ABSTRACT
BACKGROUND: Secondary preventive outpatient diagnostic services for patients with pain and risk factors for chronification have not yet been sufficiently established. In the PAIN2020 project (Innovation Fund, 01NVF17049) an outpatient interdisciplinary multimodal assessment (IMA) was introduced for the first time early in the course of the disease. OBJECTIVE: For the implementation of the IMA procedures for team cooperation and decision criteria were developed, which were implemented by a team of medical, physiotherapeutic and psychological therapists. These procedures and decision criteria are to be discussed against the background of clinical experience and examined with respect to their feasibility (qualitative). METHODS: In PAIN2020 a workshop on IMA was held in September 2021 to jointly reflect on the findings and experiences gained in the process so far through monitoring and structuring documentation in the implementation with staff or teams of PAIN2020 centers on the feasibility of implementing a structured interdisciplinary multimodal assessment. In three work phases, occupational group-specific and cross-occupational group topics were addressed. RESULTS: In the decision-making processes of the occupational groups, in addition to profession-specific focal points within the framework of the assessment of findings (somatic, functional or psychosocial core criteria), overarching core criteria within the professions as well as complementary patient-related aspects are evident, which are included in the integrative team process. With respect to team collaboration, the implementation of the team meeting and the final discussion can be used to identify structural and process parameters that promote or inhibit implementation, which are also accompanied by interactional factors. DISCUSSION: For the implementation of the IMA, there were (1) adaptations of the IMA, which is currently implemented as AIMA in the selective agreement with BARMER and (2) new dimensions or task fields and ideas for evidence-based concepts for the content design of integrative diagnostics as well as for the feedback of the results to the patients, which should be discussed in the future.
ABSTRACT
BACKGROUND: Up to 27% of the German population suffers from recurrent or persistent pain (lasting more than three months). Therefore, prevention of chronic pain is one major object of pain management interventions. The aim of this nationwide, multicentre, randomised controlled trial is to evaluate the efficacy of a 10-week ambulatory (outpatient) interdisciplinary multimodal pain therapy (A-IMPT) for patients with recurrent pain and at risk of developing chronic pain. This project was initiated by the German Pain Society (Deutsche Schmerzgesellschaft e.V.) and the public health insurance provider BARMER. It is currently funded by the German Innovation Fund (01NVF20023). The study PAIN2.0 focuses on reducing pain intensity and pain-related disability and investigates whether this intervention can improve physical activity, psychological well-being, and health literacy. METHODS: PAIN2.0 is designed as a multicentre 1:1 randomised controlled trial with two parallel groups (randomisation at the patient level, planned N = 1094, duration of study participation 12 months, implemented by 22 health care facilities nationwide). After 6 months, patients within the control group also receive the intervention. The primary outcomes are pain intensity and pain-related impairment, measured as Characteristic Pain Intensity (PI) and Disability Score (DS) (Von Korff), as well as patient-related satisfaction with the intervention. Secondary outcomes are the number of sick leave days, sickness allowance, treatment costs, psychological distress, health-related quality of life, and catastrophizing. The effects of the intervention will be analysed by a parallel-group comparison between the intervention and control groups. In addition, the long-term effects within the intervention group will be observed and a pre-post comparison of the control group before and after the intervention will be performed. DISCUSSION: Recurrent or persistent pain is common in the German population and causes high costs for patients and society. The A-IMPT aims to improve pain and pain-related impairments in pain patients at risk of chronification, thereby reducing the risk of developing chronic pain with its high socioeconomic burden. This new therapy could easily be integrated into existing therapy programs if positively evaluated. TRIAL REGISTRATION: The trial PAIN2.0 has been registered in the German Clinical Trials Register (DRKS) since 21/11/2022 with the ID DRKS00030773 .
Subject(s)
Chronic Pain , Humans , Chronic Pain/diagnosis , Chronic Pain/therapy , Outpatients , Quality of Life , Exercise , Risk Factors , Cost-Benefit Analysis , Randomized Controlled Trials as Topic , Multicenter Studies as TopicABSTRACT
Researchers would be more willing to prioritize research quality over quantity if the incentive structure of the academic system aligned with this goal. The winner of a 2023 Einstein Foundation Award for Promoting Quality in Research explains how they rose to this challenge.
