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Research ArticleNew Research, Cognition and Behavior

Pain-Related Fear—Dissociable Neural Sources of Different Fear Constructs

Michael Lukas Meier, Andrea Vrana, Barry Kim Humphreys, Erich Seifritz, Philipp Stämpfli and Petra Schweinhardt
eNeuro 26 December 2018, 5 (6) ENEURO.0107-18.2018; https://doi.org/10.1523/ENEURO.0107-18.2018
Michael Lukas Meier
1Integrative Spinal Research, Department of Chiropractic Medicine, Balgrist University Hospital, 8008 Zurich, Switzerland
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Andrea Vrana
1Integrative Spinal Research, Department of Chiropractic Medicine, Balgrist University Hospital, 8008 Zurich, Switzerland
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Barry Kim Humphreys
1Integrative Spinal Research, Department of Chiropractic Medicine, Balgrist University Hospital, 8008 Zurich, Switzerland
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Erich Seifritz
2Department of Psychiatry, Psychotherapy and Psychosomatics, Hospital of Psychiatry, University of Zurich, 8006 Zurich, Switzerland
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Philipp Stämpfli
2Department of Psychiatry, Psychotherapy and Psychosomatics, Hospital of Psychiatry, University of Zurich, 8006 Zurich, Switzerland
3MR-Center of the Psychiatric Hospital, University of Zurich, 8006 Zurich, Switzerland
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Petra Schweinhardt
1Integrative Spinal Research, Department of Chiropractic Medicine, Balgrist University Hospital, 8008 Zurich, Switzerland
4Alan Edwards Center for Research on Pain, McGill University, Montreal, Quebec, Canada
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    Figure 1.

    The model performance (r, MSE) characterizes the strength of the relationship between true and predicted labels. Condition and region weights show the predictive contribution of the two different conditions (harmful, harmless) and fear-related brain regions (parcellated according to the AAL atlas; L, left; R, right) to the final decision function of each MKL model (questionnaires A–E with model performance; p < 0.05, FDR corrected and uncorrected). Brain regions (feature set) were identified as follows: thalamus (1); hippocampus (2); amygdala (3); insula (4); mOFC: rectus (5), Frontal_Sup_Orb (6), Frontal_Med_Orb (7); lOFC: Frontal_Mid_Orb (8), Frontal_Inf_Orb (9), mPFC: Frontal_Sup_Medial (10); anterior cingulate cortex: Cingulum_Ant (11). ← indicates the not visible contralateral homolog.

Tables

  • Figures
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    Table 1:

    Patient characteristics and descriptive statistics of questionnaires

    cLBP patients (N = 20, 7 females)
    MinimumMaximumMeanSD
    Age216239.3513.97
    TSK-17265236.905.59
    TSK-13164327.605.96
    TSK-11133823.205.71
    TSK-11-SF5169.702.69
    TSK-11-AA52011.903.35
    PASS136838.1516.57
    PASS-C1158.704.19
    PASS-E3219.854.77
    PASS-F2209.455.28
    PASS-P0157.354.21
    FABQ38335.4522.53
    FABQ-PA22112.805.59
    FABQ-W04015.5012.12
    S-Anxiety365343.704.78
    T-Anxiety315943.006.05
    PainDETECT current pain083.772.49
    PainDETECT strongest pain2106.152.16
    PainDETECT average pain (previous 4 weeks)173.751.88
    Ratings harmful activities0105.442.38
    Ratings harmless activities051.281.32
    • cLBP = chronic low back pain. Tampa Scale of Kinesiophobia (TSK, SF = somatic focus, AA = activity avoidance); Pain Anxiety Symptoms Scale (PASS, PASSc = cognitive anxiety; PASSe = escape/avoidance; PASSf = fear; PASSp = physiology); Fear Avoidance Beliefs Questionnaire (FABQ, FABQ-PA = physical activity, FABQ-W = work); State-Trait Anxiety Inventory (S-Anxiety, T-Anxiety).

