The over-arching goal of this observational (case-control, with a cross-sectional and longitudinal arm) study is to comprehensively map stress system (dys)function (including reactivity and recovery) in people with primary musculoskeletal (MSK) pain and a pain-free control group. * The primary objective is to characterize stress systems functioning and their relation to pain in individuals with subacute versus chronic, and localized versus widespread MSK pain, and compare to pain-free controls. * The secondary objective is to define the contribution of stress system functioning to trajectories of MSK pain, including pain chronification or recovery from pain. Researchers will compare primary musculoskeletal pain groups with pain-free controls. Participants will: * Fill out online questionnaires. * Provide a sample of hair and saliva to assess chronic and acute stress hormone levels, respectively. Saliva samples will be collected both in the lab and at home. * Be subject to psychophysiological monitoring. * Partake in quantitative sensory testing measuring pain thresholds, tolerances and pain modulation of pressure and heat. These tests will be repeated twice: before and after an acute-stress induction task. * Partake in a series of stress-inducting tasks. * Be subject to MRI-scans of the brain, including structural and functional MR acquisitions (e.g., during rest and during pain inductions). Participants will be invited for a second session of the same assessments six months later to observe possible connection between pain trajectory and stress system (dys)function.
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Quantitative sensory testing - pressure pain threshold
Timeframe: At baseline
Quantitative sensory testing - heat pain suprathreshold
Timeframe: At baseline
Quantitative sensory testing - conditioned pain modulation
Timeframe: At baseline
Quantitative sensory testing - temporal summation of pain
Timeframe: At baseline
Task-based functional MRI - experimental pain induction task
Timeframe: At baseline
Salivary cortisol concentration
Timeframe: At baseline
Salivary alpha-amylase concentration
Timeframe: At baseline
Salivary oxytocin concentration
Timeframe: At baseline
Heart rate
Timeframe: At baseline
Heart rate variability
Timeframe: At baseline
Skin conductance
Timeframe: At baseline
Skin temperature
Timeframe: At baseline
Respiration rate
Timeframe: At baseline
Blood pressure
Timeframe: At baseline