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Hypnosis Modulates the Activity in Cerebral Structures Involved in Arousal and Attention

 P. Rainville, R. K. Hofbauer, M. C. Bushnell, G. H. Duncan and D. D. Price
  
 

Abstract:
Abstract: The neural correlates of hypnosis-induced increases in relaxation and mental absorption were investigated using positron emission tomography. Regional cerebral blood flow (rCBF) measures and ratings of relaxation and absorption were obtained from ten subjects in states of normal wakefulness (n = 4) and hypnosis (n = 4), during either neutral or painfully hot stimulation of the non-dominant left hand. Regression analyses evaluated the relationship between rCBF and ratings, after removing subject- and stimulation-related variance (ANCOVA). Directed searches of brain stem rCBF changes revealed a negative correlation with relaxation (t=-2.67) and a positive correlation with absorption after removing relaxation-related variance (t=2.78; ANCOVA). The correlation with relaxation was positive in bilateral pre-central gyri (t&gt;4.20), and negative in the right parietal lobule, and bilateral temporal cortices (t&lt;-4.20). The correlation with absorption was positive in the thalamus, right inferior parietal lobule and the bilateral insular/ventrolateral, medial (including the anterior cingulate), and right prefrontal cortices (t>4.20), and negative in the bilateral occipital and parietal cortices (t<-4.20). A co-activation analysis confirmed the correlation between absorption-related changes and thalamic rCBF (brain stem t=2.86; cortical sites t's>3.70). This pattern of rCBF changes associated with relaxation and absorption is consistent with the participation of brainstem-thalamo-cortical arousal and attention networks in the production of hypnotic states.

 
 


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