Analgesia for the Bayesian Brain: How Predictive Coding Offers Insights Into the Subjectivity of Pain.

Lersch, Friedrich E; Frickmann, Fabienne C S; Urman, Richard D; Burgermeister, Gabriel; Siercks, Kaya; Luedi, Markus M; Straumann, Sven (2023). Analgesia for the Bayesian Brain: How Predictive Coding Offers Insights Into the Subjectivity of Pain. Current pain and headache reports, 27(11), pp. 631-638. Springer 10.1007/s11916-023-01122-5

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PURPOSE OF REVIEW

In order to better treat pain, we must understand its architecture and pathways. Many modulatory approaches of pain management strategies are only poorly understood. This review aims to provide a theoretical framework of pain perception and modulation in order to assist in clinical understanding and research of analgesia and anesthesia.

RECENT FINDINGS

Limitations of traditional models for pain have driven the application of new data analysis models. The Bayesian principle of predictive coding has found increasing application in neuroscientific research, providing a promising theoretical background for the principles of consciousness and perception. It can be applied to the subjective perception of pain. Pain perception can be viewed as a continuous hierarchical process of bottom-up sensory inputs colliding with top-down modulations and prior experiences, involving multiple cortical and subcortical hubs of the pain matrix. Predictive coding provides a mathematical model for this interplay.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy > Partial clinic Insel
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy

UniBE Contributor:

Frickmann, Fabienne Conny Sara, Straumann, Sven

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1534-3081

Publisher:

Springer

Language:

English

Submitter:

Pubmed Import

Date Deposited:

10 Jul 2023 11:00

Last Modified:

12 Dec 2023 00:12

Publisher DOI:

10.1007/s11916-023-01122-5

PubMed ID:

37421540

Uncontrolled Keywords:

Active inference Analgesia Anesthesia Bayes’ theorem Markov blanket Pain Predictive coding

BORIS DOI:

10.48350/184607

URI:

https://boris.unibe.ch/id/eprint/184607

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