Aftermath of sexual abuse history on adult patients suffering from chronic functional pain syndromes: An fMRI pilot study

Abstract 

Objective

This preliminary study investigates the neural substrates of empathy-induced pain in multisomatoform pain patients “with vs. without” a history of sexual abuse during childhood.

Methods

Using functional magnetic resonance imaging (fMRI) and behavioral measurements, we compared eight abused with eight nonabused patients using an established empathy-for-pain paradigm.

Results

Higher activations in left lateral and medial superior frontal gyrus as well as a nonsignificant activation of the right supplementary motor area in abused patients were detected. The nonabused participants showed higher activation of left hippocampus. There was no significant difference in subjective pain ratings between the groups.

Conclusion

Although the number of participants still needs to be increased, our main findings mirror the clinical impression and support the notion of perturbed neuroprocessing of grievous stimuli in chronic pain patients with a history of sexual abuse.

Keywords: Adverse childhood experiences, Sexual abuse, Functional somatic syndromes, Pain-predominant multisomatoform disorder, Neurobiology, fMRI