一个系统的回顾与分析的耻辱和慢性疼痛结果之间的关联
Lauren M Hickling1,2, Selsebil Allani1, Matteo Cella1,2
1King's College London, Department of Psychology, Institute of Psychiatry, Psychology, and Neuroscience, London, United Kingdom.
Pain
|May 22, 2024
概括
耻辱负面影响慢性疼痛的结果,增加疼痛强度,残疾和抑郁. 这篇综述强调了耻辱和慢性疼痛之间的不良关联,强调需要进一步研究.
科学领域:
- 心理学 心理学 心理学
- 疼痛医学 医学 疼痛医学
- 公共卫生 公共卫生
背景情况:
- 耻辱感在慢性疼痛患者中普遍存在.
- 现有证据表明,耻辱可能会使疼痛结果恶化.
- 没有系统性审查全面检查了耻辱对慢性疼痛结果的影响.
研究的目的:
- 系统地审查和元分析耻辱和慢性疼痛结果之间的关联.
- 为了调查各种慢性疼痛疾病之间耻辱的差异.
主要方法:
- 在七个数据库中系统搜索相关研究.
- 两位独立研究人员对研究的选.
- 来自19项符合条件的研究数据的叙述综合和元分析.
主要成果:
- 在耻辱和疼痛强度,残疾和抑郁症 (小到中等效果大小) 之间发现了显著的正相关性.
- 这些发现得到了前性研究和多变量分析的支持.
- 初步证据表明,在不太清楚病理生理学的条件下,耻辱感更高.
结论:
- 耻辱感与关键的慢性疼痛结果有不利关联.
- 越来越多的研究表明,耻辱和慢性疼痛之间存在有害的联系.
- 需要进一步的研究来了解跨疼痛条件的耻辱差异.
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