Equal pain - Unequal fear response: enhanced susceptibility of tooth pain to fear conditioning

Verfasser / Beitragende:
[Michael L. Meier, Nuno M.P. de Matos, Mike Brügger, Dominik A. Ettlin, Nenad Lukic, Marcus Cheetham, Lutz Jäncke, Kai Lutz]
Ort, Verlag, Jahr:
2014
Enthalten in:
Frontiers in Human Neuroscience, 8, p. 526
Format:
Artikel (online)
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024 7 0 |a 10.3929/ethz-b-000086917  |2 doi 
024 7 0 |a 10.3389/fnhum.2014.00526  |2 doi 
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245 0 0 |a Equal pain - Unequal fear response: enhanced susceptibility of tooth pain to fear conditioning  |h [Elektronische Daten]  |c [Michael L. Meier, Nuno M.P. de Matos, Mike Brügger, Dominik A. Ettlin, Nenad Lukic, Marcus Cheetham, Lutz Jäncke, Kai Lutz] 
506 |a Open access  |2 ethresearch 
520 3 |a Experimental fear conditioning in humans is widely used as a model to investigate the neural basis of fear learning and to unravel the pathogenesis of anxiety disorders. It has been observed that fear conditioning depends on stimulus salience and subject vulnerability to fear. It is further known that the prevalence of dental-related fear and phobia is exceedingly high in the population. Dental phobia is unique as no other body part is associated with a specific phobia. Therefore, we hypothesized that painful dental stimuli exhibit an enhanced susceptibility to fear conditioning when comparing to equal perceived stimuli applied to other body sites. Differential susceptibility to pain-related fear was investigated by analyzing responses to an unconditioned stimulus (UCS) applied to the right maxillary canine (UCS-c) vs. the right tibia (UCS-t). For fear conditioning, UCS-c and USC-t consisted of painful electric stimuli, carefully matched at both application sites for equal intensity and quality perception. UCSs were paired to simple geometrical forms which served as conditioned stimuli (CS+). Unpaired CS+ were presented for eliciting and analyzing conditioned fear responses. Outcome parameter were (1) skin conductance changes and (2) time-dependent brain activity (BOLD responses) in fear-related brain regions such as the amygdala, anterior cingulate cortex, insula, thalamus, orbitofrontal cortex, and medial prefrontal cortex. A preferential susceptibility of dental pain to fear conditioning was observed, reflected by heightened skin conductance responses and enhanced time-dependent brain activity (BOLD responses) in the fear network. For the first time, this study demonstrates fear-related neurobiological mechanisms that point toward a superior conditionability of tooth pain. Beside traumatic dental experiences our results offer novel evidence that might explain the high prevalence of dental-related fears in the population. 
540 |a Creative Commons Attribution 3.0 Unported  |u http://creativecommons.org/licenses/by/3.0  |2 ethresearch 
690 7 |a Pain  |2 ethresearch 
690 7 |a Fear conditioning  |2 ethresearch 
690 7 |a Tooth  |2 ethresearch 
690 7 |a Skin conductance response  |2 ethresearch 
690 7 |a fMRI  |2 ethresearch 
690 7 |a Amygdala  |2 ethresearch 
690 7 |a Medial prefrontal cortex (mPFC)  |2 ethresearch 
690 7 |a Dental phobia  |2 ethresearch 
690 7 |a Balgrist University Hospital, Swiss Spinal Cord Injury Center  |2 zora 
690 7 |a Institute of Psychology  |2 zora 
690 7 |a Clinic for Masticatory Disorders  |2 zora 
690 7 |a Institute of Biomedical Engineering  |2 zora 
700 1 |a Meier  |D Michael L.  |e joint author 
700 1 |a de Matos  |D Nuno M.P.  |e joint author 
700 1 |a Brügger  |D Mike  |e joint author 
700 1 |a Ettlin  |D Dominik A.  |e joint author 
700 1 |a Lukic  |D Nenad  |e joint author 
700 1 |a Cheetham  |D Marcus  |e joint author 
700 1 |a Jäncke  |D Lutz  |e joint author 
700 1 |a Lutz  |D Kai  |e joint author 
773 0 |t Frontiers in Human Neuroscience  |d Lausanne : Frontiers Research Foundation  |g 8, p. 526 
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950 |B ETHRESEARCH  |P 700  |E 1-  |a de Matos  |D Nuno M.P.  |e joint author 
950 |B ETHRESEARCH  |P 700  |E 1-  |a Brügger  |D Mike  |e joint author 
950 |B ETHRESEARCH  |P 700  |E 1-  |a Ettlin  |D Dominik A.  |e joint author 
950 |B ETHRESEARCH  |P 700  |E 1-  |a Lukic  |D Nenad  |e joint author 
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950 |B ETHRESEARCH  |P 700  |E 1-  |a Lutz  |D Kai  |e joint author 
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950 |B ZORA  |P 700  |E 1-  |a Meier  |D Michael L.  |e joint author 
950 |B ZORA  |P 700  |E 1-  |a de Matos  |D Nuno M P.  |e joint author 
950 |B ZORA  |P 700  |E 1-  |a Brügger  |D Mike  |e joint author 
950 |B ZORA  |P 700  |E 1-  |a Ettlin  |D Dominik A.  |e joint author 
950 |B ZORA  |P 700  |E 1-  |a Lukic  |D Nenad  |e joint author 
950 |B ZORA  |P 700  |E 1-  |a Cheetham  |D Marcus  |e joint author 
950 |B ZORA  |P 700  |E 1-  |a Jäncke  |D Lutz  |e joint author 
950 |B ZORA  |P 700  |E 1-  |a Lutz  |D Kai  |e joint author 
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