在有或没有慢性疼痛的人群中,认知偏见和失眠症状
Maria Fayyaz1, Lies Notebaert2, Marloes Duijzings3
1School of Psychology, University of Sydney, Australia.
The journal of pain
|December 20, 2023
概括
认知偏见,特别是解释偏见,在患有慢性疼痛和失眠的个体中加剧. 这种偏见可能解释了慢性疼痛,失眠和抑郁症之间的联系.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 临床医学 临床医学
背景情况:
- 慢性疼痛和失眠症状经常同时发生.
- 这种共同疾病背后的心理机制尚未完全理解.
- 认知偏差,如解释和注意偏差,独立地涉及慢性疼痛和失眠.
研究的目的:
- 调查是否解释和注意偏差在经历慢性疼痛和显著失眠症状的个体中被放大.
- 探索这些认知偏见与慢性疼痛和失眠的并发症之间的关系.
主要方法:
- 一项涉及109名慢性疼痛患者和79名无疼痛患者的横截面研究.
- 参与者完成了测量睡眠和疼痛解释偏差 (模两可的句子任务) 和注意力偏差 (点探测任务) 的任务.
- 经过验证的问卷评估了失眠,疼痛和一般心理症状.
主要成果:
- 对于睡眠相关的解释偏差,疼痛状态和失眠严重程度之间发现了相互作用;在患有慢性疼痛和高失眠的人群中,它更高.
- 与无痛患者相比,慢性疼痛患者的疼痛解释偏差在慢性疼痛患者中较高.
- 疼痛和睡眠解释偏差都与抑郁症状有关.
结论:
- 解释偏差在慢性疼痛和失眠症状的同时维持中起着重要作用.
- 认知偏差修改针对解释偏差可能提供一个有前途的治疗途径.
- 这些发现强调了慢性疼痛,失眠和抑郁症的潜在三病症,强调了解释偏差的作用.
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