慢性疼痛和强迫症:一个范围审查
Chad Sloley1, Caroline Bell2, Edward A Shipton3
1Department of Anaesthesia, University of Otago, Christchurch, Canterbury, New Zealand. chad.sloley@postgrad.otago.ac.nz.
Pain and therapy
|February 4, 2025
概括
关于慢性疼痛 (CP) 和强迫症 (OCD) 之间的关联的研究有限,但表明存在复杂的关系. 存在共同的神经生物学和心理因素,表明CP和强迫症的潜在重叠治疗目标.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 疼痛管理 疼痛管理
背景情况:
- 慢性疼痛 (CP) 和强迫症 (OCD) 是不同的疾病,有着重要的个人研究.
- 绘制CP和强迫症之间的关联的文献仍然有限,可能被忽视.
- 了解这些疾病之间的相互作用对于全面的患者护理至关重要.
研究的目的:
- 系统地绘制有关慢性疼痛与强迫症之间关联的现有文献.
- 确定研究缺口和未来研究领域.
- 综合有关CP和强迫症的流行,神经生物学,心理因素和干预措施的当前知识.
主要方法:
- 对同行评审文献进行了全面的范围审查.
- 搜索包括多个数据库 (例如,Psychinfo,Medline,Scopus) 的英语文章.
- 使用了与慢性疼痛和强迫症相关的关键词.
主要成果:
- 审查包括87个记录,分为流行/严重程度,神经生物学,心理模型/因素和干预措施.
- 强迫症中CP的患病率不同,反之亦然,其根本原因不明.
- 在CP和强迫症之间发现了改变疼痛处理,大脑区域失调和神经递质系统的共同点.
结论:
- CP和强迫症之间的关系是复杂的,需要进一步调查.
- 重叠的病理生理过程和心理方面表明了共享治疗目标的潜力.
- 需要高质量的有针对性的研究来澄清CP-OCD关联,并为治疗策略提供信息.
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