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10.1093/scan/nsw173

http://scihub22266oqcxt.onion/10.1093/scan/nsw173
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C5390724!5390724!28119505
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suck abstract from ncbi


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pmid28119505      Soc+Cogn+Affect+Neurosci 2017 ; 12 (4): 651-61
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  • Orbitofrontal cortex mediates pain inhibition by monetary reward #MMPMID28119505
  • Becker S; Gandhi W; Pomares F; Wager TD; Schweinhardt P
  • Soc Cogn Affect Neurosci 2017[Apr]; 12 (4): 651-61 PMID28119505show ga
  • Pleasurable stimuli, including reward, inhibit pain, but the level of the neuraxis at which they do so and the cerebral processes involved are unknown. Here, we characterized a brain circuitry mediating pain inhibition by reward. Twenty-four healthy participants underwent functional magnetic resonance imaging while playing a wheel of fortune game with simultaneous thermal pain stimuli and monetary wins or losses. As expected, winning decreased pain perception compared to losing. Inter-individual differences in pain modulation by monetary wins relative to losses correlated with activation in the medial orbitofrontal cortex (mOFC). When pain and reward occured simultaneously, mOFCs functional connectivity changed: the signal time course in the mOFC condition-dependent correlated negatively with the signal time courses in the rostral anterior insula, anterior-dorsal cingulate cortex and primary somatosensory cortex, which might signify moment-to-moment down-regulation of these regions by the mOFC. Monetary wins and losses did not change the magnitude of pain-related activation, including in regions that code perceived pain intensity when nociceptive input varies and/or receive direct nociceptive input. Pain inhibition by reward appears to involve brain regions not typically involved in nociceptive intensity coding but likely mediate changes in the significance and/or value of pain.
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