Subject(s)
Awards and Prizes , Reward , Humans , Motivation , Research PersonnelABSTRACT
RESEARCH QUESTION: The aim of the study is to assess the status quo of emotional competence in people with chronic pain. How do patients experience themselves regarding to their ability to perceive, express, and regulate emotions? And does this assessment coincide with the assessment of emotional competence (EC) by mental health professionals? METHODS: The study took place in the context of interdisciplinary multimodal pain therapy at an outpatient clinic in Nâ¯= 184 adult German-speaking individuals with non-cancer-related chronic pain. EC was assessed at the end of therapy using the self- and third-party assessment scales of the Emotional Competence Questionnaire. The external assessment was performed by the mental health team. Standard scores were created using the norm sample provided by questionnaires. These were analyzed descriptively and inferentially. RESULTS: Self-perceived EC was average (Mself_totalâ¯= 99.31; SDâ¯= 7.78). The mental health professionals predominantly rated the emotional competence of the patients significantly lower (Mexternal_totalâ¯= 94,70; SDâ¯= 7,81; F(1.179)â¯= 35,73; pâ¯< 0.001; η2â¯= 0.17). Emotional expressivity, as a component of EC, was externally rated as below average (Mexpressivity_externalâ¯= 89.14, SDâ¯= 10.33). DISCUSSION: Patients with chronic pain rate themselves as unimpaired in terms of their daily emotional awareness, expression, and regulation abilities. At the same time, mental health professionals rate these same individuals as significantly less emotionally competent. The question remains open as to what extent the divergent assessments can be explained by assessment bias.
Subject(s)
Chronic Pain , Adult , Humans , Chronic Pain/therapy , Emotions , Surveys and QuestionnairesABSTRACT
Reproducible research and open science practices have the potential to accelerate scientific progress by allowing others to reuse research outputs, and by promoting rigorous research that is more likely to yield trustworthy results. However, these practices are uncommon in many fields, so there is a clear need for training that helps and encourages researchers to integrate reproducible research and open science practices into their daily work. Here, we outline eleven strategies for making training in these practices the norm at research institutions. The strategies, which emerged from a virtual brainstorming event organized in collaboration with the German Reproducibility Network, are concentrated in three areas: (i) adapting research assessment criteria and program requirements; (ii) training; (iii) building communities. We provide a brief overview of each strategy, offer tips for implementation, and provide links to resources. We also highlight the importance of allocating resources and monitoring impact. Our goal is to encourage researchers - in their roles as scientists, supervisors, mentors, instructors, and members of curriculum, hiring or evaluation committees - to think creatively about the many ways they can promote reproducible research and open science practices in their institutions.
Subject(s)
Mentors , Physicians , Humans , Reproducibility of Results , Personnel Selection , Research PersonnelABSTRACT
Individuals have a repertoire of emotion regulation (ER) strategies at their disposal, which they can use more or less flexibly. In ER flexibility research, strategies that facilitate goal achievement are considered adaptive and therefore are subjectively valuable. Individuals are motivated to reduce their emotional arousal effectively and to avoid cognitive effort. Perceived costs of ER strategies in the form of effort, however, are highly subjective. Subjective values (SVs) should therefore represent a trade-off between effectiveness and subjectively required cognitive effort. However, SVs of ER strategies have not been determined so far. We present a new paradigm for quantifying individual SVs of ER strategies by offering monetary values for ER strategies in an iterative process. N = 120 participants first conducted an ER paradigm with the strategies distraction, distancing, and suppression. Afterwards, individual SVs were determined using the new CAD paradigm. SVs significantly predicted later choice for an ER strategy (χ2 (4, n = 119) = 115.40, p < 0.001, BF10 = 1.62 × 1021). Further, SVs were associated with Corrugator activity (t (5, 618.96) = 2.09, p = 0.037, f2 = 0.001), subjective effort (t (5, 618.96) = - 13.98, p < 0.001, f2 = 0.035), and self-reported utility (t (5, 618.96) = 29.49, p < 0.001, f2 = 0.155). SVs were further associated with self-control (t (97.97) = 2.04, p = 0.044, f2 = 0.002), but not with flexible ER. With our paradigm, we were able to determine subjective values. The trait character of the values will be discussed. PROTOCOL REGISTRATION: The stage 1 protocol for this Registered Report was accepted in principle on July 19, 2022. The protocol, as accepted by the journal, can be found at: https://doi.org/10.17605/OSF.IO/FN9BT .
