The pleasurability of scratching an itch: A psychophysical and topographical assessment

G. A. Bin Saif, A. D.P. Papoiu, L. Banari, F. McGlone, S. G. Kwatra, Y. H. Chan, G. Yosipovitch

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Background Scratching an itch is perceived as being pleasurable. However, an analysis of topographical variations in itch intensity, the effectiveness of scratching to provide itch relief and the associated pleasurability has not been performed at different body sites. Objectives To examine the role of scratching pleasurability in providing itch relief by investigating whether itch intensity is perceived differently at three different sites and to assess a potential correlation between the pleasurability and itch attenuation induced by scratching. Methods Itch was induced on the forearm, ankle and back using cowhage spicules in 18 healthy subjects. These sites were subsequently scratched by an investigator with a cytology brush immediately following itch induction. The intensity of itch with and without scratching at these sites and the pleasurability of scratching were recorded by taking visual analogue scale ratings at 30-s intervals. Results Mean itch intensity and scratching pleasurability ratings at the ankle and back were significantly higher than on the forearm. For the forearm and ankle, the greater the itch while scratching, the higher was the pleasurability. A higher baseline itch was linked to a higher itch reduction secondary to scratching in all tested areas. Pleasurability paralleled the curve of itch reduction for the back and forearm; however, scratching pleasurability at the ankle remained elevated and only slightly decreased while itch was diminishing. Conclusions There are topographical differences in itch intensity, the effectiveness of scratching in relieving itch and the associated pleasurability. Experimental itch induced by cowhage was more intensely perceived at the ankle, while scratching attenuated itch most effectively on the back.

Original languageEnglish (US)
Pages (from-to)981-985
Number of pages5
JournalBritish Journal of Dermatology
Issue number5
StatePublished - May 2012
Externally publishedYes

ASJC Scopus subject areas

  • Dermatology


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