Reward and motivation in pain and pain relief.

Abstract:

:Pain is fundamentally unpleasant, a feature that protects the organism by promoting motivation and learning. Relief of aversive states, including pain, is rewarding. The aversiveness of pain, as well as the reward from relief of pain, is encoded by brain reward/motivational mesocorticolimbic circuitry. In this Review, we describe current knowledge of the impact of acute and chronic pain on reward/motivation circuits gained from preclinical models and from human neuroimaging. We highlight emerging clinical evidence suggesting that anatomical and functional changes in these circuits contribute to the transition from acute to chronic pain. We propose that assessing activity in these conserved circuits can offer new outcome measures for preclinical evaluation of analgesic efficacy to improve translation and speed drug discovery. We further suggest that targeting reward/motivation circuits may provide a path for normalizing the consequences of chronic pain to the brain, surpassing symptomatic management to promote recovery from chronic pain.

journal_name

Nat Neurosci

journal_title

Nature neuroscience

authors

Navratilova E,Porreca F

doi

10.1038/nn.3811

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

1304-12

issue

10

eissn

1097-6256

issn

1546-1726

pii

nn.3811

journal_volume

17

pub_type

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