Disrupted brain circuitry for pain-related reward/punishment in Fibromyalgia. 1/2014 Arthritis Rheum

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CONCLUSION:
FM patients exhibit disrupted brain responses to reward/punishment. The ventral tegmental area is a source of reward-linked dopaminergic/γ-aminobutyric acid-releasing (GABAergic) neurotransmission in the brain, and our observations are compatible with reports of altered dopaminergic/GABAergic neurotransmission in FM. Reduced reward/punishment signaling in FM may be related to the augmented central processing of pain and reduced efficacy of opioid treatments in these patients.

Copyright © 2014 by the American College of Rheumatology.
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