在三角神经疼痛中,人格特征和疼痛经历之间的关联
Jeong-A Lee1,2, Yoon Kyung Han2, Won Je Jung2
1Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, Korea.
The journal of headache and pain
|April 8, 2025
概括
在三神经疼痛 (TN) 患者中,神经病症并没有直接影响疼痛感知. 然而,较高的神经症与增加的焦虑和抑郁相关,这反过来又影响了疼痛的灾难化和接受.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 医学研究 医学研究
背景情况:
- 三神经疼痛 (TN) 是一种由各种因素影响的复杂疼痛状况.
- 了解人格特征在TN中的作用对于有效管理至关重要.
- 这项研究探讨了人格特征及其与TN患者疼痛感知,接受,焦虑和抑郁的联系.
研究的目的:
- 在被诊断患有三角神经疼痛 (TN) 的患者中识别人格特征.
- 探究已识别的个性特征与关键疼痛相关结果之间的关系.
- 为了检查人格特征,疼痛感知,疼痛接受,焦虑和TN的抑郁症之间的联系.
主要方法:
- 一项涉及50名TN患者和50名健康对照者的比较研究 (HC).
- 用国际人格项目池 (IPIP) 的戈德伯格标记来评估人格特征,用于大五因素结构.
- 在所有参与者中测量了疼痛感知,疼痛接受,焦虑和抑郁水平.
主要成果:
- 与HC相比,TN患者的平均神经病变和中位数焦虑/抑郁分数较高.
- 人格特征与疼痛感知或疼痛接受之间没有发现显著的直接相关性.
- 增加的神经病症得分与更高的焦虑和抑郁水平有关.
- 较高的焦虑分数与增加的疼痛灾难化和较低的疼痛接受度相关.
- 较高的抑郁症得分与更高的疼痛频率和更低的疼痛接受度有关.
结论:
- 在TN患者中,神经病变与疼痛强度没有直接联系,但与焦虑和抑郁症的增加有关.
- 焦虑和抑郁症显著影响了TN的疼痛灾难化,疼痛频率和疼痛接受.
- 这些发现支持针对TN的个性化治疗策略,强调针对个体人格特征量身定制的心理干预,特别是在高神经病症患者中.
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