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Biomedical subjects

Vilfredo De Pascalis

Publications and source records attributed to Vilfredo De Pascalis.

8 recordsLinked to original sources

Neuroticism-Anxiety, Impulsive-Sensation Seeking and autonomic responses to somatosensory stimuli.

This study focused on autonomic responding in participants who scored high vs. low on the Neuroticism-Anxiety (N-Anx) and Impulsive-Sensation Seeking (Imp-SS) dimensions of the Zuckerman-Kuhlman Personality Questionnaire--Form III. Participants were presented with series of tones (standards, deviants and novels) and they received a mild electric shock (one, two or three pulses) at each 15th tone. Resting pre-stimulus skin conductance level (SCL) and heart rate (HR) level was recorded, as well as the skin conductance response (SCR) and (anticipatory) HR response to the electric stimuli. The autonomic measures differentiated between high- vs. low Imp-SS participants but failed to discriminate between high- vs. low N-Anx participants, with the exception that high N-Anx participants showed smaller SCRs on some trials compared to the low N-Anx participants. High Imp-SS had a lower pre-stimulus SCL and smaller SCRs to deviant stimuli compared to low Imp-SS participants. Additionally, their HR acceleration was smaller in anticipation of the first and the deviant tones whereas their deceleratory response was larger relative to the HR changes observed for the low Imp-SS participants. This pattern of findings was taken to suggest that high Imp-SS participants are more arousable and less prone to defensive reactions to novel or aversive stimulation.

Adolescent↗

Pain perception, obstructive imagery and phase-ordered gamma oscillations.

The neural mechanisms underlying pain perception and anti-nociceptive effects of mental imagery are not well understood. Using a measure of phase-ordered beta and gamma EEG oscillations in response to painful electric stimulation, we recently found that somatosensory event-related phase-ordered gamma oscillations (38-42 Hz), elicited by the onset of painful stimuli over Cz scalp site, were linearly related to pain perception. In the present study, 38 subjects were engaged in a painful stimulus detection task using an oddball paradigm. This task was performed under a condition in which subjects were required simply to count the number of target stimuli (pain condition) and under another condition in which subjects were required to produce an obstructive mental imagery of painful stimulus perception (obstructive imagery). Only EEG responses to standard stimuli were analyzed in this study. Correlation analysis of sweeps for each individual revealed brief intervals of phase ordering of EEG patterns in the beta and gamma bands. The frequencies of interest were the beta1 (26-30 Hz), beta2 (30-34 Hz), gamma1 (34-38 Hz), gamma2 (38-42 Hz) and gamma3 (42-46 Hz) bands. Obstructive imagery treatment, compared to pain condition, significantly reduced pain perception. This reduction was paralleled by significant decreases of evoked phase-ordered gamma2 and gamma3 patterns over Cz scalp site. Phase-ordered oscillations at Cz scalp site, for both gamma2 and gamma3 bands, significantly predicted pain ratings during pain condition. Phase-ordered oscillation scores, obtained for these gamma bands over parietal and frontal scalp sites, resulted the best predictor of pain ratings during obstructive imagery. This study provides evidence for the role of gamma oscillations in the subjective experience of pain. Further, it has provided support for the view that pain reduction during obstructive mental imagery is the product of an inhibitory process involving frontal and parietal cortical regions.

Adult↗

Perception and modulation of pain in waking and hypnosis: functional significance of phase-ordered gamma oscillations.

