慢性肌肉骨疼痛中的疼痛灾难化和认知功能之间的关系:一个范围审查
Cory Alcon1,2, Elizabeth Bergman3, John Humphrey2
1High Point University, Department of Physical Therapy, High Point, NC, USA.
Pain research & management
|September 18, 2023
概括
疼痛灾难性显著影响慢性肌肉骨疼痛 (CMP) 的认知功能. 然而,研究是有限的,需要对临床相关人群进行研究和标准化的认知评估.
科学领域:
- 疼痛研究 疼痛研究
- 认知神经科学是一种认知神经科学.
- 临床心理学 临床心理学
背景情况:
- 慢性肌肉骨疼痛 (CMP) 在全球范围内影响身体,精神和财务健康.
- CMP显著影响疼痛行为和认知功能.
- 疼痛灾难化 (PC) 是影响疼痛感知和应对的关键因素.
研究的目的:
- 进行范围审查,检查慢性肌肉骨疼痛 (CMP) 中疼痛灾难化 (PC) 和认知功能之间的关系.
- 确定CMP中PC和认知功能的现有文献差距.
- 在这个领域提出未来的研究方向.
主要方法:
- 在多个数据库 (PubMed,CINAHL,Emcare,PsycInfo,Scopus) 进行了全面的文献搜索.
- 从包含的30篇文章中提取了主题数据,重点关注研究特征和关键发现.
- 人群包括患有纤维肌痛,慢性腰部疼痛和一般CMP的患者.
主要成果:
- 在CMP群体中发现了PC和认知之间的关系的可变证据.
- 只有四项研究专注于临床相关的PC群体 (疼痛灾难化量表得分>30),所有这些都显示出显著的相关性.
- 两项研究主要旨在评估PC认知关系.
结论:
- 现有证据表明认知功能和PC之间存在联系,但受影响的强度和特定认知领域仍然不清楚.
- 文献中缺乏对适当人群进行的研究,以调查临床相关的PC.
- 未来的研究需要利用临床相关的人群,故意分析结果,并使用适当的神经心理测试.
相关概念视频
01:44Nociception
28.0K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
28.0K
01:20Lazarus's Cognitive Appraisal Theory
278
Cognitive psychologist Richard Lazarus proposed the cognitive-mediational theory of emotions, which emphasizes how individuals' assessments of stressors significantly affect their experience of stress. According to Lazarus, the stress response is determined by a two-step appraisal process: primary appraisal and secondary appraisal. These cognitive appraisals help individuals evaluate the potential impact of a stressor and determine the adequacy of their coping resources.
Primary Appraisal:...
Primary Appraisal:...
278
01:25Beck's Cognitive Therapy
76
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
76
01:25Analgesia and Pain Management
652
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
652
01:20Pain
501
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
501
01:24Chronic Pancreatitis I: Introduction
112
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
112