负面期望和肩部疼痛中的相关nocebo效应:临床医生和研究人员的观点
Enrique Lluch-Girbés1,2, Lirios Dueñas1,2, Filip Struyf3
1Physiotherapy in Motion, Multi-Speciality Research Group (PTinMOTION), Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia, Spain.
Pain management
|February 20, 2025
概括
负面期望加剧疼痛的nocebo效应会影响肩膀状况. 这一观点探讨了其原因,并提供了减轻临床实践中负面期望的策略.
科学领域:
- 疼痛研究 疼痛研究
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 诺塞博效应,负面期望加剧症状,在肌肉骨疾病中得到了认可.
- 有限的研究存在于nocebo效应,特别是在肩部疼痛和临床实践.
研究的目的:
- 探索肩膀疼痛中nocebo效应的精神生物学和神经生理学.
- 为了确定在临床环境中用于肩部疼痛的nocebo效应的来源.
- 提出减轻肩部疼痛管理中的nocebo效应的策略.
主要方法:
- 关于nocebo效应的基础科学原则的审查.
- 在肩膀疼痛中识别可发生的nocebo效应的潜在来源 (例如,诊断标签,成像,过度治疗).
- 建议实用的临床缓解策略.
主要成果:
- 诺塞博效应显著影响肩部疼痛的结果.
- 诊断标签,成像,医疗和过度治疗是负面期望的关键来源.
- 临床策略可以有效地减少nocebo效应.
结论:
- 了解nocebo效应对于管理肩部疼痛至关重要.
- 临床医生可以实施策略来抵消消极的期望,并改善患者的结果.
- 需要进一步的研究,以推进在肩部疼痛中研究nocebo效应.
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