Pain sensitivity is reduced in borderline personality disorder, but not in posttraumatic stress disorder and bulimia nervosa

World Journal of Biological Psychiatry

Volumn 11, Issue 2 PART 2, 2010, Pages 364-371

  Schmahl, Christian ^a   Meinzer, Miriam ^a   Zeuch, Andrea ^a   Fichter, Manfred ^b   Cebulla, Marian ^b   Kleindienst, Nikolaus ^a   Ludscher, Petra ^a   Steil, Regina ^a   Bohus, Martin ^a  

^a CENTRAL INSTITUTE OF MENTAL HEALTH   (Germany)

^b UNIVERSITY OF MUNICH   (Germany)

Author keywords

Anxiety disorders; Borderline personality disorder; Eating disorders; Stress

Indexed keywords

ATYPICAL ANTIPSYCHOTIC AGENT; MOOD STABILIZER; SEROTONIN UPTAKE INHIBITOR;

ADULT; ARTICLE; BORDERLINE STATE; BULIMIA; CONTROLLED STUDY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MENTAL STRESS; NOCICEPTION; PAIN ASSESSMENT; PAIN THRESHOLD; POSTTRAUMATIC STRESS DISORDER; PSYCHOMETRY; SCORING SYSTEM; TEMPERATURE STRESS;

ADULT; BORDERLINE PERSONALITY DISORDER; BULIMIA NERVOSA; FEMALE; HUMANS; PAIN MEASUREMENT; PAIN THRESHOLD; PSYCHIATRIC STATUS RATING SCALES; STRESS DISORDERS, POST-TRAUMATIC; STRESS, PSYCHOLOGICAL; YOUNG ADULT;

EID: 77950833520     PISSN: 15622975     EISSN: 18141412     Source Type: Journal    
DOI: 10.3109/15622970701849952     Document Type: Article

References (32)

