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Neural Mechanisms of Hypnosis and Meditation-Induced Analgesia: A Narrative Review

机译:催眠和冥想诱导镇痛的神经机制:叙事评论

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摘要

Meditation and hypnosis have both been found to attenuate pain; however, little is known about similarities and differences in the cognitive modulation of pain. Hypnotic and meditative states (e.g., mindfulness) reduce pain by sharing and overlapping multiple neuro-cognitive mechanisms, but they differ in many respects. While there are overlapping brain networks involved, the nature of these effects seems different. Both phenomena involve frontal modulation of pain-related areas. The role of the dorsolateral prefrontal cortex appears to depend, in hypnosis, on the type of suggestion given and, in meditation, on the level of practice. Whereas the anterior cingulate cortex seems to be a key node in both hypnosis and meditation, the dorsolateral prefrontal cortex appears to engage in hypnosis as a function of suggestion and, in meditation, as a function of proficiency.
机译:冥想和催眠都能减轻疼痛;然而,人们对疼痛认知调节的相似性和差异知之甚少。催眠和冥想状态(如正念)通过共享和重叠多种神经认知机制来减轻疼痛,但它们在许多方面有所不同。虽然涉及到重叠的大脑网络,但这些影响的性质似乎有所不同。这两种现象都涉及疼痛相关区域的额叶调节。在催眠中,背外侧前额叶皮质的作用似乎取决于给出的暗示类型,而在冥想中,则取决于练习水平。前扣带回皮质似乎是催眠和冥想的关键节点,而背外侧前额叶皮质似乎参与催眠,作为暗示的功能,在冥想中,作为熟练程度的功能。

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