Reframing chronic pain as a disease, not a symptom: rationale and implications for pain management

DJ Clauw, MN Essex, V Pitman… - Postgraduate medicine, 2019 - Taylor & Francis
Chronic pain is a common public health problem that has a detrimental impact on patient
health, quality of life (QoL), and function, and poses a substantial socioeconomic burden …

Reward and motivation in pain and pain relief

E Navratilova, F Porreca - Nature neuroscience, 2014 - nature.com
Pain is fundamentally unpleasant, a feature that protects the organism by promoting
motivation and learning. Relief of aversive states, including pain, is rewarding. The …

Neural signatures of human fear conditioning: an updated and extended meta-analysis of fMRI studies

MA Fullana, BJ Harrison, C Soriano-Mas… - Molecular …, 2016 - nature.com
Classical Pavlovian fear conditioning remains the most widely employed experimental
model of fear and anxiety, and continues to inform contemporary pathophysiological …

Pain induces adaptations in ventral tegmental area dopamine neurons to drive anhedonia-like behavior

T Markovic, CE Pedersen, N Massaly, YM Vachez… - Nature …, 2021 - nature.com
The persistence of negative affect in pain leads to co-morbid symptoms such as anhedonia
and depression—major health issues in the United States. The neuronal circuitry and …

Nociception, pain, negative moods, and behavior selection

MN Baliki, AV Apkarian - Neuron, 2015 - cell.com
Recent neuroimaging studies suggest that the brain adapts with pain, as well as imparts risk
for developing chronic pain. Within this context, we revisit the concepts for nociception, acute …

Common brain mechanisms of chronic pain and addiction

I Elman, D Borsook - Neuron, 2016 - cell.com
While chronic pain is considered by some to be a CNS disease, little is understood about
underlying neurobiological mechanisms. Addiction models have heuristic value in this …

Opioid hedonic hotspot in nucleus accumbens shell: mu, delta, and kappa maps for enhancement of sweetness “liking” and “wanting”

DC Castro, KC Berridge - Journal of Neuroscience, 2014 - Soc Neuroscience
A specialized cubic-millimeter hotspot in the rostrodorsal quadrant of medial shell in nucleus
accumbens (NAc) of rats may mediate opioid enhancement of gustatory hedonic impact or …

[HTML][HTML] A learning theory of attachment: Unraveling the black box of attachment development

G Bosmans, MJ Bakermans-Kranenburg… - Neuroscience & …, 2020 - Elsevier
Attachment is an inborn behavioral system that is biologically driven and essential for
survival. During child development, individual differences in (in) secure attachment emerge …

Brain circuits encoding reward from pain relief

E Navratilova, CW Atcherley, F Porreca - Trends in neurosciences, 2015 - cell.com
Relief from pain in humans is rewarding and pleasurable. Primary rewards, or reward-
predictive cues, are encoded in brain reward/motivational circuits. While considerable …

Reward, motivation, and emotion of pain and its relief

F Porreca, E Navratilova - Pain, 2017 - journals.lww.com
Although pain is familiar to almost everyone, its precise definition continues to be elusive.
Pain is most often viewed in the realm of somatosensation. However, this conceptualization …