多发性硬化患者的情绪负担:特定慢性疼痛诊断与心理特征之间的关联
Michal Rivel1,2, Anat Achiron2,3,4, Yael Stern3
1Department of Physical Therapy, School of Health Professions, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Journal of neurology
|October 24, 2023
概括
多发性硬化症 (MS) 患者的中枢神经病痛 (CNP) 导致比肌肉骨疼痛 (MSP) 更大的情绪困扰和疼痛严重程度. 管理层应该针对特定的心理特征来提供更好的护理.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 临床医学 临床医学
背景情况:
- 多发性硬化症 (MS) 经常与中枢神经病痛 (CNP) 和肌肉骨疼痛 (MSP) 一起发生.
- 关于MS患者与这些疼痛并发症相关的情绪负担的数据有限.
研究的目的:
- 为了比较多发性硬化患者的情绪负担和疼痛严重程度,CNP与MSP.
- 调查情绪负担是否归因于MS,慢性疼痛或两者.
主要方法:
- 125名多发性硬化患者 (CNP,MSP,无疼痛) 和30名健康对照 (HC) 填写了验证的问卷.
- 评估包括疼痛干扰,灾难化,抑郁,焦虑,压力和过度警.
- 进行了群组比较和两步集群分析.
主要成果:
- 与MSP组相比,CNP组报告的疼痛更强烈,更广泛.
- 这两个疼痛组都表现出比无疼痛的MS和HC组更高的疼痛干扰,灾难化和压力.
- CNP群体表现出最高的焦虑水平,而所有MS群体都呈现出高度的抑郁症.
结论:
- 与MSP相比,MS患者的CNP似乎会引起更大的情绪负担和疼痛严重程度.
- 抑郁症可能与MS有关,焦虑可能与CNP有关,增加的痛苦可能与MS和疼痛并发症有关.
- 针对患有CNP的MS患者的特定心理特征可以增强个性化护理策略.
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