Evidence map›Paper›PMID 37676276›Full record

Trial reportPsychopharmacology2023

Facial expressions of pain: the role of the serotonergic system.

Miriam Kunz, Karl-Jürgen Bär, Anna J Karmann, Gerd Wagner, Stefan Lautenbacher

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Miriam KunzDepartment of Medical Psychology and Sociology, Medical Faculty, University of Augsburg, Augsburg, Germany. miriam.kunz@med.uni-augsburg.de.ORCID http://orcid.org/0000-0002-0740-6738
Karl-Jürgen BärDepartment of Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany.
Anna J KarmannBamberger Living Lab Dementia (BamLiD), Otto-Friedrich University Bamberg, Bamberg, Germany.
Gerd WagnerDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany.
Stefan LautenbacherBamberger Living Lab Dementia (BamLiD), Otto-Friedrich University Bamberg, Bamberg, Germany.
Jena University Hospital · DEUniversity of Bamberg · DEUniversity of Augsburg · DE

Funding

Deutsche Forschungsgemeinschaft KU 2294/6
6 · The paper itself

Abstract

rationaleAlthough interest in the neurobiology of facial communication of pain has increased over the last decades, little is known about which neurotransmitter systems might be involved in regulating facial expressions of pain.

objectivesWe aim to investigate whether the serotonergic system (5-HT), which has been implicated in various aspects of pain processing as well as in behavioral response inhibition, might play a role in facial expressions of pain. Using acute tryptophan depletion (ATD) to manipulate 5-HT function, we examined its effects on facial and subjective pain responses.

methodsIn a double-blind, placebo-controlled within-subject design, 27 participants received either an ATD or a control drink in two separate sessions. Approximately 5-h post-oral consumption, we assessed pain thresholds (heat, pressure) as well as facial and subjective responses to phasic heat pain. Moreover, situational pain catastrophizing and mood were assessed as affective state indicators.

resultsATD neither influenced pain thresholds nor self-report ratings, nor catastrophizing or mood. Only facial responses were significantly affected by ATD. ATD led to a decrease in pain-indicative as well as in pain-non-indicative facial responses to painful heat, compared to the control condition.

conclusionsDecrease in brain 5-HT synthesis via ATD significantly reduced facial responses to phasic heat pain; possibly due to (i) diminished disposition to display social behavior or due to (ii) decreased facilitation of excitatory inputs to the facial motor neuron.

Indexed as

Facial ExpressionSerotoninCross-Over StudiesDouble-Blind MethodEmotionsHumansPainTryptophanSerotoninTryptophan5-HTAcute tryptophan depletionFacial expression of painFacial responsesPain thresholds

Identifiers

PMID37676276
PMCPMC10640419
OpenAlexW4386495845

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.