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    Table 2:

    Spearman’s rank correlations between the different pain-related fear questionnaires

     TSK-17TSK-13TSK-11TSK-11_SFTSK-11_AAPASSPASS-CPASS-EPASS-FPASS-PFABQFABQ-PAFABQ-WS-ANXIETYT-ANXIETYRating harmfulRating harmless
    TSK-17Corr. coeff.1.0000.834 **0.800 **0.609 **0.759 **0.611 **0.503*0.614 **0.556*0.647 **0.3370.494*0.2800.449*0.2990.1330.289
    Sig.0.0000.0000.0040.0000.0040.0240.0040.0110.0020.1460.0270.2310.0470.2000.5770.216
    TSK-13Corr. coeff.0.834 **1.0000.960 **0.754 **0.789 **0.686 **0.559*0.777 **0.666 **0.558*0.3440.442*0.3390.451*0.1390.2400.168
    Sig.0.0000.0000.0000.0000.0010.0100.0000.0010.0110.1380.0500.1440.0460.5580.3070.479
    TSK-11Corr. coeff.0.800 **0.960 **1.0000.793 **0.779 **0.685 **0.559*0.766 **0.643 **0.565 **0.3600.4040.3780.470*0.0710.2760.091
    Sig.0.0000.0000.0000.0000.0010.0100.0000.0020.0090.1200.0770.1010.0370.7660.2380.703
    TSK-11_SFCorr. coeff.0.609 **0.754 **0.793 **1.0000.3500.519*0.462*0.529*0.502*0.502*0.3510.3150.4110.629 **0.0340.0440.178
    Sig.0.0040.0000.0000.1310.0190.0400.0160.0240.0240.1300.1760.0710.0030.8860.8540.452
    TSK-11_AACorr. Coeff.0.759 **0.789 **0.779 **0.3501.0000.477*0.2680.564 **0.486*0.4210.3360.3750.2800.2840.0350.2700.135
    Sig.0.0000.0000.0000.1310.0340.2540.0100.0300.0650.1470.1030.2310.2240.8830.2500.570
    PASSCorr. coeff.0.611 **0.686 **0.685 **0.519*0.477*1.0000.895 **0.899 **0.886 **0.801 **0.4150.535*0.4000.3200.1560.317-0.118
    Sig.0.0040.0010.0010.0190.0340.0000.0000.0000.0000.0690.0150.0810.1680.5100.1730.620
    PASS-CCorr. coeff.0.503*0.559*0.559*0.462*0.2680.895 **1.0000.737 **0.690 **0.707 **0.3290.4240.3440.2270.1180.214-0.254
    Sig.0.0240.0100.0100.0400.2540.0000.0000.0010.0000.1570.0630.1370.3360.6210.3660.280
    PASS-ECorr. coeff.0.614 **0.777 **0.766 **0.529*0.564 **0.899 **0.737 **1.0000.918 **0.544*0.472*0.592 **0.4190.3870.1610.330-0.062
    Sig.0.0040.0000.0000.0160.0100.0000.0000.0000.0130.0360.0060.0660.0920.4990.1560.795
    PASS-FCorr. coeff.0.556*0.666 **0.643 **0.502*0.486*0.886 **0.690 **0.918 **1.0000.541*0.577 **0.736 **0.486*0.2910.1880.445*0.085
    Sig.0.0110.0010.0020.0240.0300.0000.0010.0000.0140.0080.0000.0300.2130.4280.0490.720
    PASS-PCorr. coeff.0.647 **0.558*0.565 **0.502*0.4210.801 **0.707 **0.544*0.541*1.0000.2610.3040.3280.2890.1120.118-0.023
    Sig.0.0020.0110.0090.0240.0650.0000.0000.0130.0140.2670.1930.1570.2160.6390.6190.925
    FABQCorr. coeff.0.3370.3440.3600.3510.3360.4150.3290.472*0.577 **0.2611.0000.781 **0.951 **0.314-0.0320.1950.009
    Sig.0.1460.1380.1200.1300.1470.0690.1570.0360.0080.2670.0000.0000.1780.8940.4100.970
    FABQ-PACorr. coeff.0.494*0.442*0.4040.3150.3750.535*0.4240.592 **0.736 **0.3040.781 **1.0000.638 **0.1400.0090.3770.178
    Sig.0.0270.0500.0770.1760.1030.0150.0630.0060.0000.1930.0000.0020.5570.9690.1010.452
    FABQ-WCorr. coeff.0.2800.3390.3780.4110.2800.4000.3440.4190.486*0.3280.951 **0.638 **1.0000.291-0.0690.185-0.040
    Sig.0.2310.1440.1010.0710.2310.0810.1370.0660.0300.1570.0000.0020.2130.7720.4350.867
    S-ANXIETYCorr. coeff.0.449*0.451*0.470*0.629 **0.2840.3200.2270.3870.2910.2890.3140.1400.2911.0000.128-0.1980.090
    Sig.0.0470.0460.0370.0030.2240.1680.3360.0920.2130.2160.1780.5570.2130.5920.4020.707
    T-ANXIETYCorr. coeff.0.2990.1390.0710.0340.0350.1560.1180.1610.1880.112-0.0320.009-0.0690.1281.0000.1850.378
    Sig.0.2000.5580.7660.8860.8830.5100.6210.4990.4280.6390.8940.9690.7720.5920.4350.100
    Rating harmfulCorr. coeff.0.1330.2400.2760.0440.2700.3170.2140.3300.445*0.1180.1950.3770.185-0.1980.1851.0000.289
    Sig.0.5770.3070.2380.8540.2500.1730.3660.1560.0490.6190.4100.1010.4350.4020.4350.217
    Rating harmlessCorr. coeff.0.2890.1680.0910.1780.135-0.118-0.254-0.0620.085-0.0230.0090.178-0.0400.0900.3780.2891.000
    Sig.0.2160.4790.7030.4520.5700.6200.2800.7950.7200.9250.9700.4520.8670.7070.1000.217
    • Corr. coeff., Correlation coefficient; Sig., significance.