1. Bar KJ, Brehm S, Boettger MK, Boettger S, Wagner G, Sauer H. 2005. Pain perception in major depression depends on pain modality. Pain 117:97-103.
2. Bar KJ, Bottger S, Wagner G, et al. 2006. Changes of pain perception, autonomic function, and endocrine parameters during treartment of anorectic adolescents. J Am Acad Adolesc Psychiatry 45:1068-1076.
3. Beck AT,Ward CH, Mendelson M, Mock H, Erbaugh J. 1961. An inventory for measuring depression. Arch Gen Psychiatry 4:561-571.
4. Bohus M, Limberger M, Ebner U, et al. 2000. Pain perception during self-reported distress and calmness in patients with borderline personality disorder and self-mutilating behavior. Psychiatry Res 95:251-260.
5. Brown RA, Lejuez CW, Kahler CW, Strong DR. 2002. Distress tolerance and duration of past smoking cessation attempts. J Abnorm Psychol 111:180-185.
6. De Zwaan M, Biener D, Schneider C, Stacher G. 1996. Relationship between thresholds to thermally and to mechanically induced pain in patients with eating disorders and healthy subjects. Pain 67:511-512.
7. Faris PL, Kim SW,Meller WH, et al. 1998. Effect of ondansetron, a 5-HT3 receptor antagonist, on the dynamic association between bulimic behaviors and pain thresholds. Pain 77:297- 303.
8. Faris PL, Eckert ED, Kim SW, et al. 2006. Evidence for a vagal pathophysiology for bulimia nervosa and the accompanying depressive symptoms. J Affect Disord 92:79-90.
9. First MB, Spitzer RL, Gibbon M, Williams JBW. 1995. Structured clinical interview for axis I DSM-IV disorders- patient edition (SCID-I/P). New York: American Psychiatric Press.
10. Geuze E, Westenberg HGM, Jochims A, et al. 2007. Altered pain processing in veterans with posttraumatic stress disorder. Arch Gen Psychiatry 64:76-85. (Pubitemid 46041741)
11. Girdler SS, Koo-Loeb J, Pedersen CA, Brown HJ, Maixner W. 1998. Blood pressure-related hypoalgesia in bulimia nervosa. Psychosom Med 60:736-743.
12. Gronwall DM. 1977. Paced auditory serial-addition task: A measure of recovery from concussion. Percept Motor Skills 44:367-373.
13. Hilz MJ, Stemper B, Axelrod FB, Kolodny EH, Neundorfer B. 1999. Quantitative thermal perception testing in adults. J Clin Neurophysiol 16:462-471.
14. Holdwick DJ, Wingenfeld SA. 1999. The subjective experience of PASAT testing: Does the PASAT induce negative mood? Arch Clin Neuropsychol 14:273-284.
15. Klossika I, Flor H, Kamping S, et al. 2006. Emotional modulation of pain: a clinical perspective. Pain 124:264-268.
16. Lautenbacher S, Pauls AM, Strian F, Pirke KM, Krieg JC. 1990. Pain perception in patients with eating disorders. Psychosom Med 52:673-682.
17. Lautenbacher S, Pauls AM, Strian F, Pirke KM, Krieg JC. 1991. Pain sensitivity in anorexia nervosa and bulimia nervosa. Biol Psychiatry 29:1073-1078.
18. Loranger AW. 1999. International Personality Disorder Examination (IPDE): DSM-IV and ICD-10 modules. Odessa, FL: Psychological Assessment Resources.
19. Ludaescher P, Bohus M, Lieb K, Philipsen A, Jochims A, Schmahl C. 2007. Elevated pain thresholds correlate with dissociation and aversive arousal in patients with borderline personality disorder. Psychiatry Res 149:291-296.
20. Madden J, Akil H, Patrick RL, Barchas JD. 1977. Stress induced parallel changes in central opioid levels and pain responsiveness in the rat. Nature 265:358-360.
21. Pitman RK, van der Kolk BA, Orr SP, Greenberg MS. 1990. Naloxone-reversible analgesic response to combat-related stimuli in posttraumatic stress disorder. A pilot study. Arch Gen Psychiatry 47:541-544.
22. Raymond NC, Eckert ED, Hamalainen M, et al. 1999. A preliminary report on pain thresholds in bulimia nervosa during a bulimic episode. Comp Psychiatry 40:229-233.
23. Rolke R, Magerl W, Campbell KA, et al. 2006. Quantitative sensory testing: a comprehensive protocol for clinical trials. Eur J Pain 10:77-88.
24. Rhudy JL, Meagher MW. 2001. The role of emotion in pain modulation. Curr Opin Psychiatry 14:241-245.
25. Russ MJ, Roth SD, Lerman A, et al. 1992. Pain perception in selfinjurious patients with borderline personality disorder. Biol Psychiatry 32:501-511.
26. Schmahl C, Greffrath W, Baumgadie;rtner U, et al. 2004. Differential nociceptive deficits in patients with borderline personality disorder and self-injurious behavior: laser evoked potentials, spatial diskrimination of noxious stimuli, and pain ratings. Pain 110:470-479.
27. Schmahl C, Bohus M, Esposito F, et al. 2006. Neural correlates of antinociception in borderline personality disorder. Arch Gen Psychiatry 63:659-667. (Pubitemid 43848297)
28. Spielberger CD, Gorsuch RL, Lushene RE. 1970. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
29. Stein D, Kaye WH, Matsunaga H, et al. 2003. Pain perception in recovered bulimia nervosa patients. Int J Eat Disord 34:331- 336.
30. Stiglmayr C, Braakmann D, Haaf B, Stieglitz RD, Bohus M. 2003. Entwicklung und psychometrische Charakteristika der Dissoziations-Spannungs- Skala akut (DSS-akut). [Construction and psychometric properties of Dissoziations-Spannungs-Skala akut (DSS-akut), a self-rating scale assessing dissociative symptoms and aversive inner tension]. Psychother Psychosom Med Psychol 53:287-294.
31. Terman GW, Shavit Y, Lewis JW, Cannon JT, Liebeskind JC. 1984. Intrinsic mechanisms of pain inhibition: Activation by stress. Science 226:1270-1277.
32. Van der Kolk BA, Greenberg MS, Orr SP, Pitman RK. 1989. Endogenous opioids, stress induced analgesia, and post-traumatic stress disorder. Psychopharmacol Bull 25:417-425.