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Chantal Villemure

Publications and source records attributed to Chantal Villemure.

6 recordsLinked to original sources

The effects of the steroid androstadienone and pleasant odorants on the mood and pain perception of men and women.

BACKGROUND AND PURPOSE: We previously found that for both men and women odors influence mood, which in turn influences pain unpleasantness perception. Others showed that the steroid androstadienone modulates mood differently in men and women, improving mood in women and worsening it or leaving it unchanged in men. Based on its dissociable effect on mood, we hypothesized that women exposed to androstadienone would report lower pain unpleasantness than when exposed to the vehicle, while men would show no change or the reverse pattern. Because of the expected beneficial effect of pleasant odors on mood in both men and women, all subjects should report lower pain unpleasantness when exposed to the pleasant odor compared to the unscented air. METHODS: In one session subjects were exposed to: (1) androstadienone diluted in a vehicle while breathing unscented air and (2) androstadienone in vehicle while breathing a pleasant odorant. In another session they were exposed to: (1) vehicle and unscented air and (2) vehicle and a pleasant odorant. Phasic contact heat was used to induce pain. RESULTS AND CONCLUSIONS: Planned comparisons confirmed that, in the absence of pain, androstadienone improved mood only in women, while the pleasant odorants improved mood for all subjects. However, these positive mood changes did not persist with the introduction of pain. Consistent with the absence of positive mood changes, pain unpleasantness was not modulated. Unexpectedly, the presence of androstadienone increased perceived pain intensity especially in women, suggesting an effect of androstadienone on pain perception, independent of mood changes. Heightened attentional state may be responsible.

Adolescent↗

Unpleasant odors increase pain processing in a patient with neuropathic pain: psychophysical and fMRI investigation.

A 49-year old man with neuropathic pain in his right elbow, wrist and digits III-V of his hand reported that certain odors increased his pain by superimposing an electric shock-like pain to his already existing pain. Psychophysical testing revealed that the best predictor of pain exacerbation was odor unpleasantness. Functional magnetic resonance imaging (fMRI) showed increased activation following an unpleasant odor in pain related areas, including the thalamus, amygdala, insular and anterior cingulate cortices, with similar trends in primary somatosensory cortex hand/arm area. The increased pain and associated neural activations in response to unpleasant odors may be related to the phenomenon of synesthesia, to a rewiring of olfactory pathways onto pain pathways mimicking synesthesia or, to activation of the sympathetic nervous system.

Arm↗

Sparing of perceptual implicit memory despite suppression of the electrophysiological word repetition effect: a study with general anesthetic isoflurane.

OBJECTIVE: Much effort has been devoted to the search for the neurophysiological correlates of implicit memory. A commonly held view is that the early portion (250-500 ms) of the event-related potential (ERP) word repetition effect reflects processes important for perceptual implicit memory whereas the latter portion reflects processes implicated in explicit memory. It is, however, difficult to disentangle with certainty the relative contributions of each form of memory on ERPs since both forms co-exist in normal subjects. To dissociate ERP effect related to implicit and explicit memory, we used isoflurane sedation in normal subjects to suppress explicit remembering while sparing implicit memory. These ERPs were compared with those of non-medicated control subjects. METHODS: Thirteen subjects performed an incidental encoding task for words presented auditorily during the inhalation of a subanesthetic dose of isoflurane. After termination of isoflurane administration, we assessed free recall and recorded ERPs during a syllable completion task (implicit memory) and during a passive listening task (ERP repetition effect). Eleven non-medicated control subjects were tested in a similar manner. RESULTS: The controls showed robust early and late ERP repetition effect. The isoflurane group had implicit memory without free recall and showed no ERP repetition effect. CONCLUSIONS: These findings failed to show an association between any part of the repetition effect and perceptual implicit memory. The results are consistent with the view that processes linked to explicit memory contribute to the ERP repetition effect since there was a marked difference in free recall between the control and isoflurane groups. SIGNIFICANCE: The present study shows that the reversible alterations of memory by general anesthetics can be used to study the neurophysiological correlates of memory processes.

Adult↗

Effects of odors on pain perception: deciphering the roles of emotion and attention.

Emotions have been shown to alter pain perception, but the underlying mechanism is unclear since emotions also affect attention, which itself changes nociceptive transmission. We manipulated independently direction of attention and emotional state, using tasks involving heat pain and pleasant and unpleasant odors. Shifts in attention between the thermal and olfactory modalities did not alter mood or anxiety. Yet, when subjects focused attention on the pain, they perceived it as clearly more intense and somewhat more unpleasant than when they attended to the odor. In contrast, odor valence altered mood, anxiety level, and pain unpleasantness, but did not change the perception of pain intensity. Pain unpleasantness ratings correlated with mood, but not with odor valence, suggesting that emotional changes underlie the selective modulation of pain affect. These results show that emotion and attention differentially alter pain perception and thus invoke at least partially separable neural modulatory circuits.

Adolescent↗