了解患有间歇性囊炎/膀疼痛综合征的患者的睡眠疼痛关系
Alexandra A Kelly1, Krista Jones1, Olivia Pineau1
1Department of Psychology, Queen's University, Kingston, ON, Canada.
概括
对于间歇性囊炎/膀疼痛综合征 (IC/BPS) 患者来说,睡眠不足会加重疼痛,显著受到抑郁症状和疼痛灾难性的介导. 弹性在这种关系中没有发挥作用.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 疼痛医学 医学 疼痛医学
- 心理学 心理学 心理学
背景情况:
- 间歇性囊炎/膀疼痛综合征 (IC/BPS) 是一种慢性疾病,其特征是尿急,频率,膀疼痛和生活质量下降.
- 睡眠障碍在IC/BPS患者中很常见,可以加剧疼痛和日常生活中断.
- 心理社会因素,如性,抑郁症状和疼痛灾难性,与IC / BPS中的睡眠和疼痛有关.
研究的目的:
- 调查抑郁症状,疼痛灾难化和恢复力在IC/BPS患者睡眠障碍和疼痛严重程度之间的关系中的调解作用.
- 阐明睡眠不足与IC/BPS患者疼痛增加之间的联系的心理社会机制.
主要方法:
- 一项在线研究招募了自我报告IC/BPS诊断的个人.
- 参与者填写了验证的问卷,评估了人口统计,泌尿病症状,疼痛,疼痛灾难化,抑郁症状和性.
- 使用多重调解模型和串行调解模型来分析数据,仅包括符合IC/BPSRICE标准的参与者.
主要成果:
- 该研究包括74名参与者 (平均年龄为47.0岁).
- 多重调解分析显示,更大的睡眠障碍与增加的疼痛严重程度有关,由抑郁症状和疼痛灾难化调解,但不是弹性.
- 一项连续调解分析证实,睡眠障碍通过疼痛灾难化和抑郁症状对疼痛有显著的间接影响.
结论:
- 抑郁症状和疼痛灾难化似乎是IC / BPS患者睡眠障碍和疼痛严重程度之间的关系中重要的心理社会调解者.
- 这些发现强调了在IC/BPS中解决睡眠和疼痛管理中的心理因素的重要性.
- 这些结果为未来的研究和针对IC/BPS开发有针对性的治疗干预提供了基础.
相关概念视频
01:25Analgesia and Pain Management
623
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
623
01:24Primary Motives: Sleep, Sex, and Pain Avoidance
611
Primary motives such as sleep, sex, and pain avoidance are crucial drivers of behavior in humans and animals. These motives ensure survival, reproductive success, and overall well-being by prompting actions that meet essential bodily needs.
Sleep is a fundamental physiological drive that fosters a state of restfulness crucial for several bodily functions. It facilitates body restoration, the process by which the body repairs, rejuvenates, and maintains itself during sleep, including memory...
Sleep is a fundamental physiological drive that fosters a state of restfulness crucial for several bodily functions. It facilitates body restoration, the process by which the body repairs, rejuvenates, and maintains itself during sleep, including memory...
611
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
208
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
208
01:17Irritable Bowel Syndrome I: Introduction
274
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
274