基于正念的疼痛感知变化的动态过程
Chen Lu1, Vera Moliadze1, Frauke Nees1
1Institute of Medical Psychology and Medical Sociology, University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany.
Frontiers in neuroscience
|November 29, 2023
概括
正念实践通过提高注意力和认知调节来增强疼痛缓解 (止痛). 机制随着实践而演变,从最初的认知控制转向减少干扰和独特的神经通路激活.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
背景情况:
- 基于正念的过程被认为可以增强注意力和行为反应,特别是镇痛.
- 疼痛缓解是疼痛干预策略中关注的一个关键领域.
- 了解疼痛中正念的机械路径至关重要.
研究的目的:
- 介绍和描述正念的构造,它的组成部分,以及与疼痛相关的过程.
- 探索定义,研究设计和注意力策略的变化如何影响基于正念的疼痛研究.
- 为基于正念的止痛提供一个动态的过程模型.
主要方法:
- 审查现有的关于正念的文献及其在疼痛感知和管理中的作用.
- 对正念定义,因素和潜在机制的概念分析.
- 检查不同实践层面的神经成像与基于正念的止痛相关的发现.
主要成果:
- 基于正念的止痛药最初可能源于认知调节,后来涉及到减少认知情感干扰.
- 正念止痛的机制似乎随着越来越多的实践而动态变化,反映了适应性应对.
- 神经相关物表现出不同的模式:初学者表现出增加的ACC和aINS激活,而专家表现出增加的PINS和减少的LPFC激活.
结论:
- 一个动态过程模型可以构建基于正念的疼痛缓解的演变机制.
- 认知和情感因素之间的相互作用是正念引起的疼痛缓解的核心.
- 神经生物学变化强调了正念练习在疼痛管理中的适应性.
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