{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T23:28:30Z","timestamp":1758324510207,"version":"3.44.0"},"reference-count":59,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T00:00:00Z","timestamp":1753142400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Loan Repayment Award","award":["K23GM123372-04S1","L30GM134514","R35GM142676"],"award-info":[{"award-number":["K23GM123372-04S1","L30GM134514","R35GM142676"]}]},{"DOI":"10.13039\/100000057","name":"National Institute of General Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000057","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Cathedral Fund"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>In this pilot investigation, we aimed to explore the neurological and biobehavioral mechanisms underlying pain outcomes in adolescent and young adult (AYA) females following orthopedic surgery, an area largely unexplored.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Functional near-infrared spectroscopy was used to investigate brain responses in the primary sensory cortex (sensory pain processing) and the prefrontal regions (emotional processing) in 24 AYA females who underwent orthopedic surgery within the previous 2 years compared to 20 group-matched controls without a surgical or chronic pain history. A battery of self-reported pain-related and emotional functioning measures (PROMIS; pain catastrophizing) were also administered. Cortical activations and functional connectivity (FC), involving the prefrontal (PFC) and somatosensory cortices (SMC), were assessed during resting state and a descending pain modulation task (conditioned pain modulation).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In the control group, PFC-SMC FC in response to pain was significantly linked to anxiety, whereas this correlation was absent in the post-surgical cohort.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>These results highlight distinct altered responses in sensory and emotional brain functioning in AYA females following orthopedic surgery. We suggest that such changes may be related to the involvement of the PFC-SMC communication in the maintenance of chronic pain.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jpepsy\/jsaf041","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T20:19:41Z","timestamp":1753215581000},"page":"718-730","source":"Crossref","is-referenced-by-count":0,"title":["Interactive interdisciplinary pain research in adolescent and young adult females: a pilot investigation of brain, physiological, and emotional functioning following orthopedic surgery"],"prefix":"10.1093","volume":"50","author":[{"given":"Ziyan","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital, Center for Health Outcomes and Interdisciplinary Research , Boston, MA,","place":["United States"]},{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Moreland","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital, Center for Health Outcomes and Interdisciplinary Research , Boston, MA,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya L","family":"Jotwani","sequence":"additional","affiliation":[{"name":"UMass Chan School of Medicine, Worcester, MA, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa A","family":"Christino","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Boston Children's Hospital, The Micheli Center for Sports Injury Prevention and Division of Sports Medicine, Boston, MA, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Borsook","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States"},{"name":"Department of Radiology, Massachusetts General Hospital, Boston, MA, United States"},{"name":"Department of Anaesthesia, Harvard Medical School, Boston, MA, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine B","family":"Sieberg","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Massachusetts General Hospital, Center for Health Outcomes and Interdisciplinary Research , Boston, MA,","place":["United States"]},{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA, United States"},{"name":"Division of Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, Boston, MA, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,22]]},"reference":[{"key":"2025091915072375100_jsaf041-B1","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1016\/j.pain.2010.04.025","article-title":"Development of a PROMIS item bank to measure pain interference","volume":"150","author":"Amtmann","year":"2010","journal-title":"Pain"},{"key":"2025091915072375100_jsaf041-B2","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1097\/ALN.0b013e31825a2a4e","article-title":"Aversive and reinforcing opioid effects: a pharmacogenomic twin study","volume":"117","author":"Angst","year":"2012","journal-title":"Anesthesiology"},{"key":"2025091915072375100_jsaf041-B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jpain.2015.09.008","article-title":"Functional connectivity is associated with altered brain chemistry in women with endometriosis-associated chronic pelvic pain","volume":"17","author":"As-Sanie","year":"2016","journal-title":"The Journal of Pain"},{"key":"2025091915072375100_jsaf041-B4","doi-asserted-by":"publisher","first-page":"4053","DOI":"10.1364\/BOE.5.004053","article-title":"Modified Beer-Lambert law for blood flow","volume":"5","author":"Baker","year":"2014","journal-title":"Biomedical Optics Express"},{"key":"2025091915072375100_jsaf041-B5","doi-asserted-by":"publisher","first-page":"e106133","DOI":"10.1371\/journal.pone.0106133","article-title":"Functional reorganization of the default mode network across chronic pain conditions","volume":"9","author":"Baliki","year":"2014","journal-title":"PloS One"},{"key":"2025091915072375100_jsaf041-B6","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1093\/bja\/aew260","article-title":"Chronic postsurgical pain in children: Prevalence and risk factors. 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