Subject(s)
Emotional Regulation , Self-Control , Humans , Emotional Regulation/physiology , Emotions/physiology , Arousal , Self ReportABSTRACT
Human neuroscience has always been pushing the boundary of what is measurable. During the last decade, concerns about statistical power and replicability - in science in general, but also specifically in human neuroscience - have fueled an extensive debate. One important insight from this discourse is the need for larger samples, which naturally increases statistical power. An alternative is to increase the precision of measurements, which is the focus of this review. This option is often overlooked, even though statistical power benefits from increasing precision as much as from increasing sample size. Nonetheless, precision has always been at the heart of good scientific practice in human neuroscience, with researchers relying on lab traditions or rules of thumb to ensure sufficient precision for their studies. In this review, we encourage a more systematic approach to precision. We start by introducing measurement precision and its importance for well-powered studies in human neuroscience. Then, determinants for precision in a range of neuroscientific methods (MRI, M/EEG, EDA, Eye-Tracking, and Endocrinology) are elaborated. We end by discussing how a more systematic evaluation of precision and the application of respective insights can lead to an increase in reproducibility in human neuroscience.
Subject(s)
Neurosciences , Humans , Reproducibility of Results , Sample Size , Magnetic Resonance ImagingABSTRACT
A major problem for optical systems is the polarization splitting occurring at any interface in the event of oblique light. Low-index nanostructured silica layers were produced by overcoating an initial organic structure with silica and subsequent removal of the organic constituents. The nanostructured layers can be tailored to achieve defined low effective refractive indices down to 1.05. They can also be stacked together with homogeneous layers to produce broadband antireflective coatings with very low polarization splitting. Especially thin interlayers that separate the low-index structured layers turned out to be useful to optimize the polarization properties.
ABSTRACT
To increase the performance of optical systems, a good antireflective coating is required to ensure low reflectance and high transmittance of optical surfaces. Further problems, such as fogging that causes light scattering, negatively affect the image quality. This implies that other functional properties are also required. Presented here is a highly promising combination of an antireflective double nanostructure on top of an antifog coating with long-term stable properties, generated in a commercial plasma-ion-assisted coating chamber. It is demonstrated that the nanostructures do not affect the antifog properties and can be successfully used for many applications.
ABSTRACT
BACKGROUND AND OBJECTIVE: An early treatment of patients who suffer from pain and show risk factors for chronification is meaningful as these patients can benefit from an early interdisciplinary multimodal pain treatment (IMST). In view of the insufficient treatment, two outpatient treatment modules for the secondary prevention of pain chronification are developed within the framework of PAIN2020: the educative and accompanying IMST (EIMST and BIMST). MATERIAL AND METHODS: The developmental process of both IMSTs is presented. In this context two target groups of patients were defined for which 1 session (EIMST) or 10 intervention appointments (BIMST) were planned, depending on the chronification, impairment and complexity of the disorder. The conception was carried out in five steps: development of the objectives, development of the main contents, workshop on the content and conceptional design (contents, mediation, exercises), preparation of a time schedule and processing of the results (manual, presentations, worksheets, handbook). The BIMST was initially developed from which the contents for the EIMST were subsequently extracted. Additionally, a concept for testing the feasibility and a working model for a pilot study were developed. RESULTS: The objectives for both forms of IMST are improvement of the understanding of pain and contributing factors, the increase of the experience of control and self-efficacy and the increase in self-responsibility with respect to strategies to reduce pain. Differences between the two treatment modules arise from the needs and framework conditions. Medical, physiotherapeutic and psychotherapeutic contents and schedules were organized for both IMST modules. The BIMST consists of five modules each with two sessions as group interventions (biopsychosocial model, activation planning, regulation of needs, sleep and medication, routine transfer). The 3h EIMST group intervention mainly intends to mediate knowledge on pain and the biopsychosocial pain model. Theoretical and practical interventions, empirical knowledge and experience-oriented methods are employed. CONCLUSION: There are now two interdisciplinary structured manuals for the secondary preventive treatment of patients with recurrent pain and a risk profile for chronification. These approaches must now prove themselves with respect to feasibility and effectiveness.
