边界性人格障碍中的急性,慢性和日常身体疼痛
Melissa Nance1, Khrystyna Stetsiv1, Ian A McNamara1
1Department of Psychological Sciences, University of Missouri, St. Louis, St. Louis, USA.
Current psychiatry reports
|April 10, 2024
概括
边缘性人格障碍 (BPD) 患者经常经历身体疼痛失调. 本综述强调了促进疼痛敏感度增加的生物和心理机制,以及对BPD患者疼痛管理的挑战.
科学领域:
- 精神病学是一个精神病学.
- 疼痛医学 医学 疼痛医学
- 心理学 心理学 心理学
背景情况:
- 身体疼痛失调在边界人格障碍 (BPD) 中经常被忽视.
- 患有BPD的人在急性,慢性和日常疼痛经历中表现出障碍.
- 了解这些疼痛障碍对于改善患者的治疗结果至关重要.
研究的目的:
- 综合当前关于BPD身体疼痛失调的研究.
- 为了确定潜在的生物学和心理机制,将BPD和疼痛联系起来.
- 突出社会因素对BPD疼痛管理的影响.
主要方法:
- 文献综述和现有研究结果的综合.
- 对调查神经,情绪和社会因素导致BPD疼痛的研究进行分析.
- 在研究中识别共同的主题和机制.
主要成果:
- 认知情感大脑区域的神经反应的改变和低内源性阿片类药物水平可能导致疼痛失调.
- 情绪失调在BPD中广泛介导身体疼痛经历.
- 分离可以减轻急性疼痛,而负面影响会加剧疼痛.
- 与医疗保健提供者的人际挑战可能会阻碍慢性疼痛治疗.
- 失调的身体疼痛与增加BPD症状,慢性疼痛状况和物质使用风险有关.
结论:
- 身体疼痛失调是BPD的一个重要和复杂的问题.
- 生物,心理和社会因素相互作用,塑造疼痛经历.
- 解决疼痛管理对于全面的BPD治疗和改善健康结果至关重要.
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