    • ↵**p < 0.005 (bold), *p < 0.05 (bold). Bold indicates significance.

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    Table 3:

    Model performances of the different MKL models (characterized by r and nMSE)

    MKL modelrp valuenMSEp value
    FABQ total0.610.012*4.250.014
    FABQ-W0.740.004*1.810.003*
    FABQ-PA0.030.1621.680.161
    TSK-170.190.0981.100.091
    TSK-130.370.0341.090.033
    TSK-110.630.009*0.900.032
    TSK-11-SF−0.730.8320.860.773
    TSK-11-AA−0.630.9080.880.879
    PASS0.180.1194.630.115
    PASS-C−0.440.5151.640.513
    PASS-E−0.320.3391.380.331
    PASS-F−0.150.2591.700.251
    PASS-P−0.510.5181.360.512
    T-Anxiety0.480.011*1.010.015
    S-Anxiety−0.460.4811.510.475
    Ratings harmful activities−0.010.2470.640.242
    Ratings harmless activities−0.720.4810.380.441
    • Bold: p < 0.05, * p < 0.05, corrected for multiple comparisons (FDR, 5%).

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    Table 4:

    Model performances of the between-model cross-validation (characterized by r and nMSE)

    Feature setFABQ total labelsFABQ-W labelsTSK-11 labelsTSK-13 labelsT-Anxiety labels
    FABQ totalr = 0.72, p = 0.001*,
    nMSE = 3.29, p = 0.001*
    r = −0.42, p = 0.68
    nMSE = 1.30, p = 0.69
    r = −0.65, p = 0.91
    nMSE = 1.48, p = 0.86
    r = −0.32, p = 0.42
    nMSE = 1.56, p = 0.66
    FABQ-Wr = 0.8, p = 0.001*,
    nMSE = 1.63, p = 0.001*
    r = −0.40, p = 0.59,
    nMSE = 1.26, p = 0.47
    r = −0.06, p = 0.25
    nMSE = 4.08, p = 0.24
    r = −0.32, p = 0.42
    nMSE = 1.56, p = 0.66
    TSK-11r = 0.17, p = 0.12,
    nMSE = 6.27, p = 0.13
    r = −0.06, p = 0.26,
    nMSE = 4.08, p = 0.26
    r = 0.83, p = 0.001*
    nMSE = 0.57, p = 0.002*
    r = −0.39, p = 0.57
    nMSE = 1.74, p = 0.96
    TSK-13r = 0.04, p = 0.18,
    nMSE = 7.16, p = 0.32
    r = −0.06, p = 0.31,
    nMSE = 4.08, p = 0.27
    r = 0.83, p = 0.001*
    nMSE = 0.57, p = 0.001*
    r = −0.37, p = 0.47
    nMSE = 1.78, p = 0.98
    T-Anxietyr = 0.23, p = 0.11,
    nMSE = 6.01, p = 0.11
    r = 0.2, p = 0.21,
    nMSE = 3.43, p = 0.25
    r = −0.25, p = 0.41,
    nMSE = 1.35, p = 0.81
    r = −0.24, p = 0.41,
    nMSE = 1.45, p = 0.83
    • Bold: p < 0.05, * p < 0.05, corrected for multiple comparisons (FDR of 5%).

