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实验性疼痛对情节性记忆及其自上而下的调制的影响:预先注册的聚合分析
Jaspreet Kaur1, Ulrike Bingel1, Balint Kincses1
1Department of Neurology and Center for Translational Neuro- and Behavioral Sciences, University Hospital Essen, Essen, Germany.
Pain reports
|August 12, 2024
概括
急性疼痛会损害识别记忆,影响熟悉度和整体表现. 然而,个人对疼痛的期望或认知并没有改变健康参与者的这种有害影响.
科学领域:
- 认知神经科学 认知神经科学
- 疼痛研究 疼痛研究
- 心理学 心理学 心理学
背景情况:
- 疼痛显著影响认知功能,包括注意力和记忆力.
- 据认为,疼痛对认知的影响涉及到自上而下的和自下而上的因素的平衡.
- 了解这些因素对于管理疼痛的认知后果至关重要.
研究的目的:
- 为了研究急性疼痛对识别记忆的影响.
- 为了确定上下因素,如疼痛期望和认知,调节疼痛对记忆的影响.
- 从多个研究中汇集数据,以便进行可靠的分析.
主要方法:
- 对8项涉及247名健康参与者的研究进行了综合再分析.
- 参与者完成了一个视觉分类任务,有或没有疼痛刺激.
- 评估了识别记忆 (d',回忆,熟悉性) 和分类表现.
主要成果:
- 急性疼痛刺激显著损害了识别记忆性能,特别是影响了d'和熟悉度.
- 与疼痛相关的期望和认知 (恐惧,灾难化) 并没有显著调节观察到的记忆障碍.
- 分类性能 (反应时间,准确性) 也被评估为认知代理.
结论:
- 这些发现证实,急性疼痛会对视觉记忆编码产生负面影响.
- 在这个健康样本中,自上而下的认知因素似乎没有调解急性疼痛对识别记忆的有害影响.
- 需要对包括患者群体在内的更大,更多样化的队列进行进一步的研究,以充分了解疼痛,认知和心理因素的相互作用.
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