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Cathcart S - The authors propose a neural model whereby stress acts supra-spinally to aggravate already increased pain sensitivity in CTH sufferers. Indirect support for the model comes from emerging research elucidating complex supra-spinal networks through which psychological stress may contribute to and even cause pain. While research with CTH sufferers offering direct support for the model is lacking at present, initial work by the group is consistent with the models predictions, particularly, that stress aggravates already increased pain sensitivity in CTH sufferers.

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