, especially in high-risk or resource-limited settings.
View Article and Find Full Text PDFExpert Rev Hematol
August 2025
Hematology Unit, Sant'Eugenio Hospital, Rome, Italy.
Introduction: Mucosal toxicities remain a longstanding and challenging concern in the treatment of hematopoietic malignancies (HM). In addition to the classic oral (OM) and gastrointestinal mucositis (GIM) induced by chemotherapy (CHT) and/or radiotherapy (RT), novel targeted treatments and immunotherapies may cause other forms of mucosal disorders.
Areas Covered: This overview provides updated insights into the pathobiology and management strategies for mucosal toxicities induced by treatments for HMs.
Drug Alcohol Depend
August 2025
Sanford Institute for Empathy and Compassion, University of California San Diego, La Jolla, CA, United States; Department of Psychiatry, University of California San Diego School of Medicine, La Jolla, CA, United States. Electronic address:
Background: With evolving legislation and attitudes towards cannabis in the United States, individuals receiving long-term opioid therapy (LTOT) for chronic pain increasingly use cannabis intending to relieve pain and reduce opioid consumption. Although they might also use cannabis to compensate for emotion dysregulation, the role of emotion regulation capacity in this population's patterns of cannabis use has not been investigated. This study examined whether deficits in emotion regulation capacity, an endophenotype assessed via psychophysiological measures, are associated with more frequent cannabis use among individuals receiving LTOT for chronic pain.
View Article and Find Full Text PDFCephalalgia
August 2025
Department of Neurology, Danish Headache Center, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Substance P, a neuropeptide associated with pain and inflammation, has been implicated in migraine pathophysiology through its action within the trigeminovascular system. This narrative review summarizes current evidence on the synthesis, release, receptor binding and downstream effects of substance P. It integrates preclinical and clinical findings to reassess its therapeutic relevance.
View Article and Find Full Text PDFSports Med
July 2025
Centre for Pain Research, School of Health, Leeds Beckett University, Leeds, West Yorkshire, LS1 3HE, UK.
Background: Elite ultra-endurance athletes face extreme physical and psychological challenges, often enduring prolonged pain, fatigue and adverse environmental conditions. This article explores the pain coping strategies these athletes employ and highlights parallels with chronic pain populations. Through a combination of genetic predispositions, physiological conditioning and psychological resilience, ultra-endurance athletes tolerate prolonged and severe bodily pain and discomfort.
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