疼痛:在进化框架中的行为表达和反应
1Research Department of Clinical, Educational & Health Psychology, University College London, Gower St, London WC1E 6BT, UK.
Evolution, medicine, and public health
|November 29, 2023
概括
疼痛行为,适应治愈,当慢性疼痛持久时,变得残疾. 了解这些进化反应可以改善患者护理,并减少与慢性疼痛相关的耻辱感.
科学领域:
- 进化生物学是进化的生物学.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 慢性疼痛是一个重要的公共卫生问题.
- 疼痛行为是促进愈合和生存的进化反应.
- 这些行为可能会变得不适应和残疾,当他们持续超出组织愈合.
研究的目的:
- 探索疼痛行为的进化基础.
- 了解这些行为如何导致慢性疼痛和残疾.
- 研究慢性疼痛患者的疼痛的社会调制以及不信任和耻辱化的现象.
主要方法:
- 进化理论和疼痛研究的审查.
- 对哺乳动物疼痛表达和社会信号的分析.
- 检查影响疼痛感知和反应的心理和社会因素.
主要成果:
- 疼痛行为,最初是保护性的,可以延续慢性疼痛和残疾.
- 社会背景和观察者反应显著调节疼痛感知.
- 对慢性疼痛患者的不信任和污名化可能源于进化的"作弊者检测"机制.
结论:
- 进化观点对于理解慢性疼痛至关重要.
- 解决持久性疼痛行为残疾性质需要了解它们的适应性起源.
- 认识到疼痛的社会和进化动态可以改善临床体验,减少患者的耻辱感.
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