慢性疼痛中的日常皮质醇模式:与工作-家庭溢出,工作和家庭压力相关联
Shin Ye Kim1, Micah Iserman2, Nguyen Nguyen3
1Department of Counseling Psychology, University of Wisconsin-Madison, Madison, WI, USA.
Stress (Amsterdam, Netherlands)
|September 25, 2024
概括
慢性疼痛患者经历更多的工作和家庭压力和皮质醇升高,这表明下丘脑-垂体-上腺 (HPA) 轴的调节失调. 这种生理应激反应与较差的健康结果和增加的心理痛苦有关.
科学领域:
- 心理学 心理学 心理学
- 内分泌学 在内分泌学.
- 社会学 社会学 社会学
背景情况:
- 慢性疼痛显著影响日常生活,增加压力和损害生理功能.
- 工作和家庭是压力经常表现出来的关键社会领域.
- 了解慢性疼痛,社会压力和生理反应的相互作用至关重要.
研究的目的:
- 为了研究慢性疼痛,工作和家庭压力因素以及白天皮质醇模式之间的关系.
- 研究慢性疼痛如何影响日常生活和生理应激反应.
- 探索慢性疼痛患者的工作-家庭溢出和日常压力因素.
主要方法:
- 分析了1413名患有慢性疼痛的成年人和来自MIDUS II样本的匹配对照.
- 评估工作家庭溢出,日常工作/家庭压力因素和多天皮质醇水平.
- 慢性疼痛患者和对照组之间的皮质醇模式的比较.
主要成果:
- 慢性疼痛组报告说,工作对家庭的负面溢出增加,以及更多的压力家庭事件,比如避免争.
- 患有慢性疼痛的个体在白天晚些时候表现出更高的皮质醇水平,这表明下丘脑-垂体-上腺 (HPA) 轴的失调.
- 在两组之间之前识别的白天皮质醇概况中没有发现显著差异.
结论:
- 慢性疼痛加剧了工作与家庭之间的紧张关系,并与生理压力标志物 (如HPA轴调节障碍) 相联系.
- 慢性疼痛患者的HPA轴调节失调与不良健康结果有关,包括炎症和心理困扰.
- 需要进一步的研究,以了解慢性疼痛患者皮质醇特征的细微差别.
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