Somatosensory event-related phase-ordered gamma oscillations (40-Hz) to electric painful standard stimuli under an odd-ball paradigm were analyzed in 13 high, 13 medium, and 12 low hypnotizable subjects during waking, hypnosis, and post-hypnosis conditions. During these conditions, subjects received a suggestion of Focused Analgesia to produce an obstructive hallucination of stimulus perception; a No-Analgesia treatment served as a control. After hypnosis, a post-hypnotic suggestion was given to draw waking subjects into a deep hypnosis with opened eyes. High hypnotizables, compared to medium and low ones, experienced significant pain and distress reductions for Focused Analgesia during hypnosis and, to a greater extent, during post-hypnosis condition. Correlational analysis of EEG sweeps of each individual revealed brief intervals of phase ordering of gamma patterns, preceding and following stimulus onset, lasting approximately six periods. High and medium hypnotizable subjects showed significant reductions in phase-ordered gamma patterns for Focused Analgesia during hypnosis and post-hypnosis conditions; this effect was found, however, more pronounced in high hypnotizable subjects. Phase-ordered gamma scores over central scalp site predicted subject pain ratings across Waking-Pain and Waking-Analgesia conditions, while phase-ordered gamma scores over frontal scalp site predicted pain ratings during post-hypnosis analgesia condition. During waking conditions, this relationship was present in high, low and medium hypnotizable subjects and was independent of stimulus intensity measures. This relationship was unchanged by hypnosis induction in the low hypnotizable subjects, but not present in the high and medium ones during hypnosis, suggesting that hypnosis interferes with phase-ordered gamma and pain relationship.

Adult↗

Pain-reduction strategies in hypnotic context and hypnosis: ERPs and SCRs during a secondary auditory task.

Pain-rating scores were obtained from 10 high, 10 medium, and 10 low hypnotizable subjects who were holding a painful cold bottle in their left hands and were exposed to pain reduction treatments while they were performing a secondary oddball task. All subjects received suggestions of dissociative imagery and focused analgesia as cognitive strategies for pain reduction. The following measures were obtained for tone targets of the auditory oddball task: (a) reaction time; (b) P300 peak amplitude of the event-related potentials; (c) skin conductance levels and skin conductance responses. Focused analgesia produced the most pain reduction in high, but not medium or low, hypnotizable subjects who showed shorter reaction times, higher central and parietal P300 peaks, and higher skin conductance responses. These findings were discussed vis-a-vis the dissociated-control model assuming that capacity demands of hypnotic suggestion are low.

Adult↗

Temporal aspects of hypnotic processes.

The authors examine the cortical processes underlying the process of hypnosis, especially as related to the temporal appearance of specific waveforms in relation to pain. Nonhypnotic pain research suggests that in terms of temporal processing early EEG components are more sensory in nature, and later components are of a more emotional or evaluative nature. In the present work, the authors report that the influence of hypnosis is less on the EEG components associated with the initial sensory experience itself and more on the later components that carry with them rich cognitive/emotional information. The research reviewed in this paper clearly suggests an inhibitory process for the high susceptible individuals associated with the hypnotic analgesia.

Brain↗

Zuckerman-Kuhlman Personality Questionnaire: preliminary results of the Italian version.

A study was conducted to assess the psychometric properties of the translated Zuckerman-Kuhlman Personality Questionnaire in an Italian sample. Factorial analysis of the items, performed over 356 respondents (200 women and 156 men) showed a clear correspondence between factorial components and the five a priori hypothesized dimensions. The Italian version has provided satisfactory Cronbach coefficients alpha. Sex differences and intercorrelations among scales are similar to those in the original American sample. Correlations among the dimensions and four other personality measures yielded a satisfactory validity. The low power in this study may explain why the five derived factors explained only 27.6% of the variance in scores. Results suggest that the Italian version is a reliable tool for Italian research in the field of personality and individual differences.

Adolescent↗

The contribution of suggestibility and expectation to placebo analgesia phenomenon in an experimental setting.

