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    Neural activations during self-related processing in patients with chronic pain and effects of a brief self-compassion training - A pilot study

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    Authors
    Lutz, Jacqueline
    Berry, Michael P.
    Napadow, Vitaly
    Germer, Christopher
    Pollak, Susan
    Gardiner, Paula
    Edwards, Robert R.
    Desbordes, Gaelle
    Schuman-Olivier, Zev
    UMass Chan Affiliations
    Center for Integrated Primary Care
    Department of Family Medicine and Community Health
    Document Type
    Journal Article
    Publication Date
    2020-07-30
    Keywords
    corticial midline regions
    dorsolateral prefrontal cortex
    emotion regulation
    fMRI
    insula
    pain
    prefrontal cortex
    self-compassion
    self-criticism
    self-related processes
    Cognition and Perception
    Health Services Administration
    Health Services Research
    Neuroscience and Neurobiology
    Pain Management
    Psychiatry and Psychology
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    https://doi.org/10.1016/j.pscychresns.2020.111155
    Abstract
    Chronic pain negatively affects psychological functioning including self-perception. Self-compassion may improve self-related functioning in patients with chronic pain but understanding of the neural mechanisms is limited. In this study, twenty patients with chronic low back pain read negative self-related situations and were instructed to be either self-reassuring or self-critical while undergoing fMRI. Patients rated their feelings of self-reassurance and self-criticism during each condition, and brain responses were contrasted with neutral instructions. Trait self-compassion measures (SCS) were also acquired. Brain activations during self-criticism and self-reassurance were localized to prefrontal, self- and emotion-processing areas, such as medial prefrontal cortex, dorsolateral prefrontal cortex (dlPFC), dorsal anterior cingulate cortex and posterior cingulate cortex. Self-reassurance resulted in more widespread and stronger activations relative to self-criticism. Patients then completed a brief self-compassion training (8 contact hours, 2 weeks home practice). Exploratory pre-post comparisons in thirteen patients found that feelings of self-criticism were significantly reduced and brain activations were greater in the anterior insula and prefrontal cortical regions such as dlPFC. Pre-post increases in dlPFC activation correlated with increased self-compassion (SCS), suggesting that early self-compassion skills might primarily target self-criticism via dlPFC upregulation. Future controlled studies on self-compassion training in chronic pain populations should extend these results.
    Source

    Lutz J, Berry MP, Napadow V, Germer C, Pollak S, Gardiner P, Edwards RR, Desbordes G, Schuman-Olivier Z. Neural activations during self-related processing in patients with chronic pain and effects of a brief self-compassion training - A pilot study. Psychiatry Res Neuroimaging. 2020 Oct 30;304:111155. doi: 10.1016/j.pscychresns.2020.111155. Epub 2020 Jul 30. PMID: 32799058. Link to article on publisher's site

    DOI
    10.1016/j.pscychresns.2020.111155
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/29590
    PubMed ID
    32799058
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.pscychresns.2020.111155
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    UMass Chan Faculty and Researcher Publications
    Center for Integrated Primary Care Publications

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