RecruitingNot ApplicableNCT02446262

Neural and Psychological Mechanisms of Pain Perception


Sponsor

National Center for Complementary and Integrative Health (NCCIH)

Enrollment

550 participants

Start Date

Jun 11, 2015

Study Type

INTERVENTIONAL

Conditions

Summary

Background: \- Painful stimuli cause changes in a network of brain regions called the "Pain Matrix." But most of these regions respond to many other stimuli, not just pain. Researchers want to understand how different factors influence pain. They want to test what happens when people expect different levels of pain and receive treatments that can modify pain. They want to see if these factors influence decisions about pain and how the body responds to it. They also want to compare pain with responses like taste and vision. Objectives: \- To better understand how pain and emotions are processed and influenced by psychological factors. Eligibility: \- Healthy volunteers ages 18-50. Design: * This study requires 1 to 2 clinic visits that last 1 to 3 hours. * Participants will be screened with medical history and physical exam. * Some participants will have one or more magnetic resonance imaging (MRI) scans of their brain. For MRI, participants will lie on a table that slides in and out of a cylinder. The scanner makes loud knocking noises. They will get earplugs. * Participants' heart activity will be recorded with electrocardiogram. Their pulse, sweating, and breathing will be monitored. * Some participants will take a taste test. Others may perform simple tasks. Others may receive pain in their arm, leg, or hand. The pain will come from heat or electric shocks. Others may judge pain using a topical pain-relieving cream. Some of these tests may be given during MRI. * Participants will fill out questionnaires. * The study will last 3 years.


Eligibility

Min Age: 18 YearsMax Age: 50 Years

Plain Language Summary

Simplified for easier understanding

This study examines how the brain and mind process pain. Researchers at the NIH are trying to understand why people experience pain differently — why some people are more sensitive, and what factors in the brain or psychology influence pain levels. The study uses questionnaires, physical pain tests (controlled heat stimuli), and in some cases, brain scans (fMRI) to map how pain is processed. You may be eligible if: - You are between 18 and 50 years old - You are healthy with no significant medical or psychiatric history - You are fluent in English - You are able to provide written informed consent You may NOT be eligible if: - You have a history of chronic pain (pain lasting more than 6 months) - You have a neurological condition, cardiovascular disease, diabetes, or other chronic illness - You have a current mood disorder, anxiety disorder, or substance use disorder - You take regular prescription medications that affect pain (opioids, antidepressants, anticonvulsants, etc.) - You are pregnant - You are a left-handed person (for fMRI sub-studies) - You have metal implants, a pacemaker, or other MRI-incompatible devices (for fMRI sub-studies) Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALInstructions

In sub-study 1, half the participants are instructed about outcomes, half learn through experience.

BEHAVIORALAttention

In sub-study 4, participants learn about outcomes and we manipulate attention toward or away from the pain.

BEHAVIORALThermal Pain

In sub-studies 2 and 3, participants are exposed to thermal stimuli and/or tastants (sugar water, salt water, neutral rinse) and we are measuring how learning varies based on the type of outcome.

BEHAVIORALPlacebo instructions

In sub-study 5, we test whether placebo effects and expectancy cues modulate pain through similar mechanisms.


Locations(1)

National Institutes of Health Clinical Center

Bethesda, Maryland, United States

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NCT02446262


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