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  • Gard, T., Hölzel, B. K., Sack, A. T., Hempel, H., Lazar, S. W., Vaitl, D., & Ott, U. (2012). Pain attenuation through mindfulness is associated with decreased cognitive control and increased sensory processing in the brain. Cerebral Cortex (New York, N.Y. : 1991), 22(11), 2692–2702. https://doi.org/10.1093/cercor/bhr352

    Pain can be modulated by several cognitive techniques, typically involving increased cognitive control and decreased sensory processing. Recently, it has been demonstrated that pain can also be attenuated by mindfulness. Here, we investigate the underlying brain mechanisms by which the state of mindfulness reduces pain. Mindfulness practitioners and controls received unpleasant electric stimuli in the functional magnetic resonance imaging scanner during a mindfulness and a control condition. Mindfulness practitioners, but not controls, were able to reduce pain unpleasantness by 22% and anticipatory anxiety by 29% during a mindful state. In the brain, this reduction was associated with decreased activation in the lateral prefrontal cortex and increased activation in the right posterior insula during stimulation and increased rostral anterior cingulate cortex activation during the anticipation of pain. These findings reveal a unique mechanism of pain modulation, comprising increased sensory processing and decreased cognitive control, and are in sharp contrast to established pain modulation mechanisms.

  • Schienle, A., Stark, R., & Vaitl, D. (1999). Electrocortical responses of headache patients to the simulation of 10 kHz sferics. The International Journal of Neuroscience, 97(3–4), 211–224. https://doi.org/10.3109/00207459909000661

    Many headache patients believe that weather changes act as pain triggers. Therefore, the present study investigated the psychophysiological influence of an indicator of atmospheric instability, Very Low Frequency (VLF)-sferics, on 32 subjectively weather-sensitive women suffering from migraine attacks and/or tension-type headaches. It was analyzed if sferics exposure is able to induce electrocortical changes as well as headache symptoms. The subjects, who had been divided into two groups, participated in a sferics simulation study. The experimental group (n = 16) underwent a ten-minute exposure to 10kHz-sferics impulses followed by 20 minutes without treatment in order to examine possible prolonged sferics effects. The control group (n = 16) received no treatment. As dependent measures, EEG spectral power was compared between the two groups at six electrode sites (F3/F4; P3/P4; O1/O2). Sferics exposure provoked increases in absolute alpha and beta power during the treatment. The alpha power enhancement was still present at parietal sites at the end of registration (20 minutes after the end of exposure). The stimulation did not induce headache symptoms.

  • Walter, B., Vaitl, D., & Frank, R. (1998). Affective distress in fibromyalgia syndrome is associated with pain severity. Zeitschrift Fur Rheumatologie, 57 Suppl 2, 101–104. https://doi.org/10.1007/s003930050247

    OBJECTIVE: Comparison of low back pain (LBP) patients with and without fibromyalgia syndrome (FMS) with regard to affective distress. METHODS: Patients with LBP who had been admitted to various clinics in Germany were examined upon admission. Comparisons were done by dividing the patients into groups with and without signs of FMS. Additionally, both groups were compared after being matched according to sex, age, and pain severity. RESULTS: 15 out of 135 LBP patients met the American College of Rheumatology criteria for fibromyalgia. Patients with FMS showed remarkably higher levels of pain severity and affective distress. After controlling for different levels of pain severity, these pronounced differences disappeared. CONCLUSION: Affective distress is not a unique feature of FMS, but seem to be caused entirely by higher levels of pain severity.

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