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  <title>NITRC News Group Forum: transforming-pain-with-prosocial-meaning--an-fmri-study.</title>
  <link>http://www.nitrc.org/forum/forum.php?forum_id=8636</link>
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        &lt;p&gt;&lt;b&gt;Transforming pain with prosocial meaning: an fMRI study.&lt;/b&gt;&lt;/p&gt;          
        &lt;p&gt;Psychosom Med. 2018 May 24;:&lt;/p&gt;
        &lt;p&gt;Authors:  López-Solà M, Koban L, Wager TD&lt;/p&gt;
        &lt;p&gt;Abstract&lt;br/&gt;
        OBJECTIVES: Contextual factors can transform how we experience pain, particularly if pain is associated with other positive outcomes. Here we test a novel meaning-based intervention: Participants were given the opportunity to choose to receive pain on behalf of their romantic partners, situating pain experience in a positive, prosocial meaning context. We predicted that the ventromedial prefrontal cortex (vmPFC), a key structure for pain regulation and generation of affective meaning, would mediate the transformation of pain experience by this prosocial interpersonal context.&lt;br/&gt;
        METHODS: We studied fMRI activity and behavioral responses in 29 heterosexual female participants during (1) a baseline pain challenge and (2) a task in which participants decided to accept a self-selected number of additional pain trials in order to reduce pain in their male romantic partners (&quot;Accept Partner-Pain&quot; condition).&lt;br/&gt;
        RESULTS: Enduring extra pain for the benefit of the romantic partner reduced pain-related unpleasantness (t=-2.54,p=.016) but not intensity, and increased positive thoughts (t=3.60,p=.001) and pleasant feelings (t=5.39,p&amp;lt;.0005). Greater willingness to accept one's partner pain predicted greater unpleasantness reductions (t=3.94,p=.001) and increases in positive thoughts (r=.457,p=.013). The vmPFC showed significant increases (q&amp;lt;.05 FDR-corrected) in activation during Accept-Partner-Pain, especially for women with greater willingness to relieve their partner's pain (t=2.63, p=.014). Reductions in brain regions processing pain and aversive emotion significantly mediated reductions in pain unpleasantness (q&amp;lt;.05 FDR-corrected).&lt;br/&gt;
        CONCLUSIONS: The vmPFC has a key role in transforming the meaning of pain, which is associated with a cascade of positive psychological and brain effects, including changes in affective meaning, value, and pain-specific neural circuits.&lt;br/&gt;
        &lt;/p&gt;&lt;p&gt;PMID: 29846310 [PubMed - as supplied by publisher]&lt;/p&gt;
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