与疼痛相关的认知过程,疼痛干扰和alexithymia在患有初级头痛的患者中
İlteriş Ahmet Şentürk1, Suna Aşkın Turan2, Tuğba Eyigürbüz3
1Pain Management, Bağcılar Education and Research Hospital, İstanbul, TUR.
Cureus
|July 3, 2023
概括
认知和情绪因素在主要头痛中显著影响与疼痛相关的残疾和生活质量. 解决这些过程是减少残疾和改善患者福祉的关键.
科学领域:
- 神经学 神经学
- 心理学 心理学 心理学
- 疼痛医学 医学 疼痛医学
背景情况:
- 主要头痛 (PHs) 显著导致残疾和生活质量下降.
- 与疼痛相关的认知过程 (PRCP) 和情绪状态都与头痛有关.
- 了解这些因素对于有效管理PHs至关重要.
研究的目的:
- 研究PRCP和情绪状态对PHs患者与疼痛相关的残疾 (PRD) 和与健康相关的生活质量 (HRQoL) 的影响.
- 确定导致日常活动,社会参与和工作/学校表现残疾的特定认知和情绪因素.
- 建立基于已识别的因素预测PRD和HRQoL的模型.
主要方法:
- 一项涉及290名PH患者和74名健康对照者的横截面研究.
- 使用疼痛焦虑症状尺度-20 (PASS-20),疼痛灾难化尺度 (PCS) 和疼痛信念问卷 (PBQ) 评估PRCP.
- 通过焦虑,抑郁和alexithymia措施评估的情绪状态. PRD和HRQoL使用头痛影响测试-6 (HIT-6) 和简单形式-36 (SF-36) 和分级慢性疼痛量表修订 (GCPS-R) 进行评估.
- 用于确定影响PRD和疼痛干扰的因素的回归分析.
主要成果:
- 认知焦虑,无助感,alexithymia和抑郁症与PRD有显著的关联.
- 影响日常活动的因素包括疼痛持续时间,强度,alexithymia,逃避,心理焦虑和睡眠不足.
- 疼痛强度和与疼痛相关的焦虑独立地影响了社会活动,而疼痛强度,认知焦虑,逃避和疼痛焦虑影响了工作能力.
结论:
- 认知和情绪过程在PHs患者体验的残疾中发挥着重要作用.
- 这些发现强调了在多学科的治疗中解决心理因素的重要性.
- 准PRCP和情绪状态可能会降低残疾并提高初级头痛患者的生活质量.
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