Subject(s)
Chronic Pain , Outpatients , Humans , Pilot Projects , Chronic Pain/therapy , Pain Management , Combined Modality TherapyABSTRACT
Evidence suggests that cognitive control and emotional control share partly the same cognitive processes. For example, downregulation of negative emotions requires inhibiting or limiting the expression of a prepotent appraisal of a situation in favor of selecting an alternative appraisal. Although inhibitory control seems to be a particularly relevant process in emotion regulation (ER), previous studies reported inconsistent findings on their relationship, likely because of the application of single task measures in relatively small samples. Therefore, this study implemented a battery of six commonly used inhibitory control tasks in a large sample of young healthy adults (N = 190) and investigated whether inhibitory control is associated with the downregulation of negative emotion. ER was measured via self-reported reappraisal and suppression use and via a laboratory ER task where participants had to distance themselves from emotions in response to negative and neutral pictures. The ER task was accompanied by concurrent physiological measurements of corrugator electromyography (EMG), skin conductance response (SCR), and heart period (HP). Frequentist and Bayesian analyses indicated that inhibitory control was neither associated with self-reported reappraisal and suppression use, nor with successful downregulation of negative emotion via distancing. Compared with HP and SCR, corrugator EMG was the only peripheral physiological measure that was indicative of regulatory success. The findings question the view that inhibitory control represents an underlying process in emotion regulation via distancing, at least at the behavioral level. Further studies should investigate the generalizability of these findings to other ER strategies, tactics, paradigms, and participant groups. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Subject(s)
Cognition , Individuality , Adult , Humans , Down-Regulation , Bayes Theorem , Cognition/physiology , Emotions/physiologyABSTRACT
Emotion regulation is an indispensable part of mental health and adaptive behavior. Research into emotion regulation processes has largely focused on the concurrent effects of volitional emotion regulation. However, there is scarce evidence considering post-regulatory effects with regard to neural mechanisms and emotional experiences. Therefore, we compared concurrent effects of cognitive emotion regulation with effects at different (immediate, short- and long-term) time intervals. In an fMRI study with N = 46 (N = 30 at re-exposure) young healthy adults, we compared neuronal responses to negative and neutral pictures while participants had to distance themselves from or to actively permit emotions in response to these pictures. We investigated the temporal dynamics of activation changes related to regulation in cognitive control brain networks as well as in the amygdala during stimulation (concurrent effects, timepoint 1) and post-stimulation (immediate, timepoint 2), as well as during re-exposure with the same pictures after short (10 minutes, timepoint 3) and long (1 week, timepoint 4) time intervals. At timepoint 1, negative pictures (versus neutral pictures) elicited a strong response in regions of affective processing, including the amygdala. Distancing (as compared to permit) led to a decrease of this response, and to an increase of activation in the right middle frontal and inferior parietal cortex. We observed an interaction effect of time (stimulation vs. post-stimulation) and regulation (distance vs. permit), indicating a partial reversal of regulation effects during the post-stimulation phase (timepoint 2). Similarly, after 10 minutes (timepoint 3) and after 1 week (timepoint 4), activation in the amygdala was higher during pictures that participants were previously instructed to distance from as compared to permit. These results show that the temporal dynamics are highly variable both within experimental trials and across brain regions. This can even take the form of paradoxical aftereffects at immediate and persistent effects at prolonged time scales.
Subject(s)
Amygdala/physiology , Brain/physiology , Emotional Regulation/physiology , Visual Perception/physiology , Adolescent , Adult , Brain Mapping/methods , Female , Humans , Magnetic Resonance Imaging/methods , Male , Young AdultABSTRACT
High-transparent polymers exhibiting a refractive index beyond 1.6 enhance the available range of optical plastics. The aim of this study is to evaluate optical polyesters (OKP-1 and OKP-4) and special new polycarbonates (PCs) (EP-6000 and EP-8000) in comparison with the widely used poly-bisphenol-A-based PC. The work is focused on optical properties as well as other properties that are important for the deposition of optical coatings. Plasma ion-assisted deposition is used for the deposition of an abrasion resistant antireflective coating (AR-hard).
ABSTRACT
Emotion regulation (ER) can be implemented by different strategies which differ in their capacity to alter emotional responding. What all strategies have in common is that cognitive control must be exercised in order to implement them. The aim of the present preregistered study was to investigate whether the two ER strategies, expressive suppression and distancing, require different amounts of cognitive effort and whether effort is associated with personality traits. Effort was assessed subjectively via ratings and objectively via pupillometry and heart period. In two studies, N = 110 and N = 52 healthy adults conducted an ER paradigm. Participants used suppression and distancing during inspection of positive and negative pictures. They also had the choice to reapply either of the strategies at the end of the paradigm. Although distancing was more effective in downregulation of subjective arousal (Study 1: p < .001, ηp2 = .20; Study 2: p < .001, ηp2 = .207), about two thirds reapplied suppression, because it was perceived as less effortful. Effort was rated significantly lower for suppression compared to distancing (Study 1: p = .042, ηp2 = .04; Study 2: p = .002, ηp2 = .13). However, differences in effort were not reflected in pupillary data or heart period. Broad and narrow personality traits were neither associated with the preferred strategy nor with subjective or physiological effort measures. Findings suggest that people tend to use the ER strategy that is perceived as less effortful, even though it might not be the most effective strategy.
