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Psychophysical Differentiation of Pain by Threshold Methods

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Integrative Biological Psychiatry
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Abstract

Pain represents an unpleasant, distressing, and agonizing sensation. It cannot be described in terms of perception only, but refers to a complex experience with concomitant psychophysical components. Acute pain serves warning and protection functions, whereas chronic pain is also characterized by emotional reactions such as anxiety and depression. generalization, potentiation, and perpetuation. Thus, pain is always a complex phenomenon with at least three levels of reactions: the level of subjective and psychological experience, the level of behavioral responses, and the level of neurophysiological and biochemical findings. Because in clinical pain syndromes these levels are involved in different ways and with different interrelationships, it is important that pain measurement should refer to at least some components of these levels (Fig. 1; Birbaumer 1984; Handwerker 1984). For example, pain questionnaires refer solely to the subjective pain experience.

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References

  • Abraham HD, Joseph AB (1987) Bulimic vomiting alters pain tolerance and mood. Int J Psychiatry Med 16: 311–316

    Article  CAS  Google Scholar 

  • Birbaumer N (1984) Psychologische Analyse und Behandlung von Schmerzzuständen. In: Zimmermann M, Handwerker HO (eds) Schmerz – Konzepte und ärztliches Handeln. Springer, Berlin Heidelberg New York Tokyo, p 124

    Google Scholar 

  • Campell IN, Meyer RA (1983) Sensitization of unmyelinated nociceptive afferents in monkey varies with skin type. J Neurophysiol 49: 98–110

    Google Scholar 

  • Chapman CR, Casey KL, Dubner R, Foley KM, Gracely RH, Reading AE (1985) Pain measurement: an overview. Pain 22: 1–31

    Article  PubMed  CAS  Google Scholar 

  • Darian-Smith I (1984) Thermal sensibility. In: Brookhart JM, Mountcastle VB, Darian-Smith I, Geiger SR (eds) Handbook of physiology, vol III. American Physiological Society, Bethesda p 87

    Google Scholar 

  • Dyck PJ, Kames J, O’Brien PC, Zimmermann IR (1984) Detection thresholds of cutaneous sensation in humans. In: Dyck PJ, Thomas PK, Lambert EH, Bunge R (eds) Peripheral neuropathy, vol 1. Saunders, Philadelphia, p 1103

    Google Scholar 

  • Dyck PJ, Kames J, O’Brien PC (1987) Detection thresholds of cutaneous sensation. In: Dyck PJ, Thomas PK, Asbury AK, Winegrad AI, Porte D (eds) Diabetic neuropathy. Saunders, Philadelphia, p 107

    Google Scholar 

  • Ebaugh F, Thauer R (1950) Influence of various environmental temperatures on the cold and warmth thresholds. J Appl Physiol 3: 173–182

    PubMed  Google Scholar 

  • Fruhstorfer H, Zenz M, Nolte H, Hensel H (1974) Dissociated loss of cold and warm sensibility during regional anaesthesia. Pflügers Arch 349: 73–82

    Article  PubMed  CAS  Google Scholar 

  • Fruhstorfer H, Goldberg JM, Lindblom U, Schmidt WG (1976) Temperature sensitivity and pain thresholds in patients with peripheral neuropathy. In: Zotterman Y (ed) Sensory functions of the skin in primates. Pergamon, Oxford, p 507

    Google Scholar 

  • Gracely RH (1980) Pain measurement in man. In: Ng LKY, Bonica JJ (eds) Pain, discomfort and humanitarian care. Elsevier, New York, p 111

    Google Scholar 

  • Gray L, Stevens JC, Marks LE (1982) Thermal stimulus thresholds: sources of varibility. Physiol Behav 29: 335–360

    Google Scholar 

  • Handwerker HO (1984) Experimentelle Schmerzanalyse beim Menschen. In: Zimmermann M, Handwerker HO (eds) Schmerz – Konzepte und ärztliches Handeln. Springer, Berlin Heidelberg New York Tokyo, p 87

    Google Scholar 

  • Iggo A (1982) Cutaneous sensory mechanisms. In: Barlow HB, Mollon JD (eds) The senses. Cambridge University Press, Cambridge, p 369

    Google Scholar 

  • Kenshalo DR; Leonard RB, Chung JM, Willis WD (1979) Responses of primate spinothalamic neurons to graded and to repeated noxious heat stimuli. J Neurophysiol 42: 1370–1389

    PubMed  Google Scholar 

  • Kenshalo DR (1984) Cutaneous temperature sensitivity. In: Dawson WW, Enoch JM (eds) Foundations of sensory science. Springer, Berlin Heidelberg New York Tokyo, p 419

