缓解疼痛的基于正念的干预措施的作用机制-系统性审查
Markus Ploesser1, David Martin1
1Fakultät für Gesundheit (Department für Humanmedizin), Lehrstuhl für Medizintheorie, Integrative und Anthroposophische Medizin, Herdecke, Germany.
Journal of integrative and complementary medicine
|July 23, 2024
概括
正念冥想调节大脑活动和连接性以缓解疼痛,通过非阿片类药物途径起作用并增强疼痛接受. 长期练习可以改善疼痛值,减少不愉快的感觉.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
背景情况:
- 对于疼痛的正念机制没有系统的综合存在.
- 了解这些机制对于有效的疼痛管理至关重要.
研究的目的:
- 系统地审查和综合有关正念冥想缓解疼痛作用机制的研究.
- 识别神经,心理和经验路径,涉及到基于正念的疼痛调节.
主要方法:
- 对Embase和Medline数据库进行系统的文献搜索.
- 包括21项同行评审研究 (5项临床,16项实验) 在成年人群中.
- 分析神经成像 (fMRI,DTI) 和疼痛感知数据.
主要成果:
- 正念调节与疼痛相关的区域 (ACC,insula,OFC) 的大脑活动,并增强连接性.
- 止痛作用即使在阿片类受体阻塞的情况下也会持续存在,这表明非阿片类受体机制.
- 正念促进疼痛的接受,并修改疼痛控制的信念,调解改善的结果.
- 经验丰富的从业者通过注意力控制显示疼痛值增强和减少不愉快感.
结论:
- 正念冥想通过认知重新评估,非阿片类药物途径和注意力提供了多方面的疼痛管理.
- 关键机制包括促进疼痛接受和改变疼痛感知.
- 需要在慢性疼痛群体中进行进一步的研究,以区分特定和非特定的影响.
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