压力和反复出现的腹痛
Gösta Alfvén1, Eva Andersson2,3,4
1Clintec, Karolinska Institute, Stockholm, Sweden.
Acta paediatrica (Oslo, Norway : 1992)
|August 11, 2023
概括
反复出现的腹痛可能源于心理因素,压力会激活大脑-肠轴. 惊反射在压力期间经历的广泛疼痛中起着关键作用.
科学领域:
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
背景情况:
- 功能性胃肠道疾病 (FGIDs) 是常见的.
- 非有机来源的反复出现的腹痛是一种显著的FGID.
- 在FGID中,越来越多地认识到心理因素.
研究的目的:
- 探索非有机性复发性腹痛的病因学.
- 检查心理原生假设和罗马标准的作用.
- 为了研究压力和惊反射对疼痛的影响.
主要方法:
- 关于功能性胃肠道疾病的文献综述.
- 应用罗马标准进行诊断.
- 对将压力与疼痛联系起来的精神性假设的分析.
主要成果:
- 压力激活大脑-肠轴,导致局部肠道症状,如腹痛.
- 压力引起的疼痛不仅仅局限于腹部,而且可以表现在身体的其他部位.
- 惊反射似乎是这种普遍的压力引起的疼痛模式的主导因素.
结论:
- 非有机性复发性腹痛可以在心理框架内理解.
- 大脑-肠轴和惊反射对于调解与压力相关的疼痛至关重要.
- 腹痛可能是引起多焦点疼痛的更广泛应激反应的一个组成部分.
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