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    Table 5:

    Condition and region weights showing the contribution of the two different conditions and fear-related brain regions to the final decision function of each MKL model (questionnaires A–E with model performance, p < 0.05, FDR corrected and uncorrected; see Fig. 1) in hierarchical order

    Harmful activitiesCondition weightHarmless activitiesCondition weight
    RankBrain regionAAL labelRegion size (vox)Region weight (%)ERBrain regionAAL labelRegion size (vox)Region weight (%)ER
    A. FABQ totala
    1Thalamus_L*51927.251.8Amygdala_R*9611.060.95
    2Amygdala_R*9624.691.6Hippocampus_R4240.6114.70
    3Hippocampus_L*40017.292.6Amygdala_L970.4318.10
    4Frontal_Med_Orb_R4139.564.0Frontal_Inf_Orb_L7140.195.15
    5Frontal_Inf_Orb_R7446.396.1Frontal_Sup_Orb_L4510.002.35
    6Frontal_Med_Orb_L3242.177.5Frontal_Sup_Orb_R4690.003.30
    7Hippocampus_R4240.318.2Frontal_Mid_Orb_L4080.004.25
    8Frontal_Sup_Orb_L4510.006.1Frontal_Mid_Orb_R4440.005.20
    9Frontal_Sup_Orb_R4690.007.0Frontal_Inf_Orb_R7440.006.90
    10Frontal_Mid_Orb_L4080.008.0Frontal_Sup_Medial_L14170.007.85
    11Frontal_Mid_Orb_R4440.008.9Frontal_Sup_Medial_R10060.008.80
    12Frontal_Inf_Orb_L7140.009.9Frontal_Med_Orb_L3240.009.75
    13Frontal_Sup_Medial_L14170.0011.1Frontal_Med_Orb_R4130.0010.70
    14Frontal_Sup_Medial_R10060.0012.1Rectus_L3810.0011.65
    15Rectus_L3810.0013.3Rectus_R3520.0012.60
    16Rectus_R3520.0014.3Insula_L8870.0013.55
    17Insula_L8870.0015.2Insula_R8210.0014.50
    18Insula_R8210.0016.2Cingulum_Ant_L5990.0015.45
    19Cingulum_Ant_L5990.0017.1Cingulum_Ant_R6390.0016.40
    20Cingulum_Ant_R6390.0018.1Hippocampus_L4000.0017.35
    21Amygdala_L970.0019.9Thalamus_L5190.0019.95
    22Thalamus_R4780.0020.9Thalamus_R4780.0020.90
    B. FABQ-Wb
    1Amygdala_R*9640.201.40Amygdala_R*9611.821.05
    2Thalamus_L*51939.421.45Hippocampus_R4240.6416.21
    3Frontal_Med_Orb_L3244.174.90Frontal_Med_Orb_L3240.227.57
    4Frontal_Med_Orb_R4132.427.25Cingulum_Ant_R6390.1614.52
    5Hippocampus_L4000.5216.55Frontal_Sup_Orb_L4510.002.36
    6Cingulum_Ant_R6390.2416.50Frontal_Sup_Orb_R4690.003.31
    7Thalamus_R4780.1320.00Frontal_Mid_Orb_L4080.004.26
    8Frontal_Sup_Orb_L4510.004.30Frontal_Mid_Orb_R4440.005.21
    9Frontal_Sup_Orb_R4690.005.25Frontal_Inf_Orb_L7140.006.15
    10Frontal_Mid_Orb_L4080.006.20Frontal_Inf_Orb_R7440.007.10
    11Frontal_Mid_Orb_R4440.007.15Frontal_Sup_Medial_L14170.008.05
    12Frontal_Inf_Orb_L7140.008.10Frontal_Sup_Medial_R10060.009.00
    13Frontal_Inf_Orb_R7440.009.05Frontal_Med_Orb_R4130.0010.63
    14Frontal_Sup_Medial_L14170.0010.00Rectus_L3810.0011.57
    15Frontal_Sup_Medial_R10060.0010.95Rectus_R3520.0012.52
    16Rectus_L3810.0012.55Insula_L8870.0013.47
    17Rectus_R3520.0013.50Insula_R8210.0014.42
    18Insula_L8870.0014.45Cingulum_Ant_L5990.0015.36
    19Insula_R8210.0015.40Hippocampus_L4000.0017.15
    20Cingulum_Ant_L5990.0016.35Amygdala_L970.0018.94
    21Hippocampus_R4240.0019.05Thalamus_L5190.0019.89
    22Amygdala_L970.0020.00Thalamus_R4780.0020.84
    C. TSK-13c
    1Frontal_Inf_Orb_R*74452.701.55Rectus_L*38119.512.00
    2Rectus_L3812.376.00Hippocampus_R*42414.031.80
    3Insula_L8871.338.90Amygdala_L972.3416.40
    4Hippocampus_L4000.6714.05Cingulum_Ant_L5991.0913.95
    5Insula_R8210.6211.55Rectus_R3520.5911.65
    6Amygdala_R960.3317.10Frontal_Sup_Orb_R4690.444.50
    7Frontal_Mid_Orb_R4440.125.60Hippocampus_L4000.4115.85
    8Frontal_Med_Orb_R4130.1210.35Thalamus_R4780.1419.55
    9Hippocampus_R4240.1216.50Frontal_Med_Orb_R4130.1211.25
    10Frontal_Med_Orb_L3240.129.60Amygdala_R960.1218.40
    11Frontal_Inf_Orb_L7140.126.95Frontal_Inf_Orb_L7140.126.95
    12Thalamus_R4780.1120.25Frontal_Inf_Orb_R7440.127.90
