奖励方法行为减轻了成功灭绝后与疼痛相关的回避的回归,并预防了反应
Rena Gatzounis1, Anouk Gelissen1, Daniëlla Theuerzeit1
1Experimental Health Psychology, Department of Clinical Psychological Science, Maastricht University, the Netherlands.
The journal of pain
|December 25, 2023
概括
慢性疼痛治疗中的复发可能受到治疗后的因素的影响. 奖励方法行为,而不是认知负载,减弱了暴露治疗后与疼痛相关的回避的回归.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 疼痛研究 疼痛研究
背景情况:
- 慢性疼痛暴露治疗成功后,与疼痛相关的恐惧和避免的复发可能会发生.
- 治疗后的因素可能会调节这种恐惧和回避的回归.
- 认知负荷和奖励方法行为是潜在的调节器.
研究的目的:
- 调查认知负载和奖励方法行为对疼痛相关恐惧和回避的回归的影响.
- 为了检查这些因素是否影响暴露治疗后的复发,在与疼痛相关的避免条件化范式中.
主要方法:
- 在健康的志愿者身上使用了与疼痛相关的避免条件范式.
- 参与者经历了恐惧获取,灭绝与响应预防以及恢复操纵.
- 认知负载被操纵 (低与高),并引入了奖励方法行为条件.
主要成果:
- 无论认知负载如何,与疼痛相关的恐惧和回避都恢复了.
- 奖励接近行为 (T1运动) 减弱了回避的回归,但不是恐惧.
- 研究结果表明,恐惧和避免之间存在不同的关系.
结论:
- 参与有价值的活动可能有助于维持慢性疼痛治疗结果.
- 奖励方法行为可以缓解治疗后与疼痛相关的避免回归.
- 这凸显了将奖励元素纳入暴露治疗维护策略的潜力.
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