Subject(s)
Choice Behavior/physiology , Emotional Regulation/physiology , Executive Function/physiology , Heart Rate/physiology , Pupil/physiology , Adult , Female , Humans , Male , Pattern Recognition, Visual/physiology , Young AdultABSTRACT
OBJECTIVE: Need for Cognition (NFC) refers to a personality trait describing the relatively stable intrinsic motivation of individuals to invest cognitive effort in cognitive endeavors. Higher NFC is associated with a more elaborated, central information processing style and increased recruitment of resources in cognitively demanding situations. To further clarify the association between cognitive resources and NFC, we examined in two studies how NFC relates to executive functions as basic cognitive abilities. METHOD: In Study 1, 189 healthy young adults completed an NFC scale and a battery of six commonly used inhibitory control tasks (Stroop, antisaccade, stop-signal, flanker, shape-matching, word-naming). In Study 2, 102 healthy young adults completed the NFC scale and two tasks for each of the three executive functions inhibitory control (go-nogo, stop-signal), shifting (number-letter, color-shape), and working memory updating (two-back, letter-memory). RESULTS: Using a Bayesian approach to correlation analysis, we found no conclusive evidence that NFC was related to any executive function measure. Instead, we obtained even moderate evidence for the null hypothesis. CONCLUSIONS: Both studies add to more recent findings that shape the understanding of NFC as a trait that is less characterized by increased cognitive control abilities but rather by increased willingness to invest effort and exert self-control via motivational processes.
Subject(s)
Executive Function , Self-Control , Bayes Theorem , Cognition , Humans , Motivation , Young AdultABSTRACT
Inhibitory control represents a central component of executive functions and focuses on the ability to actively inhibit or delay a dominant response to achieve a goal. Although various tasks exist to measure inhibitory control, correlations between these tasks are rather small, partly because of the task impurity problem. To alleviate this problem, a latent variable approach has been previously applied and two closely related yet separable functions have been identified: prepotent response inhibition and resistance to distractor interference. The goal of our study was a) to replicate the proposed structure of inhibitory control and b) to extend previous literature by additionally accounting for speed-accuracy trade-offs, thereby potentially increasing explained variance in the investigated latent factors. To this end, 190 participants completed six inhibitory control tasks (antisaccade task, Stroop task, stop-signal task, flanker task, shape-matching task, word-naming task). Analyses were conducted using standard scores as well as inverse efficiency scores (combining response times and error rates). In line with previous studies, we generally found low zero-order correlations between the six tasks. By applying confirmatory factor analysis using standard reaction time difference scores, we were not able to replicate a satisfactory model with good fit to the data. By using inverse efficiency scores, a two-related-factor and a one-factor model emerged that resembled previous literature, but only four out of six tasks demonstrated significant factor loadings. Our results highlight the difficulty in finding robust inter-correlations between commonly used inhibitory control tasks, even when applying a latent variable analysis and accounting for speed-accuracy trade-offs.
ABSTRACT
The current healthcare provision in Germany is established, in particular, for the diagnostics and treatment of chronic pain conditions; however, the current aim is to initiate the diagnostic and therapeutic approaches oriented towards the biopsychosocial pain model in the early stages of pain, i.e. before the onset of chronification, for patients with pain and a risk of chronification in order to actively avoid chronification processes. In this context, multiple risk factors play an important role for the diagnostic and therapeutic approaches as well as for the interdisciplinary multimodal pain therapy developed for this purpose. The Global Year of the International Association for the Study of Pain (IASP) 2020 addressed the prevention of (chronic) pain, a welcome opportunity to provide a short review of the evidence for and clinical experiences with timely diagnostic and therapeutic options and to summarize the current framework conditions and scientific recommendations for Germany. At the end of this article the implications for future research are summarized, particularly for the treatment of patients with pain and risk of chronification.