    13Frontal_Sup_Medial_L14170.118.05Frontal_Sup_Orb_L4510.123.50
    14Rectus_R3520.1112.15Frontal_Sup_Medial_L14170.128.90
    15Amygdala_L970.1117.90Cingulum_Ant_R6390.1216.10
    16Frontal_Sup_Medial_R10060.119.20Frontal_Mid_Orb_R4440.126.30
    17Frontal_Mid_Orb_L4080.115.650Thalamus_L5190.1119.75
    18Thalamus_L5190.1119.80Frontal_Med_Orb_L3240.1111.00
    19Cingulum_Ant_R6390.1115.50Insula_R8210.1114.65
    20Frontal_Sup_Orb_R4690.114.90Insula_L8870.1113.80
    21Cingulum_Ant_L5990.1114.70Frontal_Sup_Medial_R10060.1110.30
    22Frontal_Sup_Orb_L4510.004.10Frontal_Mid_Orb_L4080.115.85
    D. TSK-11d
    1Frontal_Inf_Orb_R*74460.491.05Rectus_L*38121.291.60
    2Insula_L8870.9011.15Hippocampus_R*42410.411.90
    3Amygdala_R960.6517.20Thalamus_L970.4117.60
    4Hippocampus_L4000.6114.95Amygdala_L5990.1217.25
    5Amygdala_L970.5617.00Cingulum_Ant_L3520.1214.65
    6Insula_R8210.4612.55Thalamus_R4690.1120.00
    7Frontal_Med_Orb_R4130.349.35Frontal_Mid_Orb_R4000.115.75
    8Frontal_Mid_Orb_R4440.124.90Cingulum_Ant_R4780.1115.70
    9Frontal_Med_Orb_L3240.128.65Frontal_Sup_Medial_L4130.118.55
    10Hippocampus_R4240.1116.55Amygdala_R960.1118.50
    11Rectus_L3810.1110.70Hippocampus_L7140.1116.75
    12Frontal_Inf_Orb_L7140.116.30Frontal_Med_Orb_R7440.1111.45
    13Thalamus_R4780.1120.40Frontal_Inf_Orb_L4510.117.00
    14Rectus_R3520.1111.75Frontal_Sup_Orb_L14170.113.45
    15Frontal_Sup_Medial_R10060.118.30Frontal_Inf_Orb_R6390.118.05
    16Cingulum_Ant_R6390.1115.35Frontal_Sup_Medial_R4440.119.90
    17Frontal_Sup_Medial_L14170.117.50Rectus_R5190.1112.65
    18Cingulum_Ant_L5990.1114.55Insula_R3240.1114.50
    19Frontal_Mid_Orb_L4080.114.90Frontal_Sup_Orb_R8210.114.65
    20Thalamus_L5190.1119.90Frontal_Mid_Orb_L8870.105.60
    21Frontal_Sup_Orb_R4690.104.10Insula_L10060.1013.75
    22Frontal_Sup_Orb_L4510.003.25Frontal_Med_Orb_L4080.1011.10
    E. T-Anxietye
    1Frontal_Sup_Medial_L*141720.201.95Frontal_Med_Orb_L*32420.861.05
    2Frontal_Med_Orb_L*32413.821.90Thalamus_L*51913.293.75
    3Rectus_L3819.973.25Frontal_Sup_Orb_R4699.872.85
    4Frontal_Mid_Orb_R4443.487.30Amygdala_L972.0610.15
    5Insula_R8212.856.90Amygdala_R960.4418.95
    6Rectus_R3520.9810.40Frontal_Sup_Medial_L14170.409.15
    7Cingulum_Ant_R6390.8714.50Frontal_Mid_Orb_R4440.236.30
    8Amygdala_L970.2517.35Cingulum_Ant_R6390.0615.95
    9Frontal_Inf_Orb_R7440.229.00Hippocampus_L4000.0016.95
    10Amygdala_R960.0719.00Frontal_Sup_Orb_L4510.004.35
    11Frontal_Sup_Orb_L4510.004.70Frontal_Mid_Orb_L4080.005.35
    12Frontal_Sup_Orb_R4690.005.65Frontal_Inf_Orb_L7140.007.25
    13Frontal_Mid_Orb_L4080.006.60Frontal_Inf_Orb_R7440.008.20
    14Frontal_Inf_Orb_L7140.008.45Frontal_Sup_Medial_R10060.0010.10
    15Frontal_Sup_Medial_R10060.0010.40Frontal_Med_Orb_R4130.0011.05
    16Frontal_Med_Orb_R4130.0011.35Rectus_L3810.0012.00
    17Insula_L8870.0013.10Rectus_R3520.0012.95
    18Cingulum_Ant_L5990.0014.35Insula_L8870.0013.90
    19Hippocampus_L4000.0016.20Insula_R8210.0014.85
    20Hippocampus_R4240.0017.15Cingulum_Ant_L5990.0015.80
    21Thalamus_L5190.0019.95Hippocampus_R4240.0018.55
    22Thalamus_R4780.0020.90Thalamus_R4780.0020.90
    • The brain regions (L, left; R, right) were parcellated according to the AAL atlas: Thalamus, amygdala, hippocampus, medial orbitofrontal regions (mOFC: Rectus, Frontal_Sup_Orb = superior frontal gyrus, orbital part, Frontal_Med_Orb = medial orbitofrontal cortex), lateral orbitofrontal regions (lOFC: Frontal_Mid_Orb = middle frontal gyrus orbital part, Frontal_Inf_Orb = inferior frontal gyrus pars orbitalis), medial prefrontal regions (mPFC: Frontal_Sup_Medial = medial frontal gyrus, Cingulum_Ant = anterior cingulate cortex). ER = expected ranking.