This study reports how placebo analgesia was produced by conditioning whereby the intensity of electric stimulation was surreptitiously reduced in order to examine the contribution of psychological factors of suggestibility and expectancy on placebo analgesia. This strategy was used in order to manipulate expectancy for pain reduction. The magnitudes of the placebo effects were estimated after a manipulation procedure and during experimental trials in which stimulus intensities were reset to original baseline levels. Individual differences in suggestibility, verbal expectancy for drug efficacy and manipulation procedure for pain reduction were tested as possible mediators of placebo analgesia. The following dependent variables were measured: (a) subjective expectancy for drug efficacy in pain relief, (b) expected pain intensity and unpleasantness, (c) concurrent pain intensity and unpleasantness and (d) remembered pain intensity and unpleasantness. Statistically significant placebo effects on sensory and affective measures of pain were obtained independently of the extent of the surreptitious lowering of stimulus strength during manipulation trials. The pairing of placebo administration with painful stimulation was sufficient to produce a generalized placebo analgesic effect. However, verbal expectancy for drug efficacy and individual differences in suggestibility were found to contribute significantly to the magnitude of placebo analgesia. The highest placebo effect was shown by the most pronounced reductions in pain ratings in highly suggestible subjects who received suggestions presumed to elicit high expectancy for drug efficacy. The results also demonstrated that placebo effects established on remembered pain were at least twice as great as those obtained on concurrent placebo effects. This was mainly because baseline pain was remembered as being much more intense than it really was. Moreover, remembered placebo effects, like the concurrent placebo effects, were highly correlated with expected pain scores obtained just after manipulation trials. These results indicate that multiple factors contribute to the placebo effect, including suggestibility, expectancy and conditioning, and that the judgement of placebo analgesia is critically determined by whether pain relief is assessed concurrently or after treatment.

Adult↗

Pain perception, somatosensory event-related potentials and skin conductance responses to painful stimuli in high, mid, and low hypnotizable subjects: effects of differential pain reduction strategies.

In this study, pain perception, somatosensory event-related potential (SERP) and skin conductance response (SCR) changes during hypnotic suggestions of Deep Relaxation, Dissociated Imagery, Focused Analgesia, and Placebo, compared with a Waking baseline condition, were investigated. SERPs were recorded from frontal, temporal, central, and parietal scalp sites. Ten high, 9 mid, and 10 low hypnotizable right-handed women participated in the experiment. The following measures were obtained: (1) pain and distress tolerance ratings; (2) sensory and pain thresholds to biphasic electrical stimulation delivered to the right wrist; (3) reaction time and number of omitted responses; (4) N2 (280+/-11 ms) and P3 (405+/-19 ms) peak amplitudes of SERPs to target stimuli delivered using an odd-ball paradigm; (5) number of evoked SCRs and SCR amplitudes as a function of stimulus repetition. Results showed, high, mid and low hypnotizables exhibited significant reductions of reported pain and distress ratings during conditions of Deep Relaxation/Suggestion of Analgesia, Dissociated Imagery and Focused Analgesia. High hypnotizable subjects displayed significant reductions in pain and distress levels compared to mid and low hypnotizables during Dissociated Imagery, Focused Analgesia and, to a lesser degree, during Deep Relaxation. Placebo condition did not display significant differences among hypnotizability groups. High hypnotizables, compared to mid and low hypnotizables, also showed significant increases in sensory and pain thresholds during Dissociated Imagery and Focused Analgesia. High, mid, and low groups showed significant reductions in P3 peak amplitudes across all hypnosis conditions and, to a lesser degree, during Placebo. The temporal cortical region was the most sensitive in differentiating SERP responses among hypnotizability groups. On this recording area the subjects highly susceptible to hypnosis displayed significantly smaller P3 and greater N2 peaks during Focused Analgesia than did the other hypnotizable groups. In this condition highly susceptible subjects also reported the highest number of omitted responses and the shortest Reaction Times. These subjects also showed faster habituation of SCRs when compared with mid and low hypnotizables. During Dissociated Imagery and Focused Analgesia, highly hypnotizable subjects also disclosed a smaller total number of evoked SCRs than did mid and low hypnotizable subjects. The results are discussed considering possible common and different mechanisms to account for the effects of different hypnotic suggestions.

Analysis of Variance↗