强迫性强迫性特征在纤维肌痛中的作用:与疼痛相关的强迫性想象是否参与病变发生?
Bat-El Lugassy-Galper1,2, Mor Amital3, Howard Amital1,2,3
1Department of Medicine B & The Center for Autoimmune Diseases, Sheba Medical Center, Tel-HashomerRamat-Gan 5262100, Israel.
Medicina (Kaunas, Lithuania)
|July 27, 2024
概括
纤维肌痛患者经常会对疼痛产生强迫性想法,导致痛苦增加和功能问题. 这些强迫症模式显著恶化疼痛感知和纤维肌痛综合征的认知困难.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 类风湿病学 类风湿病学
背景情况:
- 纤维肌痛综合征 (FMS) 是一种慢性疼痛状况,具有广泛的疼痛和性.
- 像疲劳和认知障碍这样的神经心理症状在FMS中很常见.
- 在FMS和强迫症 (OCD) 之间的联系是研究不足.
研究的目的:
- 调查纤维肌痛综合征 (FMS) 患者中强迫症 (OCD) 模式的流行情况.
- 评估这些模式对疼痛感知和功能障碍的影响.
主要方法:
- 来自风湿病诊所的37名FMS患者参与了这项研究.
- 经过验证的问卷评估了疼痛强度,个性,压力,疼痛灾难化,疼痛痴迷和强迫症严重程度 (Y-BOCS).
主要成果:
- 患有FMS的患者报告说,每天都会有侵入性疼痛想法,焦虑增加,疼痛变得灾难性,功能障碍.
- 27%的患者由于疼痛意识出现了严重的功能障碍;49%的患者表现出轻微的强迫症症状,与疼痛和损伤相关.
结论:
- 强迫性强迫性思维显著促进纤维肌痛的疼痛放大.
- 这些认知模式是纤维肌痛综合征体验的关键因素.
更多相关视频
09:29Signal Attenuation as a Rat Model of Obsessive Compulsive Disorder
Published on: January 9, 2015
15.5K
07:20Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
Published on: December 21, 2012
15.9K
相关概念视频
Obsessive-Compulsive Disorder
79
Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
79
Personality Disorders: Dependent and Obsessive-Compulsive
38
Dependent personality disorder and obsessive-compulsive personality disorder are two separate psychological conditions that influence behavior, relationships, and overall life functioning. Though both involve maladaptive behaviors, their core characteristics and motivations differ significantly.
Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle...
Dependent Personality Disorder
Dependent personality disorder is characterized by an excessive reliance on others to manage various aspects of life. Individuals with this disorder often struggle...
38
Irritable Bowel Syndrome I: Introduction
264
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
264
Nociception
27.8K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
27.8K
Analgesia and Pain Management
557
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
557
Anxiety: Overview
260
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
260