    • aCondition weight: harmful activities, 88%; harmless activities, 12%.

    • bCondition weight: harmful activities, 87%; harmless activities, 13%.

    • cCondition weight: harmful activities, 60%; harmless activities, 40%.

    • dCondition weight: harmful activities, 66%; harmless activities, 34%.

    • eCondition weight: harmful activities, 52%; harmless activities, 48%.

    • *Brain regions included in the feature set for between model cross-validation (see Table 4 for results).

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Pain-Related Fear—Dissociable Neural Sources of Different Fear Constructs
Michael Lukas Meier, Andrea Vrana, Barry Kim Humphreys, Erich Seifritz, Philipp Stämpfli, Petra Schweinhardt
eNeuro 26 December 2018, 5 (6) ENEURO.0107-18.2018; DOI: 10.1523/ENEURO.0107-18.2018

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Pain-Related Fear—Dissociable Neural Sources of Different Fear Constructs
Michael Lukas Meier, Andrea Vrana, Barry Kim Humphreys, Erich Seifritz, Philipp Stämpfli, Petra Schweinhardt
eNeuro 26 December 2018, 5 (6) ENEURO.0107-18.2018; DOI: 10.1523/ENEURO.0107-18.2018
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Keywords

  • amygdala
  • chronic pain
  • fear network
  • low back pain
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