中央敏感化库存与心理功能有关,但与疼痛放大心理物理评估无关
Rafaela Stocker Salbego1, Paulo César Rodrigues Conti2, Flávia Fonseca Carvalho Soares3
1Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.
European journal of pain (London, England)
|August 9, 2024
概括
中央敏感化库存 (CSI) 与焦虑和抑郁等心理社会因素有很强的相关性,但与客观疼痛放大措施无关. 这表明CSI在诊断关节障碍 (TMD) 患者中中央敏感性 (CS) 的可靠性可能较低.
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.
- 临床评估工具 临床评估工具
背景情况:
- 中央敏感清单 (CSI) 是评估敏感症状的常用工具.
- 最近的研究质疑CSI在识别中枢敏感症 (CS) 个体方面的准确性.
- 这项研究调查了CSI与心理社会和心理物理因素在痛苦的关节障碍 (TMD) 的关系.
研究的目的:
- 评估CSI和心理社会/心理物理因素在患有疼痛TMD和对照患者之间的相关性.
- 确定这些因素如何影响CSI得分的变化.
- 评估CSI在识别中央敏感性方面的实用性.
主要方法:
- 这是一项涉及77名痛苦的TMD患者和101名无症状对照者的横截面研究.
- 分析了CSI,疼痛放大措施 (WUR,CPM) 和心理社会问卷 (HADS,PSQI,PCS,PSS) 之间的相关性.
- 线性回归研究了显著变量对CSI得分的影响.
主要成果:
- CSI与心理社会变量 (焦虑,抑郁,灾难化,睡眠) 有显著的相关性 (p < 0.0006),不论是TMD.
- 心理社会因素,不包括压力,解释了68.9%的CSI得分变化.
- CSI与心理物理疼痛放大指标没有相关性 (p > 0.320).
结论:
- CSI与心理社会因素更紧密地联系在一起,而不是对中央敏感度的客观措施.
- 它在检测TMD患者和健康个体中中央敏感性的实用性有限.
- 建议重新评估CSI对中央敏感化的诊断适用性,特别是在痛苦的TMD.
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