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Hohn, V. D.

Publications and source records attributed to Hohn, V. D..

6 recordsLinked to original sources

EEG Reveals Robust Within-Person but Unstable Between-Person Neural Encoding of Pain

The perception of pain varies both within and between individuals, even when sensory input remains constant. Understanding how the brain encodes these intra- and interindividual variations is essential for elucidating the neural mechanisms of pain in health and disease. Yet, previous findings have been inconsistent, and their robustness, in terms of both repeatability and replicability, has remained unclear. Here, we used electroencephalography (EEG) in 161 healthy participants to re-investigate the neural correlates of intra- and inter-individual variations in the perception of brief painful stimuli, independent of stimulus intensity. Using Bayesian multivariate multi-model regression, we related pain ratings to evoked (N1, N2, P2) and induced oscillatory responses (alpha, beta, gamma). To assess the robustness of our findings, the experiment was repeated after four weeks in the same participants and replicated in an independent cohort (n = 111). This design allowed us to examine within-person variability at both short (moment-to-moment) and long (day-to-day) timescales. Inter-individual differences in pain were primarily associated with the P2 response, an effect that was repeatable in the same but not replicable in the independent cohort. In contrast, intra-individual variations were explained by a multicomponent EEG pattern that was both repeatable across time and replicable across cohorts. These findings demonstrate that intra- and inter-individual variability in pain is differentially encoded in the human brain and reveal greater robustness of within-person brain-behavior associations. EEG markers may therefore be more suitable for tracking longitudinal changes in pain within individuals than for comparing pain sensitivity across individuals.

neuroscience↗

EEG-based analysis of intrinsic brain network function in chronic pain: Insights from a comprehensive multi-data set study

Chronic pain is associated with alterations in brain function. A better understanding of these alterations might help to develop new approaches for the diagnosis, prediction, and treatment of chronic pain. Here, we analyzed associations between chronic pain and alterations of intrinsic brain network function using resting-state electroencephalography. We included data from 537 people with chronic pain obtained from various research groups worldwide. We found strong evidence for associations between pain intensity and intrinsic brain network connectivity, but the replicability of these associations in independent data was mostly low. However, a mega-analysis revealed associations of chronic pain with salience-somatomotor network connectivity at theta frequencies and with more complex patterns of intrinsic brain network connectivity. These findings provide novel insights into brain network function in chronic pain. Moreover, they highlight the need for collaborative multi-center studies, which can be guided by the present approach to promote replicability and consistency of findings.

neuroscience↗

DISCOVER-EEG: an open, fully automated EEG pipeline for biomarker discovery in clinical neuroscience

Biomarker discovery in neurological and psychiatric disorders critically depends on reproducible and transparent methods applied to large-scale datasets. Electroencephalography (EEG) is a promising tool for identifying biomarkers. However, recording, preprocessing, and analysis of EEG data is time-consuming and researcher- dependent. Therefore, we developed DISCOVER-EEG, an open and fully automated pipeline that enables easy and fast preprocessing, analysis, and visualization of resting state EEG data. Data in the Brain Imaging Data Structure (BIDS) standard are automatically preprocessed, and physiologically meaningful features of brain function (including oscillatory power, connectivity, and network characteristics) are extracted and visualized using two open-source and widely used Matlab toolboxes (EEGLAB and FieldTrip). We tested the pipeline in two large, openly available datasets, the LEMON dataset, containing 213 EEG recordings of healthy participants, and the TDBRAIN dataset, containing 1274 EEG recordings, mainly from patients with a psychiatric condition. Additionally, we performed an exploratory analysis of the LEMON dataset that could inspire biomarkers of healthy aging. Thus, the DISCOVER-EEG pipeline facilitates the aggregation, reuse, and analysis of large EEG datasets, promoting open and reproducible research on brain function.

neuroscience↗

Local brain oscillations and inter-regional connectivity differentially serve sensory and expectation effects on pain

