The Role of Stress Regulation on Neural Plasticity in Pain Chronification

Pain, especially chronic pain, is one of the most common clinical symptoms and has been considered as a worldwide healthcare problem. The transition from acute to chronic pain is accompanied by a chain of alterations in physiology, pathology, and psychology. Increasing clinical studies and complemen...

Full description

Saved in:
Bibliographic Details
Main Authors: Xiaoyun Li, Li Hu
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2016/6402942
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849695729260429312
author Xiaoyun Li
Li Hu
author_facet Xiaoyun Li
Li Hu
author_sort Xiaoyun Li
collection DOAJ
description Pain, especially chronic pain, is one of the most common clinical symptoms and has been considered as a worldwide healthcare problem. The transition from acute to chronic pain is accompanied by a chain of alterations in physiology, pathology, and psychology. Increasing clinical studies and complementary animal models have elucidated effects of stress regulation on the pain chronification via investigating activations of the hypothalamic-pituitary-adrenal (HPA) axis and changes in some crucial brain regions, including the amygdala, prefrontal cortex, and hippocampus. Although individuals suffer from acute pain benefit from such physiological alterations, chronic pain is commonly associated with maladaptive responses, like the HPA dysfunction and abnormal brain plasticity. However, the causal relationship among pain chronification, stress regulation, and brain alterations is rarely discussed. To call for more attention on this issue, we review recent findings obtained from clinical populations and animal models, propose an integrated stress model of pain chronification based on the existing models in perspectives of environmental influences and genetic predispositions, and discuss the significance of investigating the role of stress regulation on brain alteration in pain chronification for various clinical applications.
format Article
id doaj-art-ce313cbcaa3d450292fa80f04428253c
institution DOAJ
issn 2090-5904
1687-5443
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Neural Plasticity
spelling doaj-art-ce313cbcaa3d450292fa80f04428253c2025-08-20T03:19:41ZengWileyNeural Plasticity2090-59041687-54432016-01-01201610.1155/2016/64029426402942The Role of Stress Regulation on Neural Plasticity in Pain ChronificationXiaoyun Li0Li Hu1Key Laboratory of Cognition and Personality, Ministry of Education and Faculty of Psychology, Southwest University, Chongqing, ChinaKey Laboratory of Cognition and Personality, Ministry of Education and Faculty of Psychology, Southwest University, Chongqing, ChinaPain, especially chronic pain, is one of the most common clinical symptoms and has been considered as a worldwide healthcare problem. The transition from acute to chronic pain is accompanied by a chain of alterations in physiology, pathology, and psychology. Increasing clinical studies and complementary animal models have elucidated effects of stress regulation on the pain chronification via investigating activations of the hypothalamic-pituitary-adrenal (HPA) axis and changes in some crucial brain regions, including the amygdala, prefrontal cortex, and hippocampus. Although individuals suffer from acute pain benefit from such physiological alterations, chronic pain is commonly associated with maladaptive responses, like the HPA dysfunction and abnormal brain plasticity. However, the causal relationship among pain chronification, stress regulation, and brain alterations is rarely discussed. To call for more attention on this issue, we review recent findings obtained from clinical populations and animal models, propose an integrated stress model of pain chronification based on the existing models in perspectives of environmental influences and genetic predispositions, and discuss the significance of investigating the role of stress regulation on brain alteration in pain chronification for various clinical applications.http://dx.doi.org/10.1155/2016/6402942
spellingShingle Xiaoyun Li
Li Hu
The Role of Stress Regulation on Neural Plasticity in Pain Chronification
Neural Plasticity
title The Role of Stress Regulation on Neural Plasticity in Pain Chronification
title_full The Role of Stress Regulation on Neural Plasticity in Pain Chronification
title_fullStr The Role of Stress Regulation on Neural Plasticity in Pain Chronification
title_full_unstemmed The Role of Stress Regulation on Neural Plasticity in Pain Chronification
title_short The Role of Stress Regulation on Neural Plasticity in Pain Chronification
title_sort role of stress regulation on neural plasticity in pain chronification
url http://dx.doi.org/10.1155/2016/6402942
work_keys_str_mv AT xiaoyunli theroleofstressregulationonneuralplasticityinpainchronification
AT lihu theroleofstressregulationonneuralplasticityinpainchronification
AT xiaoyunli roleofstressregulationonneuralplasticityinpainchronification
AT lihu roleofstressregulationonneuralplasticityinpainchronification