自杀企图的疼痛耐受性和值:一个系统的审查和元分析
Nathan Risch1, Adrian Alacreu-Crespo2, Shazma Khan3
1Institute of Functional Genomics, University of Montpellier, CNRS, INSERM, Montpellier 34094, France; Department of Emergency Psychiatry and Post-Acute Care, CHU Montpellier, Montpellier 34295, France; Clinique de la Lironde, Clinea Psychiatrie, Saint-Clément-de-Rivière 34980, France.
Psychiatry research
|December 10, 2023
概括
与精神病控制组相比,试图自杀 (SA) 的人没有显示出疼痛敏感度的改变. 然而,自杀未遂者表现出比健康个体更高的疼痛耐受性,这表明疼痛感知变化与精神疾病有关,而不是自杀脆弱性.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 疼痛研究 疼痛研究
背景情况:
- 一个假设将减少疼痛敏感性与增加自杀风险联系在一起.
- 现有的关于自杀企图 (SA) 疼痛感知的实验数据是不一致的.
- 这项研究系统地审查和分析了SA的疼痛敏感性.
研究的目的:
- 系统地审查和元分析SA的疼痛耐受性和值.
- 为了比较SA,精神病控制 (PC) 和健康控制 (HC) 之间的疼痛感知.
主要方法:
- 16项研究的系统综述和随机效应元分析.
- 物理疼痛耐受度和值数据的比较.
- 包括将SA与PC或HC进行比较的研究.
主要成果:
- 在SA和PC之间没有发现疼痛耐受性或疼痛值的显著差异.
- 与HC相比,SA表现出明显更高的疼痛耐受性,但没有疼痛值.
- 研究结果表明,疼痛感知变化与精神疾病有关.
结论:
- 改变疼痛感知作为自杀脆弱性的特征的假设没有得到支持.
- 结果表明,改变疼痛感知可能与更广泛的精神病脆弱性有关.
- 需要进一步的研究来理解疼痛,自杀和精神疾病之间的复杂关系.
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