Enhanced Medial Prefrontal-Default Mode Network Functional Connectivity in Chronic Pain and Its Association with Pain Rumination
Journal of Neuroscience March 12, 2014 Aaron Kucyi, Massieh Moayedi, Irit Weissman‐fogel et al. 390 citations
In patients with chronic pain, rumination—repetitive focus on discomfort—is linked to altered functional connectivity in the brain's default mode network. In a study of 17 patients with temporomandibular disorder and 17 matched healthy controls, those with chronic pain showed enhanced connectivity between the medial prefrontal cortex and other default mode network regions, including the posterior cingulate cortex and precuneus. Among patients, greater rumination about pain correlated with stronger connectivity between the medial prefrontal cortex and the posterior cingulate cortex, precuneus, retrosplenial cortex, medial thalamus, and periaqueductal gray. These results suggest that communication within the default mode network and with the descending pain modulatory system underlies the degree of rumination about chronic pain.