在慢性疼痛患者中,身体意识,压力和自主功能障碍症状:一项探索性研究
Emma Varkey1,2,3, Raquel Gottfridsson2,4, Anna Grimby-Ekman5
1Department of Health and Rehabilitation/Physiotherapy, Institute of Neuroscience and Physiology at Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
概括
慢性疼痛患者经历过高压力和低身体意识,疼痛强度与压力调节有关. 疼痛持续时间较长会使这些人的身体意识恶化.
科学领域:
- 疼痛研究 疼痛研究
- 精神病体医学是一种精神病体医学.
- 临床心理学 临床心理学
背景情况:
- 慢性疼痛影响着相当一部分人群,经常与心理困扰同时发生.
- 了解疼痛感知,压力和整体感知之间的相互作用对于有效管理至关重要.
- 当前的研究强调了需要综合方法来解决慢性疼痛的身体和心理方面的需求.
研究的目的:
- 研究慢性疼痛患者疼痛结果,压力水平和身体意识之间的关系.
- 探索疼痛强度,疼痛部位数,疼痛持续时间,压力和整体感知意识之间的潜在关联.
- 在慢性疼痛队列中确定压力水平和身体意识的预测因素.
主要方法:
- 采用了一个探索性研究设计.
- 患有慢性疼痛的参与者 (n=42) 使用数值评分表 (NRS) 评估疼痛强度,使用压力和危机清单 (SCI-93) 评估压力水平,以及使用多维间接意识评估 (MAIA) 评估身体意识.
- 统计分析包括相关性和回归,以探索变量之间的关联.
主要成果:
- 参与者在NRS上报告了4.4的平均疼痛强度,高压力水平和低身体意识.
- 压力水平与疼痛强度 (r=0.53) 和疼痛部位的数量 (r=0.58) 有中度的相关性.
- 疼痛结果预测了压力水平,解释了47%的差异 (R2=0.47),更短的疼痛持续时间与更高的身体意识有关 (p=0.04).
结论:
- 慢性疼痛患者的高疼痛强度和多个疼痛部位与受损的压力调节有关.
- 患者表现出低的身体意识,这会受到疼痛持续时间的负面影响.
- 这些发现强调了应对压力和身体意识在慢性疼痛综合管理中的重要性.
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