Subject(s)
Chronic Pain , Delivery of Health Care , Pain Management , Chronic Pain/therapy , Combined Modality Therapy , Germany , HumansABSTRACT
Neuroimaging functional connectivity analyses have shown that the negative coupling between the amygdala and cortical regions is linked to better emotion regulation (ER) in experimental task settings. However, less is known about the neural correlates of ER traits or dispositions. The present study aimed to: (1) replicate the findings of differential cortico-limbic coupling during resting-state depending on the dispositional use of emotion regulation strategies. Furthermore, the study aimed to: (2) extend prior findings by examining whether differences in cortico-limbic coupling during resting-state predict experiential and neuronal ER success in a standard ER task. To this end, N = 107 healthy adults completed the Emotion Regulation Questionnaire (ERQ), underwent an 8-min resting-state fMRI acquisition, and completed a reappraisal task during fMRI. Functional connectivity maps of basolateral and centromedial amygdala nuclei were estimated with a seed-based approach regarding associations with regions of the prefrontal cortex and were then correlated with ERQ scores as well as experiential and neuronal ER success. All hypotheses and the analysis plan are preregistered at https://osf.io/8wsgu. Opposed to prior findings, we were not able to replicate a correlation of dispositional ER strategy use with functional connectivity between the amygdala and PFC regions (p > 0.05, FWE-corrected). Furthermore, there was no association of experiential and neuronal reappraisal success with functional connectivity between amygdala and insula as well as PFC (p > 0.05, FWE-corrected). The present preregistered study calls into question the reported association between individual differences in resting-state cortico-limbic connectivity and dispositional use of ER strategies. However, ongoing advances in functional brain imaging and distributed network approaches may leverage the identification of reliable functional connectivity patterns that underlie successful emotion regulation.
ABSTRACT
Recent translational studies identified a common endocannabinoid polymorphism, FAAH C385A, in the gene for the fatty acid amide hydrolase (FAAH). This polymorphism alters endocannabinoid anandamide levels, which are known to be involved in the fronto-amygdala circuitry implicated in mood regulation and anxiety-like behaviors. While it has been shown that the variant that selectively enhances fronto-amygdala connectivity at rest is associated with decreased anxiety-like behaviors, no study so far has investigated whether this finding of FAAH-related differential plasticity extends to task-related differential functional expression and regulation during negative emotional processing. Using an imaging genetics approach, this study aimed to replicate and extend prior findings by examining functional activity and task-related connectivity in fronto-amygdala regions during emotion reactivity and emotional down-regulation of negative affect. Therefore, 48 healthy young adults underwent a functional MRI resting state measurement, completed an emotion regulation paradigm and provided self-reports on anxiety and use of emotion regulation strategies. In line with previous studies, preliminary evidence suggests that A-allele carriers demonstrate stronger fronto-amygdala connectivity during rest. In addition, exploratory whole-brain analyses indicate differential functional activity of A-allele carriers during emotion reactivity and emotion regulation. There were no associations with anxiety-related self-reports and use of emotional regulation strategies. Further research using larger samples and polygenic approaches is indicated to clarify the precise role and its underlying mechanisms in emotion processing.
Subject(s)
Amidohydrolases/genetics , Amygdala/physiology , Anxiety , Connectome/methods , Emotions/physiology , Prefrontal Cortex/physiology , Adolescent , Adult , Amygdala/diagnostic imaging , Anxiety/diagnostic imaging , Anxiety/genetics , Anxiety/physiopathology , Female , Genotype , Humans , Magnetic Resonance Imaging , Male , Prefrontal Cortex/diagnostic imaging , Young AdultABSTRACT
Post-translational modifications by ubiquitin-related SUMO modifiers regulate cellular signaling networks and protein homeostasis. While SUMO1 is mainly conjugated to proteins as a monomer, SUMO2/3 can form polymeric chains. Poly-SUMOylation is best understood in the SUMO-targeted ubiquitin ligase (StUbL) pathway, where chains prime proteins for subsequent ubiquitylation by StUbLs. SUMO chains typically form in response to genotoxic or proteotoxic stress and are preferentially linked via lysine 11 of SUMO2/3. Here, we report that K11 of SUMO2/3 undergoes reversible acetylation with SIRT1 being the K11 deacetylase. In a purified in vitro system, acetylation of SUMO2/3 impairs chain formation and restricts chain length. In a cellular context, however, K11 acetyl-mimicking SUMO2 does not affect the StUbL pathway, indicating that in cells non-canonical chains are more prevalent. MS-based SUMO proteomics indeed identified non-canonical chain types under basal and stress conditions. Importantly, mimicking K11 acetylation alters chain architecture by favoring K5- and K35-linked chains, while inhibiting K7 and K21 linkages. These data provide insight into SUMO chain signaling and point to a role of K11 acetylation as a modulator of SUMO2/3 chains.