    Google Scholar 

  • Kojo I, Pertovaara A (1987) The effects of stimulus area and adaptation temperature on warm and heat pain thresholds in man. Int J Neurosci 32: 875–880

    Article  PubMed  CAS  Google Scholar 

  • LaMotte RH (1979) Intensive and temporal determinants of thermal pain. In: Kenshalo DR (ed) Sensory functions of the skin of humans. Plenum, New York, pp 327–361

    Chapter  Google Scholar 

  • LaMotte RH, Torebjörk HE, Robinson CJ, Thalhammer JG (1984) Time-intensity proftles of cutaneous pain in normal and hyperalgesic skin: a comparison with c-fiber nociceptor activities in monkey and human. J Neurophysiol 51: 1434–1451

    PubMed  CAS  Google Scholar 

  • Lautenbacher S, Möltner A, Lehmann WP, Galfe G, Hölzi R, Strian F (1989a) SDT analysis of experimental thermal pain, with “signal” and “no-signal” being determined psychophysically. Percept Mot Skills 68: 1019–1030

    Article  PubMed  CAS  Google Scholar 

  • Lautenbacher S, Galfe G, Hölzi R, Strian F (1989b) Threshold tracking for assessment of long-term adaptation. Percept Mot Skills 69: 579–589

    Article  PubMed  CAS  Google Scholar 

  • Lautenbacher S, Pauls AM, Strian F, Pirke KM, Krieg JC (1990a) Pain sensitivity in anorexia nervosa and bulimia nervosa. Biol Psychiatry, in press

    Google Scholar 

  • Lautenbacher S, Pauls AM, Strian F, Pirke KM, Krieg JC (1990b) Pain perception in patients with eating disorders. Psychosom Med 52: 673–682

    PubMed  CAS  Google Scholar 

  • Lehmann WP, Strian F (1986) Comparative effects of ipsilateral and contralateral TENS on Subjective sensitization to tonic heat. Clin J Pain 1: 211–216

    Article  Google Scholar 

  • Lynn B, Baranowski R (1987) A comparison of the relative numbers and properities of cutaneous nociceptive afferents in different mammalian species. In: Schmidt RF, Schaible HG, Vahle-Hinz C (eds) Fine afferent nerve fibres and pain. VCH Weinheim, p 87

    Google Scholar 

  • Möltner A, Hölzi R, Strian F (1990) Heart rate changes as an autonomic component of the pain response. Pain (to be published)

    Google Scholar 

  • Pauls AM, Lautenbacher S, Strian F, Pirke KM, Krieg JC (1990) Somatosensory indicators of polyneuropathy in patients with eating disorders. Eur Arch Psychiatry Clin Neurosci, (to be published)

    Google Scholar 

  • Perl, ER, Kumazawa T, Lynn B, Kenins P (1976) Sensitization of high threshold receptors with unmyelinated (C) afferent fibers. In: Iggo A, Ilyinsky OB (eds) Somatosensory and visceral receptor mechanisms. Prog Brain Res, vol 43. Elsevier, Amsterdam, p 263

    Google Scholar 

  • Pertovaara A, Kojo I (1985) Influence of the rate of temperature change on thermal thresholds in man. Exp Neurol 87: 439–445 Rollman GB (1977) Signal detection theory measurement of pain: a review and critique. Pain 3: 187–211

    Google Scholar 

  • Severin F, Lehmann WP, Strian F (1985) Subjective sensitization to tonic heat as an indicator of thermal pain. Pain 21: 369–378

    Article  PubMed  CAS  Google Scholar 

  • Strian F, Lautenbacher S, Galfe G, Hölzi R (1989) Diurnal variations in pain perception and thermal sensitivity. Pain 36: 125–131

    Article  PubMed  CAS  Google Scholar 

  • Strian F (1990) Diagnostische und klinische Aspekte der Neuropathie der kleinen Nerven-fasern. Fortschr Neurol Psychiatr 58: 51–65

    Article  PubMed  CAS  Google Scholar 

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© 1992 Springer-Verlag Berlin Heidelberg

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Strian, F. (1992). Psychophysical Differentiation of Pain by Threshold Methods. In: Emrich, H.M., Wiegand, M. (eds) Integrative Biological Psychiatry. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77168-2_20

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  • DOI: https://doi.org/10.1007/978-3-642-77168-2_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-77170-5

  • Online ISBN: 978-3-642-77168-2

  • eBook Packages: Springer Book Archive

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