Pain emerges from the integration of sensory information about threats and contextual information such as an individuals expectations. However, how sensory and contextual effects on pain are served by the brain is not fully understood so far. To address this question, we applied brief painful stimuli to 40 healthy human participants and independently varied stimulus intensity and expectations. Concurrently, we recorded electroencephalography. We assessed local oscillatory brain activity and inter-regional functional connectivity in a network of six brain regions playing key roles in the processing of pain. We found that sensory information predominantly influenced local brain oscillations. In contrast, expectations exclusively influenced inter-regional connectivity. Specifically, expectations altered connectivity at alpha (8-12 Hz) frequencies from prefrontal to somatosensory cortex. Moreover, discrepancies between sensory information and expectations, i.e., prediction errors, influenced connectivity at gamma (60-100 Hz) frequencies. These findings reveal how fundamentally different brain mechanisms serve sensory and contextual effects on pain. TeaserSensory and expectation effects on pain are implemented by fundamentally different brain mechanisms.

neuroscience↗

Modulating Brain Rhythms of Pain using Transcranial Alternating Current Stimulation (tACS)? A Sham-controlled Study in Healthy Human Participants

Pain protects the body. However, pain can also occur for longer periods without serving protective functions. Such chronic pain conditions are difficult to treat. Thus, a better understanding of the underlying neural mechanisms and new approaches for the treatment of pain are urgently needed. Here, we investigated a causal role of oscillatory brain activity for pain and explored the potential of transcranial alternating current stimulation (tACS) as a new treatment approach for pain. To this end, we investigated whether tACS can modulate pain and pain-related autonomic activity in 29 healthy human participants using a tonic heat pain paradigm as an experimental model of chronic pain. In 6 recording sessions, participants received tACS over prefrontal or somatosensory cortices at alpha or gamma frequencies or sham tACS. During tACS, pain ratings and autonomic responses were collected. TACS did not modulate pain intensity, the stability of pain ratings or the translation of the noxious stimulus into pain. Likewise, tACS did not change autonomic responses. Bayesian statistics further indicated a lack of tACS effects in most conditions. The only exception was alpha tACS over somatosensory cortex where evidence for tACS effects was inconclusive. Taken together, the present study did not find significant tACS effects on tonic experimental pain in healthy human participants. However, considering the conceptual plausibility of using tACS to modulate pain and the urgent need for novel pain treatments, further tACS studies are warranted. Based on the present findings, such studies might apply refined stimulation protocols targeting alpha oscillations in somatosensory cortices.

neuroscience↗

Brain dysfunction in chronic pain patients assessed by resting-state electroencephalography

Chronic pain is a common and severely disabling disease whose treatment is often unsatisfactory. Insights into the brain mechanisms of chronic pain promise to advance the understanding of the underlying pathophysiology and might help to develop disease markers and novel treatments. Here, we systematically and comprehensively exploited the potential of electroencephalography (EEG) to determine abnormalities of brain function during the resting state in chronic pain. To this end, we performed state-of-the-art analyses of oscillatory brain activity, brain connectivity and brain networks in 101 patients of either sex suffering from chronic pain. The results show that global and local measures of brain activity did not differ between chronic pain patients and a healthy control group. However, we observed significantly increased connectivity at theta (4 - 8 Hz) and gamma (> 60 Hz) frequencies in frontal brain areas as well as global network reorganization at gamma frequencies in chronic pain patients. Furthermore, a machine learning algorithm could differentiate between patients and healthy controls with an above-chance accuracy of 57%, mostly based on frontal connectivity. These results implicate increased theta and gamma synchrony in frontal brain areas in the pathophysiology of chronic pain. While substantial challenges concerning accuracy, specificity and validity of potential EEG-based disease markers remain to be overcome, our study identifies abnormal frontal synchrony at theta and gamma frequencies as promising targets for non-invasive brain stimulation and/or neurofeedback approaches.

neuroscience↗