当想到疼痛时,会导致痛苦:疼痛灾难化的例子
Jennifer A Haythornthwaite1, Claudia M Campbell1, Robert R Edwards2
1Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Pain
|November 19, 2024
概括
关于疼痛的负面想法,称为疼痛灾难化 (pCAT),是在童年时学到的,可以放大疼痛敏感性. 这种学会的反应可以导致慢性疼痛和痛苦通过神经生物学变化随着时间的推移.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 疼痛研究 疼痛研究
背景情况:
- 关于疼痛的负面想法,称为疼痛灾难化 (pCAT),与放大的感觉信号相关.
- pCAT涉及对疼痛进行威胁性,压倒性和无法控制的评估.
研究的目的:
- 审查关于PCAT的发育起源的证据.
- 探索将pCAT与疼痛放大联系起来的神经生物学机制.
- 讨论pCAT从童年到成年期的发展轨迹及其对疼痛持续性的影响.
主要方法:
- 文献综述专注于儿童学习PCAT.
- 检查参与疼痛和压力调节的神经生物学途径.
- 分析影响疼痛敏感性和痛苦的发育因素.
主要成果:
- 通过观察和经验,特别是从照顾者那里学到pCAT.
- 重复的疼痛和压力暴露可以创建一个积极的反循环,改变疼痛神经生物学和增加灵敏度.
- pCAT有助于疼痛的持续性,并加剧了痛苦,通常是由急性疼痛或全静态负荷引起的.
结论:
- pCAT的发育轨迹受到各种因素的影响,并不是预先确定的.
- 了解PCAT的起源和机制对于开发干预措施至关重要.
- 未来的研究应该探索可以减轻PCAT对疼痛和痛苦的影响的因素.
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