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Hohn, V.

Publications and source records attributed to Hohn, V..

4 recordsLinked to original sources

Assessing the balance between excitation and inhibition in chronic pain through the aperiodic component of EEG

Chronic pain is a prevalent and debilitating condition whose neural mechanisms are incompletely understood. An imbalance of cerebral excitation and inhibition (E/I), particularly in the medial prefrontal cortex (mPFC), is believed to represent a crucial mechanism in the development and maintenance of chronic pain. Thus, identifying a non-invasive, scalable marker of E/I could provide valuable insights into the neural mechanisms of chronic pain and aid in developing clinically useful biomarkers. Recently, the aperiodic component of the electroencephalography (EEG) power spectrum has been proposed to represent a non-invasive proxy for E/I. We, therefore, assessed the aperiodic component in the mPFC of resting-state EEG recordings in 149 people with chronic pain and 115 healthy participants. We found robust evidence against differences in the aperiodic component in the mPFC between people with chronic pain and healthy participants, and no correlation between the aperiodic component and pain intensity. These findings were consistent across different subtypes of chronic pain and were similarly found in a whole-brain analysis. Their robustness was supported by preregistration and multiverse analyses across many different methodological choices. Together, our results suggest that the EEG aperiodic component does not differentiate between people with chronic pain and healthy individuals. These findings and the rigorous methodological approach can guide future studies investigating non-invasive, scalable markers of cerebral dysfunction in people with chronic pain and beyond.

neuroscience↗

Assessing the predictive value of peak alpha frequency for the sensitivity to pain

Pain perception varies considerably between and within individuals. How the brain determines these variations has yet to be fully understood. The peak frequency of alpha oscillations (PAF) has recently been shown to predict an individuals sensitivity to longer-lasting experimental and clinical pain. PAF is, thus, discussed as a potential biomarker and novel target for neuromodulatory treatments of pain. Here, we scrutinized the generalizability of the relation between PAF and pain. We applied brief painful laser stimuli to 159 healthy participants and related inter- and intra-individual variations of pain perception to PAF measured with electroencephalography. Comprehensive multiverse analyses across two sessions did not provide consistent evidence for a predictive role of PAF for brief experimental pain. This indicates that the relationship between PAF and pain does not generalize to all types of pain and calls for a systematic exploration of the relationship between PAF, pain perception, and other neuropsychiatric symptoms.

neuroscience↗

Temporal-spectral signaling of sensory information and expectations in the cerebral processing of pain

The perception of pain is shaped by somatosensory information about threat. However, pain is also influenced by an individuals expectations. Such expectations can result in clinically relevant modulations and abnormalities of pain. In the brain, sensory information, expectations (predictions), and discrepancies thereof (prediction errors) are signaled by an extended network of brain areas. These brain areas generate evoked potentials and oscillatory responses at different latencies and frequencies. Recent evidence has provided first insights into how oscillatory responses at different frequencies signal predictions and prediction errors. However, a comprehensive picture of how evoked and oscillatory brain responses signal sensory information, predictions, and prediction errors in the processing of pain is lacking so far. We therefore built upon a neuroimaging study which investigated the spatial signalling of sensory information, predictions and predictions errors in the processing of pain (Geuter et al., 2017). To complement and extend this study, we applied brief painful stimuli to 48 healthy human participants and independently modulated sensory information (stimulus intensity) and expectations of pain intensity while measuring brain activity using electroencephalography (EEG). Pain ratings confirmed that pain intensity was shaped by both sensory information and expectations. In contrast, Bayesian analyses revealed that stimulus-induced EEG responses at different latencies (the N1, N2, and P2 components) and frequencies (alpha, beta, and gamma oscillations) were shaped by sensory information but not by expectations. Expectations, however, shaped alpha and beta oscillations before the painful stimuli. These findings indicate that commonly analyzed EEG responses to painful stimuli are more involved in signaling sensory information than in signaling expectations or mismatches of sensory information and expectations. Moreover, they indicate that the effects of expectations on pain are served by brain mechanisms which differ from those conveying effects of sensory information on pain.

neuroscience↗

Dynamics of brain function in chronic pain patients assessed by microstate analysis of resting-state electroencephalography

Chronic pain is a highly prevalent and severely disabling disease, which is associated with substantial changes of brain function. Such changes have mostly been observed when analyzing static measures of brain activity during the resting-state. However, brain activity varies over time and it is increasingly recognized that the temporal dynamics of brain activity provide behaviorally relevant information in different neuropsychiatric disorders. Here, we therefore investigated whether the temporal dynamics of brain function are altered in chronic pain. To this end, we applied microstate analysis to eyes-open and eyes-closed resting-state electroencephalography (EEG) data of 101 patients suffering from chronic pain and 88 age- and gender-matched healthy controls. Microstate analysis describes EEG activity as a sequence of a limited number of topographies termed microstates, which remain stable for tens of milliseconds. Our results revealed that sequences of 5 microstates, labelled with the letters A to E, described resting-state brain activity in both groups and conditions. Bayesian analysis of the temporal characteristics of microstates revealed that microstate D has a less predominant role in patients than in healthy participants. This difference was consistently found in eyes-open and eyes-closed EEG recordings. No evidence for differences in other microstates was found. As microstate D has been previously related to attentional networks and functions, abnormalities of microstate D might relate to dysfunctional attentional processes in chronic pain. These findings add to the understanding of the pathophysiology of chronic pain and might eventually contribute to the development of an EEG-based biomarker of chronic pain.

neuroscience↗