一般焦虑症患者的疼痛网络中的功能和结构异常 疼痛症状患者
Jie Meng1, Ting Zhang2, Tong Hao1
1School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, China; Collaborative Innovation Center of Neuropsychiatric Disorders and Mental Health, Hefei, Anhui Province, China; Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders, Hefei, Anhui Province, China.
Neuroscience
|February 21, 2024
概括
通用焦虑症 (GAD) 患者在疼痛网络中显示出大脑结构和功能的改变. 在左前胰岛的增强活动与GAD的疼痛症状相关.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 医疗成像医学成像
背景情况:
- 疼痛显著影响了一般性焦虑障碍 (GAD) 患者的福祉和工作能力.
- 了解GAD中疼痛的神经成像机制对于治疗和恢复至关重要.
研究的目的:
- 为了研究GAD患者和健康对照者之间与疼痛相关的大脑网络中的神经成像差异.
- 探索大脑异常和GAD疼痛症状严重程度之间的关系.
主要方法:
- 招募了73名GAD患者和75名健康对照 (HC).
- 使用休息状态功能和结构MRI扫描.
- 在预定义的疼痛网络中分析区域同质性 (ReHo) 和灰质体积 (GMV).
- 神经成像发现与患者健康问卷-15 (PHQ-15) 和疼痛得分相关联.
主要成果:
- 与HC相比,GAD患者在双边胰岛呈现了增加的ReHo和双边thalamus的GMV降低.
- 在GAD患者的左前胰岛ReHo和疼痛得分之间发现了正相关性.
- 在GAD患者中观察到双边 thalamus GMV 和 PHQ-15 分数之间的负相关性.
结论:
- GAD患者在与疼痛相关的神经网络中显示结构和功能异常.
- 增强的ReHo在左前胰岛与GAD的疼痛症状有关,这表明它在疼痛感知中的作用.
- 胸膜结构变化也可能导致GAD的疼痛和症状负担.
相关概念视频
Generalized Anxiety Disorder
135
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
135
Pain
481
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
481
Analgesia 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
Anxiety: Overview
271
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
271
Social Anxiety Disorder
34
Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
34
Nociception
27.9K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
27.9K


