在有或没有注意力缺陷和/或多动性障碍的儿童中,对疼痛感知和注意力的诺塞博效应
Carmen-Édith Belleï-Rodriguez1,2,3,4, Luana Colloca3, Dominique Lorrain2,4,5
1Department of Research in Health Sciences, Faculty of Medecine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada.
Journal of developmental and behavioral pediatrics : JDBP
|October 8, 2024
概括
负面期望,或nocebo效应,同样影响疼痛和注意力在儿童和没有注意力缺陷多动性障碍 (ADHD). 这些影响与儿童的注意力不集中,焦虑和睡眠问题有关.
科学领域:
- 儿科心理学 儿科心理学
- 神经科学是一个神经科学.
- 疼痛感知研究 疼痛感知研究
背景情况:
- 注意缺陷多动障碍 (ADHD) 对儿童构成重大挑战.
- 儿童期望可以影响医疗治疗的有效性和教育成果,特别是通过nocebo效应.
- 了解nocebo效应对于管理儿科健康和学习至关重要.
研究的目的:
- 为了比较患有ADHD和没有ADHD的儿童对疼痛感知和注意力的nocebo效应.
- 调查nocebo效应与个人变量 (如焦虑,睡眠和疼痛) 之间的关系.
- 描述负面期望如何影响儿童的认知和感官处理.
主要方法:
- 一项涉及30名儿童的研究,有或没有ADHD.
- 诱导使用无活性药丸诱导nocebo效应,以模拟增加的疼痛和注意力缺陷.
- 通过计算机化视觉模拟尺度评估热性疼痛感知和使用停止信号任务的注意力能力.
- 使用问卷收集个人变量数据,如焦虑和睡眠质量.
主要成果:
- 在组组组合时,nocebo治疗同样增加了所有参与者的疼痛感知和注意力缺陷 (抑制时间).
- 在患有ADHD和没有ADHD的儿童之间,对疼痛感知的nocebo效应的大小没有差异.
- 发现了nocebo对疼痛和注意力的反应与不注意,学习困难,焦虑和睡眠问题等因素之间的关联.
结论:
- 儿童的期望显著影响疼痛感知和注意力,强调管理这些期望的重要性.
- 负面的建议可能会对小学儿童的感官和认知功能产生不利影响.
- 这项研究强调,需要在儿科护理和教育中解决心理因素,以减轻负面结果.
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