Endorphins in chronic pain. I. Differences in CSF endorphin levels between organic and psychogenic pain syndromes.

Abstract:

:A series of 37 patients with chronic pain was investigated with regard to neurologic and psychiatric variables. Twenty of the patients were classified as having mainly organic (= somatogenic) pain syndromes while 17 patients were rather suffering from psychogenic pain syndromes. Samples of lumbar cerebrospinal fluid (CSF) were obtained from the patients and analyzed for the presence of opiate receptor-active material, here called endorphins. Patients classified as having mainly organic pain syndromes were found to have significantly lower endorphin levels than patients with predominantly psychogenic pain syndromes. In the total group of patients as well as in the two subgroups, there was a significant correlation between CSF endorphin levels and the depth of depressive symptomatology as reported by the patients. On the other hand, there was no correlation between CSF endorphin levels and extent of anxiety or motor retardation. It is concluded that CSF endorphins reflect central processes involved in chronic pain syndromes.

journal_name

Pain

journal_title

Pain

authors

Almay BGL,Johansson F,Von Knorring L,Terenius L,Wahlstrom A

doi

10.1016/0304-3959(78)90037-4

subject

Has Abstract

pub_date

1978-08-01 00:00:00

pages

153-162

issue

2

eissn

0304-3959

issn

1872-6623

pii

00006396-197808000-00006

journal_volume

5

pub_type

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