在肩膀或腰部疼痛的个体中,生物心理社会因素对刺激有所贡献
Abigail T Wilson1,2, William J Hanney1,2, Randi M Richardson1
1Division of Physical Therapy, University of Central Florida, School of Kinesiology and Rehabilitation Sciences, College of Health Professions and Sciences, Orlando, FL, USA.
The Journal of manual & manipulative therapy
|December 18, 2023
概括
疼痛刺激与疼痛敏感度升高和抑郁症等心理因素有关,而不仅仅是组织损伤. 这项研究发现,易怒的患者表现出较低的疼痛值和较差的疼痛调节.
科学领域:
- 康复科学是康复的科学.
- 疼痛研究 疼痛研究
- 生物心理社会健康
背景情况:
- 易怒是康复的关键概念,传统上与组织损伤有关.
- 新出现的证据强调疼痛是一种复杂的生物心理社会体验.
- 心理因素和疼痛敏感性显著影响患者表现.
研究的目的:
- 调查疼痛患者临床易怒的生物心理社会贡献者.
- 根据感官和心理因素来区分易怒和不易怒的表现.
主要方法:
- 进行了定量感官测试 (QST),包括压力疼痛值,热量疼痛值,条件疼痛调制和时间总和.
- 患者填写了心理调查问卷,评估了抑郁,愤怒和自我效能.
- 参与者根据既定的标准被分类为易怒或不易怒以及易怒程度 (高,中等,低).
主要成果:
- 易怒的个体在多个部位表现出明显较低的热量和压力疼痛值.
- 在易怒的患者中,有条件的疼痛调节效率较低.
- 在易怒的患者中报告了更高水平的抑郁和愤怒,以及更低的自我效能.
结论:
- 生物心理社会因素,包括广泛的过敏症和心理困扰,与易怒的疼痛表现有关.
- 这些发现支持全面的生物心理社会方法来理解和管理康复中的易怒.
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