疼痛敏感性作为青少年非自杀性自我伤害状态标志物和预测指标
Han-Tin Kao1, Ines Mürner-Lavanchy1, Elisabeth von Stosch2
1University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Psychological medicine
|March 11, 2024
概括
疼痛敏感性降低可能与非自杀性自我伤害 (NSSI) 有关. 一项研究发现,降低疼痛值与青少年一年内较少的NSSI相关. 这表明疼痛值的变化可能表明NSSI状态.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 疼痛研究 疼痛研究
背景情况:
- 疼痛止痛假说将疼痛敏感度降低 (PS) 与非自杀性自伤 (NSSI) 联系起来.
- 之前的研究表明,NSSI患者的成人和青少年的PS降低.
- 在症状缓解后,PS可能会在边缘性人格障碍 (BPD) 的成年人中恢复正常.
研究的目的:
- 在患有NSSI的青少年中研究PS在一年的纵向发展.
- 为了确定基线PS是否预测了NSSI随时间变化的变化.
主要方法:
- 66名患有NSSI疾病的青少年接受了基线和1年后续评估.
- 热疼痛刺激测量了疼痛值和耐受性.
- 回归分析检查了PS,NSSI,BPD和抑郁症状之间的关联.
主要成果:
- 疼痛值下降与NSSI在一年内减少有关 (IRR=2.04,p=0.047).
- 在基线较高的疼痛耐受性预测了随访时较低的NSSI概率 (OR = 0.42,p = 0.016),尽管在校正后 (p = 0.059) 这趋向于无意义.
- 在PS和BPD或抑郁症状之间没有发现显著的关联.
结论:
- 随着NSSI频率的降低,疼痛值可能会正常化.
- 疼痛值可能成为青少年NSSI的状态标志物.
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