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Comment l’expérience de douleur est-elle « construite » par le cerveau ? Effets du contexte émotionnel sur la perception de douleur

How is the pain experience “constructed” by the brain? Effects of emotional context on pain perception

  • Article de Synthèse / Review Article
  • Published:
Douleur et Analgésie

Résumé

La nature de processus cérébraux qui sous-tendent l’expérience de douleur demeure à ce jour incertaine. Ici, nous proposons une théorie selon laquelle la douleur résulterait de la catégorisation de l’influx nociceptif comme « douloureux » en fonction du contexte et des préconceptions du sujet. Ainsi, le contexte émotionnel peut influencer la façon dont les signaux nociceptifs ascendants sont interprétés. Ces effets sur la « construction » cérébrale de douleur devraient être distingués d’effets modulateurs descendants sur la nociception, ainsi que d’effets sur le rappel rétrospectif de l’expérience douloureuse.

Abstract

The exact nature of the cerebral processes underlying the experience of pain remains elusive. We propose here that pain could result from the categorization of nociceptive signals as “painful” as a function of the context and subject’s pre-conceptions. Thus, the emotional context in which nociceptive stimuli are delivered can influence the interpretation of ascending nociceptive signals that gives rise to the experience of pain. These effects on the cerebral “construction” of pain should be contrasted with descending modulatory effects affecting spinal nociception, as well as effects on the retrospective recall of pain.

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  1. Department of psychology and neuroscience, University of Colorado Boulder, Muenzinger D244, 345 UCB, Boulder, CO, 80309-0345, USA

    M. Roy

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Roy, M. Comment l’expérience de douleur est-elle « construite » par le cerveau ? Effets du contexte émotionnel sur la perception de douleur. Douleur analg 26, 2–10 (2013). https://doi.org/10.1007/s11724-012-0319-3

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  • DOI: https://doi.org/10.1007/s11724-012-0319-3

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